Senior SIU Analytics Lead - Healthcare Fraud (Remote)
Centene Management Company LLC
- Remote job
Centene Management Company LLC is seeking a senior analytics leader for SIU to direct detection and prevention of fraud, waste, and abuse across healthcare operations. You will drive strategic modernization, leverage HCFS PostShield, AI Shield, and other data assets, and partner with SIU leadership, Medical Economics, Pharmacy, and Compliance to deliver actionable intelligence. This role leads a team of analytics professionals, shapes the analytics roadmap, mentors staff, and ensures regulatory #J-18808-Ljbffr Centene Management Company LLC
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- Centene Corporation is seeking a seasoned Health Care Fraud Investigator to support a remote SIU team across the continental US. You will guide investigations... ...to mitigate risks. The role requires 5+ years in healthcare fraud investigations, knowledge of government programs...Remote jobSeniorFraudFlexible hours
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$89k - $121.4k
A healthcare organization is seeking a Senior Business Intelligence Engineer to solve complex business problems using data. This remote role involves analyzing data, creating visualizations, and influencing strategic decisions. Candidates should have experience in SQL,...Remote workSenior$124k - $139k
...make our vision for mental healthcare a reality, we’re... .... We’re looking for a Senior Business Data Analyst, Business Analytics to play a critical role... ...offerings tailored to both remote and hub based employees.... ...and may flag potential fraud or integrity issues for...Remote workSeniorFraudFull timeHome officeFlexible hoursDay shift3 days per week$91.7k - $163.7k
Optum is seeking a Senior Software Engineer focused on analytics development and support in a dynamic environment. This role involves enhancing analytics... ...SAS and other modern tools. Flexibility to work remotely is available, with on-site requirements for certain locations...Remote workSeniorFraud- Unified Women's Healthcare is seeking a Senior HRIS Analyst to lead configuration, optimization, and analytics across our HRIS platforms within a nationwide healthcare network. You will partner with HR stakeholders to design scalable solutions, develop advanced reports...Remote jobSenior
- ...Braviant Holdings is seeking a Senior Data Scientist in Dallas, TX to focus on Credit Risk and fraud analytics. This position demands a keen analytical mind with 4–6 years... ...competitive compensation, comprehensive healthcare, and generous paid time off among other benefits...SeniorFraud
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A leading healthcare organization seeks a Senior Business Intelligence Engineer to solve complex problems using data. The role involves analyzing and presenting... ...in data visualization tools like Power BI. This remote position may require occasional travel for training. The...Remote jobSenior- USAA is seeking a Fraud Prevention Policy Senior to enhance its Fraud Prevention Team. The role involves developing policies to mitigate fraud loss... ...risk and regulatory experience is required, along with analytical and problem-solving skills. Join a mission-driven organization...Remote jobSeniorFraud
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Mercury is seeking a Senior Risk Strategist to focus on card fraud strategies in a hybrid work environment. This role requires 6+ years of analytical experience, with a strong emphasis on card fraud detection and compliance. You will partner with various teams to implement...Remote jobSeniorFraud- ...support the intersection of healthcare regulation and... ...growth, the full-time Senior Legal Counsel will provide... ...challenges in a remote work environment. Key... ...practice of medicine and fraud and abuse laws Draft... ...entities Strong writing and analytical skills to provide...Remote workSeniorFraudFull time
- Franchise World Headquarters, LLC in Miami, FL, is seeking a Sr. Analyst, Fraud & Payment Analytics to detect, analyze, and prevent fraud across payment channels and regions. The role partners with vendors and internal teams to implement mitigations and optimize processes...SeniorFraud
- ...Co. is seeking a skilled Analyst to join our Point-of-Sale Fraud Risk Analytics & Intelligent Reporting team. You will develop analytical insights... ...to stakeholders. As a Quantitative Analytics Associate Senior, you will identify emerging risks, collaborate with stakeholders...SeniorFraud
$70.1k - $126.2k
## Senior SIU InvestigatorApplylocations: Remote-NY: Remote-MA: Remote-PA: Remote-CT: Remote... ...:** Independently leads complex fraud, waste, and abuse (FWA... ...records, interviews, analytics, and other investigative... ...Business, Criminal Justice, Healthcare Administration, Public...Remote workSeniorFraudFull timePart timeWork at officeFlexible hours- ...seeking a dynamic professional to oversee fraud detection and risk operations at our... ..., U.S. Citizenship, and experience leading teams in the healthcare compliance and fraud investigations... ...include strong communication and analytical capabilities. #J-18808-Ljbffr SercoSeniorFraud
- JPMorgan Chase is seeking a Strategic Analytics Associate in Wilmington, DE, to develop analytics and strategic recommendations for fraud management. The role involves managing fraud strategies, analyzing trends, and collaborating with teams for improved detection and solutions...SeniorFraud
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- Praescient Analytics is seeking a Senior Investigative Analyst to assist in federal fraud detection and program integrity initiatives. Candidates should possess strong analytical problem-solving skills and a minimum of three years of experience investigating complex fraud...Remote jobSeniorFraud
- Prosper Marketplace is seeking a Senior Credit Risk Analyst to design and optimize credit and fraud strategies using data and models in Prosper’s US marketplace. You... ...plus experience with segmentation and financial analytics. A Bachelor’s degree and 2+ years in credit risk...SeniorFraud
$115.4k - $192.3k
...and predicting risk and enhancing fraud detection. We use the power of data and advanced analytics to help our customers make... ...hereAbout the roleAs an Analytics Team Lead, you will provide technical and... ...and chat.LocationUnited States (Remote)Who is the ideal candidate?·...Remote workFraudFull timeLocal areaImmediate start- ...visionary and execution-focused Senior Lead Digital Product Manager to... ...using examples from CTO Ops, Fraud, Claims, and Complaints.Conduct... ..., innovation, advanced analytical and inductive thinking.Coordinate... ...schedule - 3 days on-site & 2 remote).The ability to travel up to...Remote workSeniorFraudFull timeWork experience placementWork at officeRelocation
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