Federal Investigator: Uncover Complex Healthcare Fraud

OverviewFSA Federal is seeking a skilled Civil Investigator to support the US Attorney's Office in investigating healthcare fraud and illegal opioid distribution.This role involves working with Assistant United States Attorneys, analyzing data from government databases, and conducting research to identify potential violations.ResponsibilitiesInitiate...

About the Role:FSA Federal is seeking a highly skilled Civil Investigator to support the US Attorney's Office in investigating healthcare fraud matters. As a key member of our team, you will play a critical role in advancing our mission to deliver unsurpassed services in support of law enforcement and homeland security.Key Responsibilities:Work with assigned...

About PopularWe are a leading financial institution in Puerto Rico, offering a wide range of services and financial solutions to our communities.Our employees are dedicated to making their customers' dreams come true by providing financial solutions at every stage of their lives. With an extensive history of innovation, resilience, and determination, we...

About the RoleThe Fraud Analyst is a crucial member of our team at FirstBank PR, responsible for reducing net fraud loss dollars by reviewing potential fraudulent accounts and taking appropriate action.Main Responsibilities· Monitors and manually reviews deposit and consumer credit accounts, debit and credit cards, mortgage, ACH, wire transfer, merchant,...

Join Popular Bank, Puerto Rico's leading financial institution, in this exciting opportunity to take your career to the next level!About UsWe are a dynamic and innovative company that offers a wide range of financial solutions to our customers. With a presence in the United States, the Caribbean, and Latin America, we are committed to making our customers'...

Fraud Prevention Analyst Job DescriptionOverview:Fraud Prevention Analyst plays a critical role in the development and implementation of effective fraud prevention strategies for Popular Bank. This position requires a strong analytical mindset, attention to detail, and excellent communication skills to collaborate with cross-functional teams and...

We are seeking a highly skilled Business Intelligence Fraud Analyst to join our team at Popular Bank.Job SummaryThe ideal candidate will have experience in designing and implementing effective fraud reporting packages, analyzing results from the teams, and providing accurate solutions. This role is responsible for developing and analyzing...

Job SummaryThe United States Secret Service is seeking a highly skilled and dedicated Criminal Investigator to join our team. As a Special Agent, you will be responsible for conducting complex investigations and providing protection for high-ranking government officials and their families.Key ResponsibilitiesConduct thorough investigations into financial...

Company OverviewOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.Job DescriptionThe Clinical Investigation Healthcare Specialist will be responsible for reducing medical costs by identifying waste and error in provider billing practices. This role involves determining the accuracy of bills...

About the RoleThe Claims Manager - Complex Claims Leadership position at AIG is a key role in our General Insurance team. As a leader in medium complexity claims, you will be responsible for managing a high-performing team of adjusters, ensuring adherence to departmental and line of business best practices, and providing technical referral expertise and...

About the roleAbarca Health is seeking a skilled professional to join our PBM Operations & Services team as a Coverage Determination Specialist.The ideal candidate will possess strong analytical skills and the ability to communicate effectively with pharmacists, beneficiaries, and doctors.Responsibilities will include reviewing and responding to coverage...

Job Overview:Stericycle is a leading provider of compliance-based solutions that protect people and brands, promote health and well-being, and safeguard the environment. With over 30 years of experience in medical waste management, we have grown into a leader across various complex and highly regulated arenas, serving healthcare organizations and commercial...

Company OverviewStericycle, a leading provider of compliance-based solutions, aims to protect people and brands, promote health and well-being, and safeguard the environment. With over 30 years of experience, we have grown from medical waste management into a leader across various complex and highly regulated arenas.About UsWe help our customers solve...

We are seeking a compassionate and detail-oriented Healthcare Navigator to join our team. As a key member of our organization, you will play a vital role in delivering exceptional customer service to our members and providers.As a Healthcare Navigator, you will be responsible for providing phone support to address the needs of our members and providers. This...

Job Title:Regulatory Compliance ExpertAbout the Role:We are seeking an experienced Regulatory Compliance Expert to join our team at Target Human Resources Solutions. In this role, you will be responsible for performing ongoing risk assessment activities focused on regulatory and compliance areas associated with organizational operations and performance.Key...

About UsOptum is a leading global organization that delivers care, leveraging technology to help millions of people live healthier lives. Our team works tirelessly to connect individuals with the resources and support they need to thrive.Role OverviewWe are seeking a Healthcare Services Coordinator to join our dynamic team. As a key member, you will play a...

Job Description:Popular is seeking a highly skilled Data Analyst Team Lead to join our team. This role will be responsible for designing and implementing effective fraud reporting packages, analyzing results, and providing accurate solutions to the team.Key Responsibilities:Develop and analyze reports/metrics/dashboards in a monthly and/or quarterly basis,...

Job Title: Quantitative Analyst - Financial Risk ModelerAbout Us: Buscojobs Puerto Rico is a leading financial services company seeking a highly skilled Quantitative Analyst to join our team.Salary Range: $80,000 - $110,000 per year, depending on experience.Job Description:We are seeking a talented Quantitative Analyst to conduct validation for quantitative...

Job DescriptionWe are seeking a skilled Data Analyst - Risk Management to join our team at Buscojobs Puerto Rico.About the RoleThis is a challenging and rewarding opportunity for a highly motivated individual to analyze and validate quantitative risk models and core system applications.Key Responsibilities:Validate, test, document, implement, and/or oversee...

About the JobTarget Human Resources Solutions is seeking an experienced Compliance Specialist to join our team. The successful candidate will be responsible for performing ongoing risk assessment activities focused on regulatory and compliance areas associated with organizational operations and performance.Key ResponsibilitiesThe Compliance Specialist will...