Primary Skills: SQL-Intermediate, Machine Learning-Basic, Data Analysis-Advanced, Investigative Techniques-Intermediate... investigative reports, and propose solutions to mitigate fraud risks. This position plays a critical role in identifying fraud...
a mix of traditional and modern investigative techniques to enhance fraud detection capabilities. The ideal candidate... prevention measures. Participation in synthesizing data across platforms to produce comprehensive investigative reports...
regulations and fraud return codes (e.g., ACH NACHA rules, Reg E, KYC/AML basics). Strong analytical, investigative, and problem...
insight into the challenges of global commerce. The Role Key Responsibilities Include: Conduct investigative research...
communication skills, deductive reasoning, and analytical investigative skills. Good interpersonal skills to facilitate positive...
communication skills, deductive reasoning, and analytical investigative skills. Good interpersonal skills to facilitate positive...
, investigative, and hunting capabilities. - Coordinate with internal teams, government staff, and external stakeholders to validate...
desired. A minimum of five years experience that includes professional management, investigative skills, technical skills...
acquisition. Assist to plan, coordinate, and oversee investigative activities to detect, deter, prevent, and eradicate fraud...
to create forensically sound duplicates of evidence (forensic images) Able to write cyber investigative reports documenting...
of discrimination, or testify for, assist in, or participate in an investigative proceeding relating to discrimination is prohibited...
operations - Providing technical assistance on data collection techniques and forensic investigative techniques to appropriate... systems (forensic images) - Able to write cyber investigative reports documenting digital forensics findings - Experience...
within quality control. At more senior levels, provide an investigative or technological orientation in designing, executing...
to the other investigative and analytical areas Participate in team and department meetings Engages in a collaborative work... clinical investigative teams Work with applicable business partners to obtain additional information relevant to the clinical...
within quality control. At more senior levels, provide an investigative or technological orientation in designing, executing...
to the other investigative and analytical areas Participate in team and department meetings Engages in a collaborative work... clinical investigative teams Work with applicable business partners to obtain additional information relevant to the clinical...
per year. Job tasks are focused, time sensitive and require good communication, organizational and investigative skills...
per year. Job tasks are focused, time sensitive and require good communication, organizational and investigative skills...
. What You'll Do Conducts investigations in accordance with investigative action plan and documents all findings in standard... and/or Medicare Advantage regulatory experience Extensive Medicare/Medicare Advantage investigative experience What You'll Get...
with maintaining a Case Tracking Log of all investigative files to reflect the recoveries and losses that have been prevented. Attend...