- MVP Health Care (Schenectady, NY)
- …to MD or RN. + New York State Nursing license required (RN preferred). Experience in health insurance fraud investigations preferred. + Obtain CPC and/or ... **Join Us in Shaping the Future of Health Care** At MVP Health Care,...seven years of professional investigation experience involving economic or insurance relatedmatters. + A clinical investigator must have in… more
- Capital One (Lincoln, NE)
- Work From Home - Senior Complaints Coordinator - FDO Escalations - Fraud Account Management Investigations Solutions (FAMISE) **Are you looking for a challenging ... or Microsoft Office + At least 1 year of Fraud or Disputes experience **Preferred Qualifications** + At least...and Prescriptions, plus Flexible Spending Accounts, Life and Disability Insurance , and mental wellness support. + Save money, make… more
- Bank OZK (Apollo Beach, FL)
- …instances described within the Bank's Fraud Risk Management Program. + Performs fraud investigations derived from escalated fraud alerts and other ... mental and financial wellbeing, including generous PTO, 401(k) matching, health , dental, vision (and pet!) insurance as...branch personnel or law enforcement. + Conducts moderately complex fraud investigations and link analysis that may… more
- MyFlorida (Orlando, FL)
- …provides analytical support for attorneys and investigators in Florida-specific and multistate health care fraud investigations and litigation matters. An ... of damages models for use in Florida-specific and multistate health care fraud investigations and...and one Personal Holiday each year. + State Group Insurance coverage options, including health , life, dental,… more
- Bank OZK (Clearwater, FL)
- …described within the Bank's Fraud Risk Management Program. + Performs complex fraud investigations derived from escalated fraud alerts and other various ... mental and financial wellbeing, including generous PTO, 401(k) matching, health , dental, vision (and pet!) insurance as...as branch personnel or law enforcement. + Conducts complex fraud investigations and link analysis that may… more
- Columbia Bank (Phoenix, AZ)
- …Director who can design, implement, and maintain a best-in-class AML and Fraud Investigations program, including robust transaction monitoring systems, to ... Provide oversight and support services for groups that impact FID related to fraud investigations and AML transaction monitoring, process and policies. + Working… more
- Walmart (Bentonville, AR)
- …stores, while minimizing friction for good users. This role blends data-driven fraud detection with field investigations , requiring both analytical and ... of our Last Mile Delivery (LMD) team, you will own the end-to-end fraud prevention strategy and day-to-day operations that protect our marketplace, customers, and… more
- Humana (Oklahoma City, OK)
- …part of our caring community and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the ... fraud , and member abuse cases to the Oklahoma Health Care Authority (OHCA) and other duly authorized enforcement...be an Oklahoma resident** + 2+ years of healthcare fraud investigations and auditing experience + Knowledge… more
- Option Care Health (Itasca, IL)
- …in healthcare. **Job Description Summary:** The Manager, Compliance Operations & Investigations supports Option Care Health 's compliance investigation program by ... in alignment with applicable laws and regulations. **Job Description:** Conduct investigations into fraud , waste, abuse, and other compliance concerns,… more
- Amazon (Seattle, WA)
- …are looking for an experienced Risk Manager with a background in risk or fraud investigations , regulatory compliance, intelligence, or a related field to join ... International Studies or related discipline - 4+ years of operations, risk, fraud investigations industry experience Preferred Qualifications - Experience in… more