Investigate suspected incidents of healthcare fraud, waste, or abuse through data analysis and interviews.
Analyze information, report findings, and recommend settlements or denials while supporting legal proceedings.
Conduct training on fraud detection and maintain knowledge of relevant laws and regulations.
Cotiviti is a healthcare analytics company that helps clients reduce costs and improve outcomes through data-driven insights. As a global leader in payment accuracy and network performance, Cotiviti fosters a collaborative and inclusive culture.
Conduct investigations of high-risk or potential fraud activity, including platform abuse and suspicious financial movement patterns.
Use an investigative, data-driven approach to analyze cases and make fair, compliant, and risk-mitigated determinations.
Leverage tools such as Excel, Google Sheets, Snowflake, SQL, and Tableau to uncover fraud patterns and communicate findings to stakeholders.
Clair is a digital banking platform that gives America's workers instant access to their earned wages by embedding financial products into payroll and workforce management apps. The company is a fintech startup with a focus on financial freedom for hourly workers.
Investigate suspicious activity and enforce company policies to protect the expert contributor ecosystem.
Identify emerging fraud trends and refine operational runbooks for detection and mitigation.
Collaborate with cross-functional teams and vendors to maintain workforce integrity and compliance.
Snorkel AI helps enterprises transform expert knowledge into specialized AI at scale, starting as a Stanford AI Lab research project in 2015. The company works with some of the world's largest organizations to empower scientists, engineers, financial experts, and more to build custom AI with their data.