- Highmark Health (Pittsburgh, PA)
- …**EXPERIENCE** **Required** + 7 years of in the Health Insurance industry and/or Healthcare Fraud investigations + 3 years in leading projects of varying size ... recoveries/ savings. Will be called upon as a subject matter expert for investigations providing guidance and mentoring to investigative team. Must be able to… more
- Banc of California (Los Angeles, CA)
- …assets. Provides oversight and works cross-functionally on all suspected, alleged, or known fraud investigations against the Bank and its customers. Performs all ... the organization's physical security program, policies and procedures in compliance with federal and state laws and the organization's...and potential breaches and bank robberies. + Partners with Fraud Risk to conduct investigations related to… more
- Geisinger (Danville, PA)
- … and Program Integrity units spanning all lines of business. + Ensures compliance with all regulators on anti- fraud and program integrity regulations. + ... Compliance and Program Integrity committee to report and communicate areas of non- compliance , risk, financial savings and potential fraud , waste or abuse +… more
- Bank of America (Charlotte, NC)
- Sr Fraud Analyst II - 2nd Shift - Alert Management Charlotte, North Carolina **To proceed with your application, you must be at least 18 years of age.** Acknowledge ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Charlotte/Sr- Fraud -Analyst-II Global-Payment-Operations-Alert-Management\_25035509) **Job Description:** At Bank of America, we… more
- Highmark Health (Lincoln, NE)
- …monitor internal referrals from sources such as claims, customer service, Medicare C&D Compliance , and Fraud Hotlines; will alert Investigators of the need for ... will also conduct or assist with provider and subscriber investigations to verify the validity of services and charges;...of customers and providers to obtain information in suspected fraud waste and abuse cases; Prepare reports and other… more
- City of New York (New York, NY)
- …the public, and New Yorkers will have a democracy they can truly trust. The Investigations Unit works with other CFB units to ensure compliance with campaign ... finance laws and regulations and seeks a Director of Investigations to lead a team of analysts in the...of election and ethics laws and regulations. - Investigative, compliance and enforcement expertise. - Experience liaising with other… more
- NBC Universal (Englewood Cliffs, NJ)
- …HR, Compliance , Physical Security, and IT to ensure holistic investigations and coordinated response strategies. + Support development of training and ... content. The spin-off is expected to be completed during 2025. The Senior Manager, Investigations and Insider Threat will be a key leader within the new Versant… more
- Amazon (Arlington, VA)
- …Amazon's Legal Department is looking for an attorney with experience in corporate investigations and compliance programs to join its Business Conduct & Ethics ... Investigations Program. Key job responsibilities As Associate Corporate Counsel,...investigations involving potential legal and regulatory issues, including fraud allegations. The ideal candidate must be a strong… more
- Deloitte (Detroit, MI)
- …modeling to deliver insights into forensic and transactional challenges, supporting investigations such as fraud , anti-corruption compliance , restructuring, ... prepare client presentations, reports, and deliverables on projects including accounting and fraud investigations , false claims act cases, and complex business… more
- CVS Health (Lansing, MI)
- …+ Proficient in researching information and identifying information resources. + Ensures compliance with Federal and State Fraud mandates. + Maintains a ... Summary** The Senior Trainer who will support the Special Investigations team will design, develop, and deliver detailed curriculum...support and reviewing claims for potential acts of healthcare fraud and abuse by both members and providers. +… more