You identify systemic patterns in suspicious customer and merchant behavior and conduct investigations.
You review and evaluate new merchant partners during onboarding to ensure proper licensing and alignment.
You manage inbound fraud claims and perform ad hoc research into uncommon scenarios.
We offer flexible lease-to-own financing to non-prime consumers, helping them pay for big purchases over time. Our 200+ teammates enjoy inspiring and challenging work that accelerates their careers.
Analyze Medicaid claims, encounter, and program data to identify trends and risks.
Support fraud, waste, and abuse and payment integrity initiatives through analysis and research.
Translate complex findings into clear recommendations for decision-makers.
BerryDunn is a professional services firm providing tax, advisory, and consulting services to businesses, nonprofits, and government agencies. They have been recognized for their inclusive culture and focus on employee well-being.
Manage forensic review, investigative, and provider audit activities related to Medicaid medical, dental, behavioral health, pharmacy claims, as well as provider, member, financial, audit, TPL, and operational data.
Lead identification, documentation, and escalation of potential fraud, waste, abuse, or non-compliance risks, and review Medicaid claims for accuracy and compliance with policies.
Develop corrective action recommendations and follow-up plans to address identified fraud, waste, abuse, improper payment, compliance, claims, or operational issues.
BerryDunn is a client-centered, professional services firm that helps businesses, nonprofits, and government agencies solve challenges. The firm is led by CEO Sarah Belliveau, known for its inclusive workplace culture and focus on learning and well-being.
Support intake, triage, investigation, and resolution of fraud-related escalations across the payments ecosystem.
Perform technical investigations using SQL and payment data to validate root cause and document findings.
Coordinate containment actions and cross-functional collaboration with operations, product, and compliance teams.
RealPage is a leading provider of property management software and payment solutions. The company employs thousands and emphasizes data-driven operations and risk management in its payments ecosystem.
Investigate fraud attacks, quantify their impact, and present clear findings to drive prioritisation and response.
Build and maintain dashboards to monitor fraud trends, rule performance, and key operational metrics.
Work closely with fraud operations, data scientists, engineers, and product managers to translate insights into action.
Moniepoint is an all-in-one financial services platform for emerging markets, processing the majority of POS transactions in Nigeria. It is the second-fastest growing company in Africa with a culture of innovation, teamwork, and growth.