- Guidehouse (Richardson, TX)
- …Required** **:** None **What You Will Do** **:** + Oversee the daily operations of a team of 10+ Fraud Recovery Analysts, ensuring that all team ... and productivity goals. + Conduct quality assurance reviews of fraud recovery cases handled by analysts to...Experience with and comfortable in leading and developing a team . + Strong leadership and time management skills +… more
- Guidehouse (Richardson, TX)
- …Required** **:** None **What You Will Do** **:** + Manage the Fraud Recovery function, including personnel management, queue management, quality assurance, ... processing of cases. + Conduct quality assurance reviews of fraud recovery cases to ensure accuracy, completeness,...duties of Productive Resources when necessary to support the team and ensure project success. **What You Will Need**… more
- Prime Therapeutics (Austin, TX)
- …+ Identify and contribute to process improvements to drive efficiency and innovation in recovery and resolution team + Other duties as assigned **Education & ... It fuels our passion and drives every decision we make. **Job Posting Title** Recovery & Resolution Analyst **Job Description** The Recovery & Resolution Analyst… more
- Molina Healthcare (TX)
- …opinions. + Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations . + Knowledge of Managed Care and the Medicaid and ... responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud , waste, and… more
- Highmark Health (Austin, TX)
- …project, potential fraud , waste and abuse case, conducting the initial investigations and coordinating the recovery /savings of money related to fraud ... years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year in Financial Analysis in… more
- CVS Health (Austin, TX)
- …a team responsible for ensuring the quality and integrity of healthcare fraud and abuse investigations . This role involves overseeing the training and ... effectively assess the prevention, investigation, and prosecution of healthcare fraud and abuse, ensuring the recovery of... members on the completeness and quality of their investigations . + Evaluate team members and provide… more
- Ross Stores, Inc. (Dallas, TX)
- **Our values start with our people, join a team that values you\!** We are the nation's largest off\-price retailer with over 2,000 stores, and a strong track record ... and exciting treasure hunt experience\. As part of our team , you will experience: + **Success\.** Our winning ...and leadership to minimize operational shortage, mitigate theft and fraud , and maintain safe and secure environments for Ross… more
- Ross Stores, Inc. (Mckinney, TX)
- **Our values start with our people, join a team that values you\!** We are the nation's largest off\-price retailer with over 2,000 stores, and a strong track record ... and exciting treasure hunt experience\. As part of our team , you will experience: + **Success\.** Our winning ...and leadership to minimize operational shortage, mitigate theft and fraud , and maintain safe and secure environments for Ross… more
- Texas Health Resources (Dallas, TX)
- …on program effectiveness including progress and efforts to reduce vulnerability to fraud , waste and abuse. Continually improve THPG programs in light of organization ... legal requirements and THPG standards. Coordinate external audits such as recovery audit contractors for governmental agencies and/or commercial payer audits.… more
- Sedgwick (Austin, TX)
- …claim cost for our clients. + Identifies and investigates for possible fraud , subrogation, contribution, recovery , and case management opportunities to reduce ... + Conducts or assigns full investigation, including coordination of field investigations and provides report of investigation pertaining to new events, claims… more