Healthcare Fraud Analyst

Job DescriptionJob Title: Financial AnalystJob Summary:The Midtown Group is seeking a skilled Financial Analyst to join our team. As a Financial Analyst, you will be responsible for performing data analytics to identify fraud, waste, or abuse in claims data. You will also review and analyze the financial and management operations of various businesses,...

About this Role:The Department of Health Care Services is seeking a skilled Investigator to conduct thorough and complete investigations into allegations of fraud perpetrated against the California Medical Assistance Program (Medi-Cal) and other programs under the department's review.Key Responsibilities:Conduct field-based investigations, utilizing a...

About the RoleRose International is seeking a highly skilled Fraud and Risk Data Analyst to join our team. As a key member of our risk management team, you will play a critical role in developing and implementing risk frameworks to manage fraud risk, products, and portfolio threats.Key ResponsibilitiesDevelop Insights and Strategies: Utilize data analysis...

About the RoleWe are seeking a skilled Data Analyst to join our Fraud Platform team at Social Finance Ltd. This role involves collaborating with cross-functional teams to enhance our fraud prevention infrastructure.Key ResponsibilitiesMonitor fraud patterns and identify potential risks and threats.Develop and maintain reports and dashboards to provide...

About WisetackWisetack is dedicated to creating transparent and user-friendly consumer lending solutions tailored for service-oriented businesses, such as HVAC services, veterinary clinics, and automotive repair shops. Our leadership team comprises seasoned professionals from leading fintech firms, including Lending Club, Affirm, and Varo Money.Our...

About the RoleWe are seeking a highly skilled and experienced Financial Data Analyst to join our Fraud Prevention team at Social Finance Ltd. As a key member of our team, you will play a critical role in enhancing our fraud prevention infrastructure and ensuring the integrity of our financial systems.Key ResponsibilitiesFraud Pattern Analysis: Monitor and...

Job Overview and Responsibilities Why Work with DHCS? The Department of Health Care Services (DHCS) serves as a crucial component of California's healthcare safety net. Our achievements are driven by the dedication of over 4,800 team members collaborating with federal and state agencies, counties, and partners to support low-income families, children,...

Job Overview Are you passionate about combating fraud in the healthcare sector? Do you possess strong analytical and quantitative abilities? The Division of Medi-Cal Fraud and Elder Abuse Investigation is seeking skilled investigative auditors who are dedicated to uncovering fraudulent activities and safeguarding vulnerable populations. Key Responsibilities...

About the RoleWisetack is seeking a highly skilled Financial Fraud Investigator to join our team. As a key member of our risk management department, you will play a critical role in identifying and preventing potential fraud on our platform.Key ResponsibilitiesPerform manual reviews and investigations of new and existing merchant and borrower accounts to...

Job Title: Fraud AnalystLocation: RemoteDuration: Contract positionAbout the Team:The Fraud team at ProKatchers LLC is seeking a dedicated Strategy & Operations Manager to enhance our fraud mitigation efforts and develop robust solutions to safeguard our platform against fraudulent activities.Your Role:In this position, you will delve into fraud cases and...

About the Position:Key Responsibilities:Contribute to the development of fraud prevention initiatives and projects aligned with the established roadmap and risk tolerance.Oversee analysts in conducting fraud-related inquiries and offer expertise across various projects.Direct fraud investigations to uncover suspicious patterns and address escalated concerns...

About the Position:Key Responsibilities:Participate in the formulation of fraud prevention initiatives and projects aligned with the established strategy and risk tolerance.Oversee a team of analysts conducting fraud investigations and offer expert guidance across various initiatives.Direct fraud inquiries to uncover suspicious patterns and address escalated...

Job Description and DutiesAre you interested in combating healthcare fraud using your analytical and quantitative skills? Does helping recover stolen funds from the Medi-Cal program and protecting our elderly from financial abuse sound intriguing? The Division of Medi-Cal Fraud and Elder Abuse Investigation section is seeking talented investigative auditors...

About the RoleWe are seeking a highly skilled Risk Analyst II to join our Machine Learning Insights team at Amazon. As a Risk Analyst II, you will play a critical role in detecting and preventing fraudulent activity in hundreds of millions of eCommerce transactions across the globe.Key ResponsibilitiesProvide analytical support to Payment Risk ML team,...

About the RoleWe are seeking a highly skilled and experienced Risk Management Director - Fraud Prevention to join our team at SoFi. As a key member of our Risk Management team, you will be responsible for ensuring the growth of our lending and other member-related activities are consistent with our company's risk appetite.Key ResponsibilitiesDesign,...

About the RoleWe are seeking a highly skilled and experienced Director, Lending Fraud Management to join our Risk Management team at SoFi. As a key member of our team, you will be responsible for ensuring the growth of our lending and other member-related activities are consistent with our risk appetite.Key ResponsibilitiesDesign, implement, monitor, and...

Employee Applicant Privacy Notice Who we are:Shape a brighter financial future with us.Together with our members, we're changing the way people think about and interact with personal finance.We're a next-generation financial services company and national bank using innovative, mobile-first technology to help our millions of members reach their goals. The...

Position: Business AnalystLocation: Remote (Candidates must reside within a 2-hour commute of San Diego, CA)Overview:The Business Analyst will play a crucial role in analyzing and resolving member complaints within the healthcare sector. The ideal candidate will be responsible for ensuring that coverage issues are addressed efficiently and accurately.Key...

Job DescriptionJob Title: Financial AnalystJob Summary:The Midtown Group is seeking a skilled Financial Analyst to join our team. As a Financial Analyst, you will be responsible for performing data analytics to identify fraud, waste, or abuse in claims data. You will also review and analyze the financial and management operations of various businesses,...

Position Overview:This role is designed for a skilled Business Analyst specializing in the healthcare sector. The successful candidate will engage in comprehensive analysis and resolution of member inquiries, ensuring seamless communication and efficient case management.Key Responsibilities:Address case resolutions with a focus on coverage discrepancies to...