- LA Care Health Plan (Los Angeles, CA)
- …Oversight: Lead LA Care's Special Investigations Unit (SIU) in overseeing the internal and external investigations into fraud , waste, abuse, and ... or vendors. Partner with Legal, Compliance, and Human Resources on sensitive internal investigations to ensure confidentiality, integrity, and fairness. Ensure… more
- Ankura (San Francisco, CA)
- …are exceptionally qualified to advise on high-stakes matters. Role Overview The Global Investigations & Forensic Accounting Senior Managing Director role is an ... and system of quality control. + Assist external and internal counsel to perform investigations of corporations...procedures, and ethical behavior. + Work with colleagues, clients, fraud examiners, internal and external auditors, lawyers,… more
- Humana (Oklahoma City, OK)
- …help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This team ... to Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator, you will...to encourage sensible and culturally-competent business standards + Oversee internal investigations of FWA compliance issues +… more
- Ally (Raleigh, NC)
- …constantly evolving, so shouldn't your opportunities be, too? **The Opportunity** The Senior Supervisor Bank Fraud Wire Verification is responsible for ... overseeing a team within a retail bank fraud call center. This position requires the ability to conduct in-depth research of complex situations, use subject matter… more
- Intuit (Mountain View, CA)
- …processes * Preparing executive summaries and providing appropriate updates about investigations to executives and senior leaders * Supporting and ... are continuing to build a world-class, leading-edge Ethics & Investigations team at Intuit. The team sits under our...evaluate how to respond to changes in our own internal practices * Deeply understanding Intuit's unique culture and… more
- Geisinger (Danville, PA)
- …proper system set-up and operations for all activity. + Oversee all external and internal Fraud , Waste and Abuse and Program Integrity audits. + Responsible for ... for the strategic direction, planning, oversight, and operation of the Special Investigations ("SI") and Program Integrity ("PI") teams. Develops and directs the… more
- Centene Corporation (Austin, TX)
- …with company values, business priorities, and compliance expectations. + Direct investigations into potential sales misconduct, fraud , misrepresentation, or ... Purpose:** Serves as a strategic leader overseeing all enterprise-wide sales investigations , with a primary focus on Medicare sales. Leads a high-performing… more
- Bank OZK (Apollo Beach, FL)
- …Job Purpose & Scope Responsible for performing complex fraud incident investigations and case management, including collaboration with internal and external ... experience + Minimum of four (4) years of work experience in fraud investigations , bank security, bank loss prevention, and/or Bank Secrecy Act reporting,… more
- City National Bank (Phoenix, AZ)
- …enforcement or investigative background * Experience in cybercrimes, payment systems financial fraud investigations , trading or sales fraud investigations ... governance model, policy and reporting metrics to monitor both internal and external fraud as well as...& payment risk, risk management, cyber or financial crime investigations , responsible for fraud or white collar… more
- Coinbase (Charlotte, NC)
- …foster collaboration, connection, and alignment. Attendance is expected and fully supported. Senior AML Investigations Trainer provides end to end learning ... training calendars, etc. * You will collaborate with multiple internal teams (Workforce Management, Vendor Management, Operations, Compliance etc) for… more