- Wells Fargo (Chandler, AZ)
- …education. + 4+ years of management or leadership experience. **Desired Qualifications:** + Fraud and Claims Management and Operations management experience ... is seeking a Quality Control Director to join the Fraud & Claims Management (FCM) Quality Control...skills, both written and verbal, with experience presenting to senior leaders, regulators, auditors, and other key stakeholders +… more
- Bank of America (Charlotte, NC)
- Fraud Analytics and Innovation Senior Analyst Newark, Delaware;Tampa, Florida; Jacksonville, Florida; Charlotte, North Carolina; Phoenix, Arizona **Job ... the production of product performance reports and updates for senior management LOB Specific Information This job is responsible...causes ▪ Basic understanding of 1st and 3rd party fraud ( claims to charge-off timing, chargeback recovery… more
- Raymond James Financial, Inc. (Pittsburgh, PA)
- **Job Description** **Summary of the Position:** The Senior Wire Operations Associate will deliver high quality customer service and perform daily processing of ... financial transactions in a fast paced, time sensitive operations environment. The Senior Wire Operations...fraud + Investigates and researches suspicious or fraudulent claims in accordance with the Bank's policy and procedures… more
- 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. ... Deliverables + Reports to the Global Lead of Aggregate Report & RMP Operations + Contributes to the project management for production of Aggregate Safety Reports… more
- Elevance Health (Hanover, MD)
- **Clinical Provider Auditor Senior ** **Supports Payment Integrity line of business** _Lo_ _cation: This is a field position expected to be in clinic 60% of the time ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor Senior ** is responsible for identifying issues and/or entities that may… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …Lead (GRL). + As an integral member of Otsuka's Regulatory Operations team, provides support for regulatory strategy assignments, monitoring, and oversight, ... queries, and regulatory obligations + Acts as primary liaison between Regulatory Operations and Clinical Management as well as other multiple company stakeholders to… more
- Otsuka America Pharmaceutical Inc. (Montgomery, AL)
- …regulatory team (GRL, regional leads, CMC-RA, labeling, medical writing, regulatory operations , etc.) to develop global regulatory plans, address global regulatory ... contacting Accommodation Request ([email protected]) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of… more
- CVS Health (Tallahassee, FL)
- … claims billed and educating pharmacies on the findings. You will also analyze claims for fraud , waste, and abuse trends and report your findings to the ... manner - Knowledge of CVS Health (or other PBM) claims processing - Knowledge of retail pharmacy operations... claims processing - Knowledge of retail pharmacy operations including reading prescriptions and drug knowledge - Excellent… more
- Bausch Health (Bridgewater, NJ)
- …Access Analytics within Bausch Health's Commercial Insights, Analytics & Operations department. Responsibilities: + Provides market insights across all therapeutic ... areas by utilizing knowledge of the Market Access landscape, PlanTrak data, Patient Claims data, and Formulary data. + Conducts analytics in Market Access space… more
- Pegasystems (Boston, MA)
- …AI capabilities for financial services use cases such as intelligent underwriting, claims processing, fraud detection, and personalized customer journeys + ... Senior Manager of Solutions Consulting - Financial Services...meet their strategic business goals by streamlining their critical operations to engage their customers across multiple channels using… more
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