Healthcare Analytics & Fraud Insights Analyst
Blue Cross NC
Blue Cross NC is seeking a strategic analytics professional to partner with the SIU and Payment Integrity teams, delivering business intelligence, reporting, and audit support. The role includes dashboard development, statistical sampling, and cross-functional collaboration to identify fraud, waste, and cost-saving opportunities. The analyst translates complex healthcare data into insights, supports provider investigations, and drives measurable savings across the organization. #J-18808-Ljbffr Blue Cross NC
- ...Corporation is hiring for a Fraud Prevention Analyst. In this role, you’ll help... ...ll combine investigation, analytics, and risk management to... ...controls, and deliver actionable insights that prevent fraud before... ...benefits administration, healthcare, or another regulated...SuggestedWork at officeRemote workFlexible hours
- ...responsible for conducting initial reviews of fraud alerts and notifications received from... ...Centers and other sources. The Fraud Analyst evaluates the validity and severity of... ...detection systems and alert workflows Strong analytical skills with attention to detail for...SuggestedLive outWork at office
- ...Jobtailor is seeking a Fraud Analyst to support monitoring of customer financial accounts and investigate potential fraudulent activity... ...university degree preference, are comfortable with data interpretation, and possess analytical and customer service skills. #J-18808-Ljbffr...Suggested
- Employee Benefits Corporation is seeking a Fraud Prevention Analyst to identify and respond to fraud risks across products... .... This role involves investigation, analytics, and risk management, providing actionable insights to prevent fraud. Applicants should have a minimum...SuggestedRemote job
- Description LCCU is hiring! Your Contribution: The Junior Cards Fraud and Disputes Analyst supports the Credit Union’s debit and credit card dispute... ...proficiency in English and Spanish is a plus. Excellent analytical skills and attention to detail, with the ability to...Suggested
- ...Carolina is seeking an experienced Marketing Analyst. This NonExempt position requires... ...proficiency in data tools such as SAS and Google Analytics, and a quantitative educational... ...monitor campaign performance, and provide insights to enhance marketing strategies. This fulltime...Full time
- ...Supports monitoring of customer financial accounts against various fraud prevention strategies Addresses fraud concerns reported by... ...center experience Working knowledge of fraud industry practices Analytical skills with the ability to solve complex problems and execute...
- ...This role provides exposure to corporate functions and operational processes, with five days on-site. You will develop audit, data analytics, and business partnering skills while supporting IT, SOX, and financial audits across the organization; a strong candidate is a...
- Position Title: Clinical Fraud Audit Specialist Work Location: Remote role (Only in AZ... ...Intermediate skill in Word and Excel. Knowledge of healthcare coding, medical terminology, billing... .... Capable of investigative and analytical research. Navigate, gather, input, and maintain...Work experience placementWork at officeRemote work
$65k - $88.6k
...of our caring community Humana is looking for an experienced Healthcare Investigator to join its industry leading Special... ...proactive? But, most of all do you have a passion for combating Fraud, Waste, and Abuse in the Health Care Industry? If this resonates...Full timeTemporary workFor contractorsApprenticeshipWork experience placementWork at officeLocal areaRemote workWork from homeHome officeMonday to Friday$62.7k - $97.2k
...A healthcare organization located in Raleigh, NC is seeking a professional accountant to perform accounting duties including compilation... ...accounting experience, a Bachelor's Degree, and strong analytical and communication skills. The position focuses on preparation...$110.7k - $218.3k
...due diligence to manage data analysis and support transaction executionUsing business intelligence tools and data analytics to generate meaningful insights tied to client investment hypotheses and transaction decisionsIdentifying opportunities to design and develop visualizations...Local area- ...Search | Executive & Professional Services A growing value‑based healthcare organization is hiring a Corporate Accountant to support its... ...Ideal Background 2+ years of relevant experience Strong analytical and communication skills Hybrid Fridays after 90 days onsite...Full time
$57.98k - $93.22k
...mission is to preserve, protect and sustain the state’s pension and healthcare plans, generate investment returns in excess of comparable... .../auditing experience in the preparation of interpretive or analytical accounting/ financial statements and reports or equivalent combination...Full timeWork at officeLocal areaRemote workFlexible hours- ...financial analysis activities. A successful candidate will have a BS in Accounting along with 3-5 years of accounting experience, strong analytical skills, and proficiency in Microsoft Excel. The position offers an exciting opportunity in a dynamic retail environment. #J-1880...
- State Employees' Credit Union in Raleigh, NC is seeking a data analytics professional to support budgeting, forecasting, and decision-... ...solutions, and collaborate with cross-functional teams to deliver insights. A background in finance or IT and experience with SQL, Excel,...
$130k - $180k
...strong reputation for defending businesses, professionals, and healthcare organizations in complex civil matters. Our team partners with... ...Ability to manage competing priorities and deadlines Strong analytical and problem-solving abilities Jobot is an Equal Opportunity Employer...Permanent employmentWork at officeLocal area- ...strong reputation for defending businesses, professionals, and healthcare organizations in complex civil matters. Our team partners with... ...to manage competing priorities and deadlines ~ Strong analytical and problem-solving abilities Jobot is an Equal Opportunity...Work at officeLocal area
$80k - $115k
...medicine and advancing the healthcare industry? Recent advancements... ...deliver real-time, actionable insights to physicians, providing... ...an experienced Senior Data Analyst to help us design and execute... ...experience, preferably in an analytical or consulting role within or...Work experience placementRemote workShift work- A North Carolina government agency is seeking an Internal Auditor III to execute audit strategies and manage the audit team. This hybrid role requires a Bachelor's degree in accounting or related field and three years of audit experience. The Internal Auditor will oversee...
- Optum, part of UnitedHealth Group, seeks a Cybersecurity Fraud Analyst to perform in‑depth data analyses, model proactive detection, and investigate risks to UnitedHealth Group. This role offers the flexibility to telecommute from anywhere in the U.S. You will review logs...Remote job
- ...on potential risk areas such as regulatory, competition, and healthcare law. You will handle and win multi‑million dollar disputes, minimize... ..., a creative mind, and excellent communication, writing, and analytic skills. COVID‑19 vaccination required. As an Equal...Relocation
- Winnin is seeking an Accounting Analyst to support financial operations with 3-5 years of accounting or finance experience. You will work closely with senior staff, drive process improvements, and help maintain data integrity across systems. Responsibilities include month...
- ...experience in managing moderate to high volume of engagements during peak seasonsStrong oral and written interpersonal skillsEffective analytical and problem-solving abilityExperience in hiring, developing, and leading a team of professional auditors WHY YOU SHOULD JOIN USWe...Full timeContract workWork at officeFlexible hours
- ...reports.JOB DIMENSIONSThe Sr. Financial Analyst works across various parts of the Global... ...internal / external publication providing insights on competitive landscape and their... ...EXPERIENCEBA / BS Degree in Finance, Data Analytics, Mathematics / Statistics or IT field; MBA...Work at officeFlexible hours
$95k - $105k
...medicine as the primary partner to the community of transplant healthcare providers and their patients; our focus is in developing new... ...Generally Accepted Accounting Principles (GAAP); IFRS, a plusStrong analytical and problem-solving skills, with process improvement...Full timeShift work$85.77k - $153.09k
..., Fiduciary and Crime coverages. Strong analytical skills with ability to evaluate complex... ...solutions that make it easy to tap into insight and apply it. We are changing the way people... ...and power global markets.Recruitment Fraud Alert:If you receive an email from a spglobalind...Full timeContract workSecond jobLive inWork at officeWorldwideFlexible hours- ...or extended service opportunities with existing and/or prospective clientsStrong oral and written interpersonal skillsEffective analytical and problem-solving abilityExperience in hiring, developing, and leading a team of professional auditors WHY YOU SHOULD JOIN USWe...Full timeContract workWork at officeFlexible hours
- ...forecasting experience. Leadership and team development skills. Process improvement and workflow optimization. Excellent analytical and problem-solving abilities. Strong organizational and time management skills. Excellent written and verbal communication...
- ...and advanced statistical and analytic knowledge to convert data into actionable clinical insight. Provides data analysis in an... ...databases, data warehouses, data analysts and system wide customers to... ...Preferred Certified Professional in Healthcare Quality - Preferred EPIC...Remote work
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