- Bank of America (Chicago, IL)
- Fraud Analytics and Innovation Lead Analyst - Fraud Strategy Jacksonville, Florida;Plano, Texas; Richmond, Virginia; Sun City West, Arizona; Boston, ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Jacksonville/ Fraud -Analytics-and-Innovation-Lead-Analyst Fraud -Strategy\_25042825-2) **Job Description:** At Bank of… more
- State of Minnesota (St. Paul, MN)
- …to detect fraud , abuse, over-utilization, and error in health care claims . AND Experience must demonstrate the following: + Develop criteria and parameters used ... **Working Title: Senior Investigator** **Job Class: Human Services Program Representative...of MN DHS Licensed providers + An understanding of claims processing operations , edits, and CPT coding… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …across a complex matrix environment that includes areas in marketing, sales, sales operations , senior leadership among others. This position is based in ... products for the maintenance of everyday health. As a Senior Manager, Brand Analytics, you will be part of...+ Work with cross functional teams (such as sales operations and forecasting) to communicate brand strategy and insights… more
- Otsuka America Pharmaceutical Inc. (Waltham, MA)
- **Job Summary** The Senior Director will serve as the Translational Medicine CNS Therapeutic Area Head, reporting to the VP, Translational Medicine and Early ... Clinical Development within OPDC's Early Development Organization (EDO). The Senior Director Translational Medicine will oversee a small team of CNS Translational… more
- Elevance Health (Atlanta, GA)
- …and medical policy guidelines strongly preferred + BA/BS preferred + Medical claims review with prior health care fraud audit/investigation experience preferred ... **Nurse Auditor Senior - Payment Integrity Complex and Clinical Audit**...and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and provider record review.… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Job Description** The Senior Manager, R&D Strategic Sourcing Clinical Execution is part of a global team which collaborates with R&D category leaders and business ... of category strategy development, contributing advanced strategic industry insight. The Senior Manager role will build an understanding of Otsuka's global,… more
- Wells Fargo (Chandler, AZ)
- …role:** Wells Fargo is seeking a Senior Lead Business Executive Consultant in Fraud Detection Operations team. This role will act as a Business Execution ... process improvement across Detection Operations in collaboration with the broader Fraud & Claims Management team **Required Qualifications:** + 7+ years of… more
- Otsuka America Pharmaceutical Inc. (San Juan, PR)
- The Senior Director, Medical Communications, CNS directs and provides strategic leadership for the global and US scientific communication strategy for the assigned ... and cross-functional alignment in close collaboration with Medical Excellence & Operations (ME&O) roles **Medical Information Content Generation:** + Oversee the… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- **Job Summary** The Senior Director, Medical Communications, Nephrology & Immunology directs and provides strategic leadership for the global scientific ... and cross-functional alignment in close collaboration with Medical Excellence & Operations (ME&O) roles **Cross-Functional Leadership** + Act as a thought leader… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …the Senior Manager of Process, Policy & Governance reporting to the Senior Director, Procurement Operations ; your primary focus will be the maintenance and ... enhancement of Otsuka's Procurement operations , processes and policies in support of Otsuka's North America portfolios. This role will have responsibility for… more