Payment Integrity Manager — Fraud & Recovery
Centene Corporation
Centene Corporation is seeking a seasoned FWA professional to develop and manage fraud, waste and abuse programs for a large health plan portfolio. You will lead teams, ensure accuracy in COB/TPL/subrogation activities, and drive compliance with state and federal requirements across diverse contracts. The role emphasizes data-driven investigations, policy development, and collaboration with operating teams to optimize recovery, reporting, and readiness reviews, with flexible remote/hybrid work #J-18808-Ljbffr Centene Corporation
$87.7k - $157.8k
...Purpose Develop, implement and manage strategic fraud, waste and abuse activities by... ...(TPL), and Subrogation recovery activities, including identification... ...processes and systems to assure integrity and compliance in billing and claims payment Lead teams of analysts to...FraudFull timeContract workPart timeWork at officeImmediate startRemote workFlexible hours- ...expertise in AI/ML workloads in payments, serving as a technical... ...technologies Demonstrate and integrate NVIDIA’s software stack (tools... ...solutions for use cases such as fraud detection, personalization,... ...solutions architect, product management including 3+ years of direct...Fraud
$152k - $241.5k
...strategic Senior Developer Relations Manager to join our Financial... ...team, with a focus on engaging payments developer ecosystems across... ...technologies. Demonstrate and integrate NVIDIA’s software stack (... ...solutions for use cases such as fraud detection, personalization,...Fraud$120k - $160k
...operations, trust & safety, fraud prevention, and CX... ...complex escalations, service recovery and high‑risk cases Partner... ...fixes Monitor fraud, payment risk, and marketplace integrity Own CX metrics including... ...systems Proven success managing offshore or distributed teams...Fraud- ...architect of our customer support and platform integrity infrastructure, the systems, workflows,... ...-facing support function and a safety/fraud function Growth Focused: You've scaled... ...and support vendor landscape (case management and enforcement platforms, bot and fraud...FraudRelocation packageFlexible hours
$107.8k - $300.1k
...Provide technical leadership and management direction for database... ...approaches, backup strategies and recovery strategies* Knowledge of... ...objects* Knowledge of referential integrity, security enforcement and... ...tolerance policy for candidate fraud. All information and credentials...FraudFull timePart timeImmediate startWork from homeWorldwide- ...notes in real‑time, with deep EMR integrations. Powered by Linked Evidence... ...yourself from recruitment fraud We are aware of individuals and... ...Abridge recruiters and/or hiring managers. Abridge will never ask for financial information or payment, or for personal information...FraudHourly payFull timeWork at officeRelocation packageFlexible hours
$199k - $411.5k
...SLED Partner Business Manager This role has been designated as ‘Remote... ...and levels of the business, integrating sales engagement efforts.... ...and grow together. Recruitment Fraud Alert We have become aware of... ...information or make any payments and report the incident to your...FraudWork experience placementLocal areaImmediate startRemote workWork from home$43 - $52 per hour
...leadership team that supports and manages those making a difference in the lives... ...the Claims Processing and Benefit Payment Control activities that include fraud prevention and detection,... ...and claimant accounts to ensure the integrity of the Unemployment Insurance (UI)...FraudPermanent employmentFull timeWork at officeRemote workMonday to FridayShift work- ...identities in real time and stopping fraud before it starts. The mission... .... As the Senior Product Manager for Core Fraud Services at... ...and signal‑based features. Integration & Value Realization: Identify... ..., cybersecurity, fintech, payments, or financial services. Client...FraudImmediate startRemote work
$123.68k - $254.64k
..., and as a Technical Program Manager focused on Identity, you will... ...the intersection of account integrity, abuse prevention, and safety... ...and access, hardening account recovery, and reducing bots and account... ...protect people from scams, fraud, and other abuses (for example...FraudWork at officeLocal areaRelocationRelocation package- ...chargeback lifecycle—intake, investigation, evidence, representment, and recovery—while maximizing recovery and maintaining regulatory thresholds. You will manage a team, develop playbooks, and partner with Fraud Operations to distinguish true fraud from service issues,...Fraud
- Harnham is seeking an experienced Project Manager to enhance its financial systems. This remote role entails leading cross-functional projects focused on customer payment processing, operational efficiency, and fraud mitigation. The ideal candidate has over 5 years of...FraudRemote job
$95.3k - $158.8k
...Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more about LexisNexis Risk at the... .... Familiarity with software implementation and integration projects. Professional Attributes Customer‑focused...FraudLocal area- ...good identities in real time and stopping fraud before it starts. The mission is big,... ...About the Role Socure is seeking a Senior Manager of Marketing Operations to drive... ...supporting tools Orchestrate data flow and integrations across the GTM stack (e.g., enrichment,...Fraud
- ...good identities in real time and stopping fraud before it starts. The mission is big,... ...reading. About the role Technical Project Managers (TPMs) are the engine that drives our... ...with developers and deployment managers to integrate Socure's suite of technology with client...Fraud
- ...of your career journey! The Relationship Manager II (RM II) primary role is to consult... ...report any suspicious behavior or suspected fraud activity. The RM II position also performs... ...deposits, withdrawals, and loan/VISA payments, performing account transfers, recommending...FraudFull timeNight shift
$166.6k - $227.1k
## Advisory Senior Manager, ForensicsApplylocations: Century City, Californiatime type: Full... ...professional network. We want you to integrate all aspects of your life with your career... ...*Job Responsibilities*** Lead and manage fraud investigations, forensic accounting engagements...FraudContract workWork at officeLocal areaFlexible hours- Lead the end-to-end payment operations function for LillyDirect Manage dispute and chargeback processing Serve as the internal subject matter expert on payment... ...and/or Vertex for tax compliance Experience with fraud prevention, underwriting, or risk monitoring Familiarity...Fraud
$80k - $100k
...commercial contractors. As a Customer Marketing Manager, you will play a pivotal role within... ...official channels and will never ask for payment, banking details, or sensitive personal... ...suspicious outreach to reportfraud.ftc.gov and fraud@buildops.com. We review every report, but...FraudFor contractorsFixed term contractWork at officeLocal areaRemote workWork from homeFlexible hours$120k - $150k
Title: Cobrand Relationship Manager, Customer Experience Reports To: VP, Strategy and Operations... ...power instant decisioning, streamline fraud checks with human-in-the-loop safeguards,... ...account management, consulting, fintech, payments, or related strategic operations roles....Fraud$30 per hour
...communication skills. You’ll report to the Assistant Manager, Customer Relations and work full-time... ...one of our business units. This type of fraud can be carried out through false websites... ...National IDs, nor do we send or request payments for the purchase of business-related...FraudHourly payFull timeWork at officeRemote workWorldwideFlexible hoursShift work$134.62k - $201.25k
## Field Reimbursement Manager (FRM) - Southern CaliforniaApplylocations: Remotetime type:... ...Request.**Statement Regarding Job Recruiting Fraud Scams**At Otsuka we take security and... ...financial information of any kind or for payment of money during the job application process...FraudTemporary workLocal areaFlexible hours$97.8k - $115k
...serve. Our Program, Project and Commercial Management (PPM) team works across some of the most... ...renewal. Global profit share scheme (payments are dependent on the firm’s financial... ...disability. Stay safe online. Recruitment fraud is on the rise, and Arup’s name, logo,...FraudContract workRemote workFlexible hours$26 - $28 per hour
...and customer focus to the business.The Club Manager will be responsible for the oversight of gym... ...made aware of an increasing number of hiring fraud schemes across numerous platforms. Taymax Group never requires advance payments of any kind for computer equipment or any...FraudWork at officeAll shifts$110.5k - $165.7k
...Payments Analyst Location: San Diego, CA / Hybrid The Global Payments team enables players to seamlessly purchase digital content,... ...commerce experiences. As part of the broader Global Payments and Fraud Management organization, we partner cross-functionally to optimize...FraudWorldwide$110k - $135k
PROGRAM MANAGER/PROJECT MANAGER Seeking a strong Program Manager/Project Manager. You are... ...those we’ve yet to hire RECRUITMENT FRAUD WARNING We want to help you stay safe during... ...information during recruitment Require payment or fees Ask for sensitive PII before a formal...FraudFull timePart timeLocal areaImmediate startVisa sponsorship$46.99k - $122.4k
...family and one community at a time. Position Summary The Program Integrity Auditor is responsible for the review of records for medical,... ...of claims, and referral to state regulators for any suspected fraud, waste, or abuse (FWA). The Auditor must also ensure that state...FraudHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours- Armanino LLP in Century City, CA is seeking an Advisory Senior Manager for Forensics to lead and manage fraud investigations, forensic accounting engagements, and dispute consulting. You will review financial records, oversee discovery, and develop models for litigation...FraudFlexible hours
$115k - $140k
Territory Account Manager - San Francisco / Hawaii / South Bay / Fresno Join to apply for... ...is the first AI-driven non-invasive integrated heart care solution across the CCTA pathway... ...referrals. Heartflow has become aware of a fraud where unknown entities are posing as...FraudBase plus commissionFull timeWork experience placementLocal areaWork from homeWorldwideRelocation
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