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.
Administer fraud, waste, and abuse (FWA) duties, including investigations, audits, and corrective actions.
Prepare reports, correspondence, and data analysis for internal and external stakeholders.
Assist in policy development, training, and regulatory compliance for FWA programs.
CareOregon is a nonprofit, mission-driven health plan focused on providing care to low-income Oregonians. With around 1,000 employees, it fosters a culture of equity, diversity, and inclusion, and offers comprehensive benefits.
Oversee internal and external staff conducting fraud and complaint investigations, including training, monitoring, and management.
Gather and analyze evidence using investigative techniques to uncover fraudulent schemes and identify responsible parties.
Collaborate with stakeholders to develop risk-based prevention strategies and controls to safeguard company assets.
Forbright is a nationwide full-service bank and commercial lender focused on building a brighter future for clients and communities. We are a dynamic, high-energy, and fast-paced organization with a culture of collaboration, inclusion, flexibility, and giving back.
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.
Combine analytical and investigative expertise with a consultative sales approach to drive solution-oriented conversations.
Own the full sales cycle within a defined territory, from opportunity generation to closure and account expansion.
Engage with customers in high-stakes environments like law enforcement and cybercrime to translate complex needs into data-driven solutions.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. The company uses technology to review applications and share top-fitting shortlists with employers, operating with a remote-first model and flexible culture.
Conducts high-profile, complex, and time-sensitive international investigations with significant financial, regulatory, and reputational risk.
Engages with external partners, including law enforcement and industry groups, to lead fraud identification and prevention strategies.
Applies knowledge of company policies, local regulations, and laws related to credit reporting, while supporting anti-corruption programs and internal projects.
TransUnion is a global information and insights company that provides actionable views of consumers to foster trust and economic opportunity. With over 12,000 associates in more than 30 countries, they focus on innovative solutions in credit, marketing, fraud, and analytics.