- City National Bank (Newark, DE)
- …IS THE OPPORTUNITY?* The Reporting Analyst III is an integral part of the Enterprise Fraud Management team. The role is accountable for owning and evolving Fraud ... managerial reporting. Reporting includes gathering data from Tableau dashboards, the Fraud Data Hub, and other sources, conducting data analysis, synthesizing… more
- City National Bank (Phoenix, AZ)
- …This role is an opportunity to play an integral role on the Enterprise Fraud Management team. The role requires Fraud subject matter expertise, accountability ... a product like credit cards, or a channel like digital platforms); understanding the fraud risks and controls in the portfolio; and working with fraud , business,… more
- Elara Caring (Houston, TX)
- …to effectively collaborate with cross-functional teams. + Understanding of Federal and State healthcare laws and regulations pertaining to fraud , waste and abuse ... our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right...calling: developing an amazing team of compassionate and dedicated healthcare providers. To continue to be an industry pioneer… more
- Point32Health (Canton, MA)
- …health and well-being organization dedicated to delivering high-quality, affordable healthcare . Serving nearly 2 million members, Point32Health builds on the ... behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of… more
- MyFlorida (Tallahassee, FL)
- …government auditing standards. This position is critical to identifying organizational fraud , waste and abuse risks and developing recommendations to mitigate those ... external audit consultants. + Performs data analytics to identify fraud , waste, or abuse in claims data. + Organizes...years of experience in a related field such as: healthcare , finance, accounting, business or risk management, or a… more
- Prime Therapeutics (Salem, OR)
- …for conducting standard investigations of potential pharmacy, member, and/or prescriber fraud , waste and abuse (FWA). This position conducts claims data mining, ... fraud analysis and auditing/monitoring activities and proactively identifies improvement...assigned **Minimum Qualifications** + Bachelor's degree in Criminal Justice, Healthcare or related area of study or the equivalent… more
- Option Care Health (Bannockburn, IL)
- …in Healthcare Compliance (CHC), Certified Internal Auditor (CIA), Certified Fraud Examiner (CFE), or similar certification preferred. + Direct experience in home ... that attracts, hires and retains the best and brightest talent in healthcare . **Job Description Summary:** The Analyst, Compliance Auditing, Monitoring and Analytics… more
- Highmark Health (Denver, CO)
- …Analytics will work closely with Senior Data Scientists to support Highmark's Fraud , Waste, and Abuse identification efforts. Daily responsibilities will involve the ... in-depth analysis of complex healthcare claims data utilizing advanced analytical techniques to detect...the business. - Collaborate with senior team members on Fraud , Waste, and Abuse identification initiatives to develop and… more
- Otsuka America Pharmaceutical Inc. (Jackson, MS)
- **Job Summary** Otsuka America Pharmaceutical Inc. is a global healthcare company with the corporate philosophy: "Otsuka-people creating new products for better ... the primary point of contact for long-term care accounts and healthcare providers (HCPs). Additionally, you'll coordinate speaker programs, organize local provider… more
- Atlantic Health System (Morristown, NJ)
- …compliance risk areas: (i) general compliance and compliance program effectiveness; (ii) fraud , waste and abuse and Deficit Reduction Act of 2005 workforce member ... Medicare C & D/Medicare Advantage compliance program requirements; (vi) Federal healthcare program compliance; and (vii) other assigned risk areas identified through… more