• Fraud Analytics and Innovation Senior…

    Bank of America (Charlotte, NC)
    …produce optimal results. Job expectations include evaluating data to assess potential fraud risk and creating mitigation strategies. **Responsibilities:** + * ... optimal results. Job expectations include evaluating data to assess potential fraud risk and creating mitigation strategies. Responsibilities: *Responsible for… more
    Bank of America (05/03/25)
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  • Senior Claims Specialist Construction…

    Zurich NA (Atlanta, GA)
    …potential subrogation and fraud . + Contribute to profitable growth by providing risk insight, information and trends to Business Unit or customer as needed. + ... Senior Claims Specialist Construction Professional Liability Claims ...assigned to outside contractors. Departs from approved vendors with manager approval, where in the best interests of the… more
    Zurich NA (04/29/25)
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  • Claims Examiner II, Accident & Health

    AIG (Lenexa, KS)
    At AIG, we are reimagining the way we help customers to manage risk . Join us as a Claims Examiner II, Accident & Health to play your part in that transformation. ... Recognize and pursue subrogation where warranted and make appropriate Risk and Fraud referrals. + Increased responsibility...+ Increased responsibility with an expectation of managing higher claims volumes and assist manager with customer… more
    AIG (02/06/25)
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  • Quality/ Risk Manager (RN), Medical…

    LifePoint Health (Richlands, VA)
    …with ever-changing legislation and safety regulations. Is a liaison to the Risk Manager /Coordinator, facilities legal team and out-side agencies to mitigate ... the Operations Team, when applicable. * Notifies Operations Team, Risk Manager and the companies Legal Counsel...the companies Legal Counsel of potential litigation or malpractice claims . * Reviews medical records for liability issues *… more
    LifePoint Health (03/08/25)
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  • Healthcare Process Risk Manager

    Grant Thornton (Atlanta, GA)
    As a Process Risk Manager , you will have the opportunity to grow and contribute to our clients' success by helping them identify and understand their business ... role in both proactively addressing and responding to these risks within our Risk Advisory Practice, supported by the resources and environment necessary for your… more
    Grant Thornton (04/05/25)
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  • Life Sciences - Compliance, Risk Management…

    Ankura (Washington, DC)
    …Life Sciences sector in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act; Department of Justice ... team + Be a key contributor to project delivery teams + Serve as project manager for client services + Support expert witness reports and testimony with respect to … more
    Ankura (03/29/25)
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  • Manager , Healthcare Auditing & Monitoring

    Otsuka America Pharmaceutical Inc. (Rockville, MD)
    …Summary** This position assists the US Ethics & Compliance (E&C) Governance, Risk Management, and Compliance (GRC) function supporting the Chief Compliance Officer ... in executing an effective compliance program. The Manager , Healthcare Law Auditing & Monitoring, executes the annual plan by conducting quarterly monitoring and may… more
    Otsuka America Pharmaceutical Inc. (04/12/25)
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  • Senior Manager , GPV Aggregate Report & RMP…

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    **Job Summary** Senior Manager , GPV Aggregate Report & RMP Operations Apply knowledge and expertise in the area of aggregate reports and risk management plans. ... Lead project management activities for Aggregate Reports, Risk Management Plans; PV-related HA request, Safety Governance; and other relevant projects. **Job… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Associate Vertical Account Manager

    RELX INC (Frankfort, KY)
    …and manage risk . About the Job: The Associate Vertical Account Manager exists to acquire and grow revenue within established enterprise sales accounts using ... About the Business: LexisNexis Risk Solutions is the essential partner in the...you looking to join an industry-leading sales organization? Our Claims Insurance team works with claims teams… more
    RELX INC (04/01/25)
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  • Special Investigation Unit Manager Clinical…

    CVS Health (Annapolis, MD)
    claims processing, and regulatory requirements related to healthcare fraud . Proficient in researching information and identifying information resources AAPC ... all with heart, each and every day. The Special Investigations Unit is seeking a Manager to lead our team of Certified Professional Coders (CPC). The Manager is… more
    CVS Health (04/23/25)
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