UNKNOWN

FEED

Minimum Requirements: Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years related experience, including minimum of 1 year experience in a Clinical Fraud and Abuse Investigation area; or any combination of education and experience, which would provide an equivalent background. Locations: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.

Elevance Health

Clinical Fraud Investigator II

ea_via_bold

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.

YEAR

Humana Inc

Fraud and Waste Investigator

Must demonstrably understand the data sources and analytic techniques that are used at scale by large consumer finance institutions, but also have significant experience leading and innovating in the areas of customer recognition, cross-channel servicing and marketing, digital acquisitions and attribution, and client retention through a series of appropriate business intelligence, analysis, models and strategies, implemented either internally in our decision systems, or externally at third-party providers such as the credit bureaus and database marketing companies/DSPs. Significant influence and execution skills in ambiguous contexts, and should be able to articulate a regional strategy that stakeholders will accept, including colleagues in the areas of information technology, operations, marketing, finance, credit, fraud, and authorizations, in order to build next-generation data platforms and analytics solutions that improve the customer experience and create sustainable business growth outcomes.

Citigroup Inc

Head of Cards Fraud Strategy - Business Analytics Director

OTHER

GPAC (Growing People and Companies) is an award-winning search firm specializing in placing quality professionals within multiple industries across the United States since 1990. Reach out confidentially to Eric Reuer, Senior Search Consultant at gpac | (605) 518-2234 | eric.reuer@gogpac.com.

Gpac’s mission is to be the preferred staffing and recruitment solution by effectively delivering and connecting talent with successful companies and organizations. 
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Our team, with collective experience of over 250 years, is passionate about wh

Gpac

Forensic & Dispute Advisory Manager

LogicMelon

Forensic & Dispute Advisory Senior Manager

The role supports the leader with Internal Audit Department administrative oversight, strategic improvement initiatives (including the evaluation and deployment of artificial intelligence and other automated audit tools and techniques), executive presentations, Plan-facing audit conferences and roundtables, and special projects. Expert knowledge of operational audit disciplines including risk assessments, financial, compliance, and operational process audits; third-party risk/vendor audits; program management audits; and new process/system implementation audits.

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry.  We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Blue Cross and Blue Shield Association

Senior Manager, Internal Audit

You'll play a key role in shaping the member experience and building CommunityAmerica' s presence in your local community through: Team Leadership & Development - Hire, coach, and inspire a high-performing team. Oversees and demonstrates an interactive, consultative, interview process that deepens member relationships by providing financial direction to assist members in meeting their goals with the appropriate products and/or services.

CommunityAmerica Credit Union

AVP, Branch Manager Hebron, KY (Toyota Plant Restricted)

Produce and give extraordinary customer service highlighted in the customer service manual, including helping customers as they enter the store, and helping multiple customers during peak periods. Protect the company's assets and financial information by ensuring the accuracy and effectiveness of internal control procedures and informing management and/or appropriate officials of potential fraud risk.

HOUR

Hibbett Inc

Manager In Training (Part Time)

Manager in Training (Part Time)

FULL_TIME

The Senior Project Manager will have the lead role to interface with assigned Construction Project Leaders and for all aspects of the projects from initial budgeting, planning and development. MasTec Clean Energy & Infrastructure and our subsidiaries do not work with any third-party recruiters or agencies without a valid signed agreement and partnership with the Corporate Talent Acquisition Team.

MasTec Inc

Senior Project Manager - Construction

[AW]-iCims

The Senior Project Manager will have the lead role to interface with assigned Construction Project Leaders and for all aspects of the projects from initial budgeting, planning and development. With our broad background in heavy civil construction, environmental management, and mining and materials production, we have the expertise to help our customers complete their most complex projects.

CEI Services

Produce and give extraordinary customer service highlighted in the customer service manual, including helping customers as they enter the store, and helping multiple customers during peak periods. Protect the company’s assets and financial information by ensuring the accuracy and effectiveness of internal control procedures and informing management and/or appropriate officials of potential fraud risk.

Hibbett

Manager In Training (Full Time) - Radcliff, KY

Manager In Training (Full Time) - Morehead, KY

Manager In Training (Full Time) - Oak Grove, KY

Manager In Training (Full Time) - Prestonsburg, KY

Manages subordinate supervisors and non-management employees, including Sales Associates, Hub Drivers, Assistant Managers, and Managers in Training. Produce and give extraordinary customer service highlighted in the customer service manual, including helping customers as they enter the store, and helping multiple customers during peak periods.

Fraud Manager Jobs in Kentucky

Clinical Fraud Investigator II Elevance Health

Fraud and Waste Investigator Humana Inc

Head of Cards Fraud Strategy - Business Analytics Director Citigroup Inc

Forensic & Dispute Advisory Manager Gpac

Forensic & Dispute Advisory Senior Manager Gpac

Senior Manager, Internal Audit Blue Cross and Blue Shield Association

AVP, Branch Manager Hebron, KY (Toyota Plant Restricted) CommunityAmerica Credit Union

Manager In Training (Part Time) Hibbett Inc

Manager in Training (Part Time) Hibbett Inc

Senior Project Manager - Construction MasTec Inc

Senior Project Manager - Construction CEI Services

Manager in Training (Part Time) Hibbett

Manager In Training (Full Time) - Radcliff, KY Hibbett

Manager In Training (Part Time) Hibbett

Manager In Training (Full Time) - Morehead, KY Hibbett

Manager In Training (Full Time) - Oak Grove, KY Hibbett

Manager In Training (Full Time) - Prestonsburg, KY Hibbett

Store Manager 143 Hibbett Inc

Store Manager 1651 Hibbett Inc

Store Manager 1013 Hibbett Inc

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