UNKNOWN

FEED

The RFI Manager within the Payment Integrity Center of Excellence (PI COE) leads the team responsible for managing and responding to official requests for information from regulatory agencies, state departments, law enforcement, and internal stakeholders. The manager oversees the full lifecycle of each request, from intake and triage through coordination, review, and final delivery, with a strong focus on meeting turnaround time commitments and maintaining accountability across all RFI-related activities.

YEAR

CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all.

CVS Health Corp

Manager, Business Compliance Requests for Information (RFI)

This role owns several of the core planning and reporting processes of the Marketplace F&S function - annual operating plans, long range plans, consolidated expense budgeting and forecasting, headcount planning, BU-level allocation processes, and our planning systems - and contributes the analysis behind our quarterly forecast, annual operating plan, and executive and board reporting. The team partners with our senior business leaders to support strong operational management of the business and to facilitate strategic decision making focused on key growth investments, operational improvements, new business opportunities, and strategic transactions.

Collectors Holdings, Inc.

Manager, Finance & Strategy (Marketplace)

The MSL will identify and map key centres involved in HDV diagnosis, referral, and treatment; build and advance credible peer-to-peer scientific relationships with healthcare professionals (HCPs), investigators, and key opinion leaders (KOLs); and develop a detailed, evidence-based understanding of patient and referral pathways within the territory. We are excited to announce that currently we are looking for Medical Science Liaison with experience in viral liver disease, hepatology, Infectious Disease/HIV to initiate scientific dialogue within the therapeutic area centers through scientific discussions with clinical physicians, staff and other stakeholders, on behalf of our client.

IQVIA™ is The Human Data Science Company™, focused on using data and science to help healthcare clients find better solutions for their patients. Formed through the merger of IMS Health and Quintiles, IQVIA offers a broad range of solutions that harness advances in healthcare information, technology, analytics and human ingenuity to drive healthcare forward.

Healthcare is an industry designed to help humans. As a global community, we continuously invest and commit to advancing human health. To deliver value and real outcomes. To rise to the challenge to find the next breakthrough by making the most of increasingly limited resources.

We are inspired by the potential and propelled by the possibilities. We share the vision to drive healthcare forward. To see how we can help accelerate progress and achievements. Others are developing these medical breakthroughs. We do our part by using breakthroughs in insights, technology and human intelligence to reimagine and deliver ways to help make them a reality. 

It’s bigger than better clinical trials. Or advances in technologies and analytics. Or faster insights. It’s about exploring a new path to better health outcomes via Human Data Science. It’s about harnessing the power of the IQVIA CORE™ to channel the insights, commercial and scientific depth, and executional expertise that drive maximum value for our customers. 

Motivated by the industry we help, we’re committed to providing solutions that enable life sciences companies to innovate with confidence, maximize opportunities, and, ultimately, drive human health outcomes forward. 


IQVIA

Medical Science Liaison - Central Region

Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts. 2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.

Centene Corporation Group

SIU Investigator

The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. Duties and Responsibilities: The Chubb SIU Major Case Unit Manager will be responsible for overseeing all aspects of the Major Case Unit (MCU) within the Chubb Special Investigations Unit (SIU).

Chubb is the world&rsquo;s largest publicly traded property and casualty insurance company and the largest commercial insurer in the U.S.
With operations in 54 countries and territories, we are a major personal lines writer, as well as a leading middle market, small commercial and large industrial commercial insurer, providing a wide range of traditional and specialty coverages.
As an underwriting company, we assess, assume and manage risk with insight and discipline. We service and pay our claims fairly and promptly. And we combine the precision of craftsmanship with deep experience to conceive, craft and deliver the very best insurance coverage and service to individuals and families and to businesses of all sizes.
Our products and services are distributed through brokers, independent agents, exclusive agents and various forms of direct marketing.
What we deliver:
<ul>
<li>Extensive product and service offerings</li>
<li>Broad distribution capabilities</li>
<li>Service excellence</li>
<li>Risk expertise</li>
<li>Underwriting discipline</li>
<li>Exceptional financial strength</li>
<li>Local operations globally</li>
</ul>

Chubb Ltd

AVP, SIU Major Case Unit Manager

This role plays a critical part in protecting the business and its patrons by reviewing customer accounts, validating documentation, monitoring payment activity, investigating potential fraud, and ensuring withdrawals are processed accurately and efficiently. The analyst will work closely with the Payments Manager and partner with Customer Support, Compliance, Responsible Gaming, KYC, and third-party payment providers to deliver a secure, compliant, and seamless player experience.

Fraud Analyst Jobs in New Jersey

Manager, Business Compliance Requests for Information (RFI) CVS Health Corp

Manager, Finance & Strategy (Marketplace) Collectors Holdings, Inc.

Medical Science Liaison - Central Region IQVIA

SIU Investigator Centene Corporation Group

AVP, SIU Major Case Unit Manager Chubb Ltd

Payment Specialist Resorts World NYC

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