- Highmark Health (Lincoln, NE)
- …charges. The incumbent will also conduct or assist with provider and subscriber investigations to verify the validity of services and charges; will monitor ... internal referrals from sources such as claims, customer service, Medicare C&D Compliance , and Fraud Hotlines; will alert Investigators of the need for further… more
- Banc of California (Los Angeles, CA)
- …and potential breaches and bank robberies. + Partners with Fraud Risk to conduct investigations related to external and internal fraud. + Works with HR and ... to the organization's physical security program, policies and procedures in compliance with federal and state laws and the organization's security practices.… more
- Geisinger (Danville, PA)
- …for the strategic direction, planning, oversight, and operation of the Special Investigations ("SI") and Program Integrity ("PI") teams. Develops and directs the ... claims for appropriate coding, billed statistics, policies, industry standards and compliance with contractual, state, and federal regulation. Responsible for the… more
- Highmark Health (Pittsburgh, PA)
- …recoveries/ savings. Will be called upon as a subject matter expert for investigations providing guidance and mentoring to investigative team. Must be able to ... Conduct audits for proactive and investigative purposes to comply with internal audit and regulatory requirements. **ESSENTIAL RESPONSIBILITIES** + Analyze and… more
- Coinbase (Charlotte, NC)
- …documents/trackers, training calendars, etc. * You will collaborate with multiple internal teams (Workforce Management, Vendor Management, Operations, Compliance ... connection, and alignment. Attendance is expected and fully supported. Senior AML Investigations Trainer provides end to end learning services, and management for… more
- US Bank (Minneapolis, MN)
- …for reviewing risk-based alerts which have triggered based on the Bank's internal monitoring scenarios and branch referrals. Customer transactional activity will be ... prepared by the Analyst to document and justify their decision in compliance with established regulatory guidelines and time frames. **Basic Qualifications** +… more
- HSBC (New York, NY)
- …that all staff and activities across the global team comply with all internal global policies, compliance , and audit requirements. Continually reassess and ... **Description** **Litigation, Regulatory Enforcement and Investigations (LREI), HSBC Technology & Services (USA) Inc.,...to this position, please click the 'Apply' button.** _In compliance with applicable laws, HSBC is committed to employing… more
- Arrow Electronics (Centennial, CO)
- …, compliance , or monitoring. + Investigative Skills: Experience conducting internal investigations or forensic audits is highly desirable. + ... initiatives that safeguard the organization's integrity. **What You'll Be Doing:** + Investigations : Lead and support internal investigations into potential… more
- MSC Industrial Supply Co. (Davidson, NC)
- …chain compliance related questions, assist with government inspections and investigations , implement internal controls, and develop compliance training. ... procedures, training materials, and other communication tools to ensure departments meet compliance requirements. + Manages internal compliance audits and… more
- Carnival Cruise Line (Miami, FL)
- …and corrective action plans for audit findings, SRNC(Self Reported Non Conformities), and internal and IAG Investigations . Ensure compliance with SOLAS, ... responsible for overseeing the strategic management, operational readiness, and regulatory compliance of all deck and safety-related assets, including intact and… more