Your Role The Promise Health Plan Medical Director provides clinical leadership within the Blue Shield Promise Office... of the CMO. The Medical Director’s duties include oversight and management of the clinical processes in support of member...
, and payment policy to accelerate the emergence of a value-based health care system in California. The Sr. Medical Director... approaches to ensure accurate coding of services Consult with BSC legal team to support fraud and abuse investigations, provider...
, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical Director... utilization review, Appeals and Grievances, and provider claims dispute reviews. The Medical Director, Utilization Management...
and Compliance Director to ensure organizational compliance with the Bank Secrecy Act (BSA), USA Patriot Act, and Anti-Money...) Certification; and further strengthen fraud prevention practices. An ideal individual will have experience with PCI and HIPAA...
ready for a fulfilling career with exciting new challenges and opportunities to stretch yourself. As the Director of First... primarily supporting the Fraud and Claims line of business Qualifications: 8-12+ years experience in Risk Management, Audit...
, come make a difference at Fiserv. Job Title Director, Card Fraud Product What does a successful Fraud Product Director... do at Fiserv? The Fraud Product Director position is responsible for supporting new product development and ensuring the growth...
. Fraud experience - Preferred Senior Leadership experience - Preferred Hybrid role We are looking for a Director... /Operating Groups and providing strategic direction across the full fraud management lifecycle. The director is responsible...
Senior Director, Application Security and Cyber Fraud leads the enterprise strategy for securing applications, APIs..., and customer-facing platforms while building and operating a comprehensive fraud prevention program. This role is accountable...
HealthEquity’s Director, Fraud AI & Analytics function - our frontline defense against evolving fraud and eCrime. In this role... AIML and graph-based models that proactively prevent losses and accelerate fraud investigations. As the data-driven voice...
Director, Fraud SAR Analysis & Process Oversight - Boston or Dallas or Miami Country: United States of America..., if you are interested in exploring the possibilities We Want to Talk to You! The Difference You Make: The Director, Fraud SAR Analysis...
, and enjoy meaningful work! Position Summary: The Director Fraud Risk is responsible for analyzing fraud trends and patterns... through trusted metrics for the Fraud Risk Management Department. The Director is responsible for day-to-day direct...
Officer in the Second Line of Defense, the Senior Director of Fraud Risk Oversight is responsible for building a complete end... to end fraud risk oversight and governance model including the responsibility to create, implement, and maintain...
, standards, and procedures. Executive Director, Financial Crimes Risk Office; Fraud, Sanctions, Travel Rule: Implement the... Director, WM Financial Crimes Risk Office is responsible for the risk oversight of Financial Crimes and KYC activities...
TITLE: DIRECTOR - FRAUD RISK MANAGEMENT STATUS: EXEMPT REPORTS TO: VP - ENTERPRISE RISK OFFICER DEPARTMENT: RISK... MANAGEMENT JOB CODE: 11813 PAY RANGE: $156,900.00 - $180,000.00 ANNUALLY GENERAL DESCRIPTION: The Director, Fraud Risk...
Director, Fraud Risk Current is a leading U.S. fintech serving people who have been overlooked by traditional banks... to improve financial outcomes for our members. ABOUT THE ROLE: We are looking for a Director of Fraud Risk to join our team...
Director, Product Management- Fraud Case Servicing, Retail Bank Product Management at Capital One is a booming... transforms our society and our industry. About the Team As a Product Leader focusing on Fraud Case Servicing...
Job Title: Director of Fraud and Risk Management Role Overview: We are seeking a highly experienced Director... of Fraud and Risk specializing in fraud, abuse, and corporate brand identity theft to join our dynamic Payments team...
Position Title Director – Enterprise Fraud Location Hicksville, NY 11801 Job Summary This role manages fraud... operations (detection, investigations, and event management) and optimizes fraud analytics, data mining, and management...
-oriented Director of Fraud Operations to build and lead our growing Fraud team. Reporting to the Senior Vice President... management, attention to detail, and a passion for delivering best-in-class fraud detection, prevention, and investigations...
. Secondarily, this role with work closely with lending partners and internal departments to manage payments fraud... of program enhancements and products, manage credit risk and fraud policies and strategies, identify opportunities, as well...