- MTA (Jamaica, NY)
- …recommend corrective action, if necessary. Upon special request, conduct confidential investigations into allegations of departmental fraud , waste, and abuse. ... Knowledge/Skills/Abilities: + Significant breadth of knowledge of internal controls, compliance and integrity programs, internal investigations , and policy… more
- CareFirst (Baltimore, MD)
- …or as lead in part of an assigned team develop and conduct healthcare fraud , waste, and abuse investigations of all levels (low to complex). Develop ... data banks and other documents to determine the possible existence of fraud and/or abuse. Conducting detailed offsite audits/ investigations with interviews when… more
- Otsuka America Pharmaceutical Inc. (Rockville, MD)
- … resource allocation. **Program Execution** + Directly supervise US E&C Compliance Counsel, Internal Investigations , and Operations teams, with management ... but not limited to ongoing prioritization and enhancement of business acumen and fraud and abuse expertise. + Oversee Internal Investigations and Conflict of… more
- Molina Healthcare (Nampa, ID)
- …opinions. + Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations . + Knowledge of Managed Care and the Medicaid and ... Healthcare Services, Member Services, Claims) to gather documentation pertinent to investigations . + Detects potential health care fraud , waste, and… more
- Citizens (Johnston, RI)
- …comply with all laws. Primary responsibilities include + Conducts routine and more complex investigations into incidents of check fraud , card fraud , loan ... court proceedings. You will also ensure clear knowledge & compliance to the SAR program, Bank Secrecy Act reporting...Required Skills/Experience: + 3 or more years of current investigations , financial fraud and/or legal experience. Banking,… more
- Elevance Health (Grand Prairie, TX)
- …+ Reviews provider medical record documentation to determine if there is potential fraud , waste, or abuse that warrants further investigations . + Conducts ... **Clinical Compliance Medical Director** _Please note that per our...in developing an investigation team that focuses on potential fraud , waste and abuse in the provider population. **How… more
- American Express (New York, NY)
- …define the future of American Express. **Position Overview:** The Director of Internal Fraud , Insider Threat and Conduct Risk Investigations will be responsible ... levels of integrity and professionalism. **Key Responsibilities:** + Lead internal investigations involving suspected internal fraud , misconduct, theft, data… more
- Deloitte (Rochester, NY)
- …Banking, and Wealth Management + 2+ Years Experience performing AML case investigations , specifically pertaining to Trade Finance, Fraud , Retail Banking, Private ... Management + 4+ Years Experience performing QC for alert and/or case investigations , specifically pertaining to Trade Finance, Fraud , Retail Banking, Private… more
- Coinbase (Charlotte, NC)
- …connection, and alignment. Attendance is expected and fully supported. The CX Compliance team is essential in ensuring that our global CX Compliance ... regulatory requirements, and consistently deliver high-quality resolutions. As a Lead Analyst, Compliance EDD Operations within the CX Compliance team, you will… more
- Coinbase (Providence, RI)
- …services, crypto, or the tech industry, with a focus on TMS/EDD compliance investigations , or regulatory matters. * Strong interpersonal, analytical, and ... connection, and alignment. Attendance is expected and fully supported. The CX Compliance team is essential in ensuring that our global CX Compliance… more