Senior Healthcare Fraud Prevention Lead
Serco
Serco Inc. is seeking a dynamic professional to oversee fraud detection and risk operations at our headquarters in Herndon, VA. This role encompasses management of a team investigating applications for benefits fraud, liaising with federal partners, and reporting current fraud trends. The ideal candidate must possess a Bachelor's degree, U.S. Citizenship, and experience leading teams in the healthcare compliance and fraud investigations sector. Key skills include strong communication and analytical capabilities. #J-18808-Ljbffr
- ...skilled professional to manage fraud detection and risk operations... ..., VA. This role involves leading a team, overseeing investigations... ...to enhance fraud prevention initiatives. Qualified candidates... ...have significant experience in healthcare fraud and compliance, strong...SeniorFraud
- ...seeking a skilled professional to oversee fraud detection and risk operations for a... ...contract in McLean, VA. The role involves leading a team to analyze applications for fraud... ...and communication skills, a background in healthcare compliance, and relevant certifications....SeniorFraudContract work
- ...Serco Inc. seeks a skilled professional to lead fraud detection and risk operations at their Herndon, VA Headquarters. The role includes... ...of fraud. Candidates should have extensive experience in healthcare compliance and fraud investigations. The position requires U.S...SeniorFraud
- ...seeking a skilled professional to oversee fraud detection and risk operations for a... ...Herndon, VA office. The ideal candidate will lead a team to investigate fraud and manage compliance... .... This role demands experience in healthcare compliance, fraud investigations, and leadership...SeniorFraudContract workWork at office
- ...Hobbsnews in McLean, VA seeks a Data Scientist for Card Payment Fraud Prevention. This role involves building and deploying machine learning models to combat first-party fraud and enhance customer safety. The ideal candidate will possess a degree in a quantitative field...SeniorFraud
- ...Senior AI/ML Lead General Information Requisition # 682 Locations USA-VA-Arlington... ...modeling and analytical approaches supporting fraud detection and identity theft analytics.... ...activity, and strengthen fraud prevention capabilities. The ideal candidate brings...SeniorFraudFull timeWork at officeLocal areaRemote work
- ...VA, with potential future telework options. The ideal candidate should have a strong background in open-source intelligence (OSINT), fraud detection, and risk analysis. Responsibilities include conducting OSINT analysis, building fraud indicators, and providing...SeniorFraudRemote work
$170k - $230k
...in complex industries such as Healthcare, Oil & Gas, and National Security. About The Role As the Senior Security Assurance Manager, you... ...policies and procedures, lead internal and external audits,... ...candidate verification platforms, and fraud detection tools (collectively,...SeniorFraudShift work- A technology consulting firm in Arlington, VA is seeking a Senior AI/ML Lead. This hybrid position involves leading advanced machine learning initiatives for fraud detection and identity theft analytics. The ideal candidate should have a Bachelor's degree in a relevant...SeniorFraud
- ...Principal, Group Actuarial in Arlington, VA. In this role, you will lead the actuarial work supporting our health and welfare benefit... ...partners. The ideal candidate will have 15+ years of healthcare actuarial experience, along with a strong understanding of actuarial...SeniorRemote work
- ...Senior Media Buyer / Media Planner Remote | Federal Healthcare Communications GLI is seeking an experienced... ...awareness, and suicide prevention initiatives. The selected candidate will lead the planning, placement... ..., brand safety, and fraud prevention controls....SeniorFraudContract workFor subcontractorRemote work
$101.6k - $169.3k
...IQVIA is hiring Senior Clinical Research Associate 1 with experience... ...company training. IQVIA is a leading global provider of clinical... ..., commercial insights and healthcare intelligence to the life sciences... ...policy for candidate fraud. All information and credentials...SeniorFraudFull timePart timeLocal areaImmediate startWorldwide- ...highly skilled professional to oversee fraud detection and risk operations for a... ...in Serco’s emerging Fraud Prevention program. Responsibilities Lead a distributed team of investigators... ...awareness of evolving and emerging healthcare fraud issues and incidents, liaise...SeniorFraudContract workWork at officeLocal areaFlexible hours
- ...- Revolutionizing Kidney Care is looking for a Senior Analyst, Actuary in McLean, Virginia. In this role... ...evaluate complex risks and financial impacts in healthcare, help develop business plans to minimize costs, and lead projects in contract pricing and financial...SeniorContract workFlexible hours
$98k - $163k
...analyses and audits to reduce improper payments, identify potential fraud, and uncover patterns that inform payment policy and cost‑... ...trends, errors, and improper payment risks. Stay informed on state healthcare reform efforts and emerging policy changes. Translate research...SeniorFraudTemporary workFlexible hours- ...their Payment Integrity team. The selected candidate will leverage clinical expertise and auditing skills to identify potential fraud in healthcare billing, conduct claims reviews, and ensure compliance with payer regulations. The role requires a Registered Nurse (RN) with...SeniorFraud
- ...involves conducting detailed analyses of account activity and collaborating with various business units to prevent fraud. Candidates with strong analytical skills and regulatory knowledge are encouraged to apply for this mid-senior level contract position. #J-18808-Ljbffr...SeniorFraudContract work
- Ross Stores is looking for an Area Loss Prevention Manager in Falls Church, Virginia. The successful candidate will lead loss prevention strategies, manage audits, and work with store teams to mitigate theft and fraud while enhancing safety measures. This role requires...FraudRemote job
- ...dedicated Physician Practice Team Lead to join the team. This role... ...ranked a national healthcare leader in safety, quality and... ...Enforces safeguards against fraud and abuse. Obtains and maintains... ...scheduling; escalates issues to senior leaders as needed. May perform...FraudFull timeContract workWork at officeMonday to FridayFlexible hoursDay shift
- ...professional to oversee fraud detection and risk... ...Serco’s emerging Fraud Prevention program. Serco is seeking... ...and high performing Senior Manager to play a... ...risk associated with healthcare benefits fraud. The Senior... ...adoption of industry leading practices and...SeniorFraudFull timeContract workPart timeWork at officeLocal areaFlexible hours
- ...HITT Contracting in Falls Church, Virginia is seeking a Senior Project Manager specializing in healthcare projects. The role entails managing various projects from design to implementation, ensuring adherence to safety standards, and negotiating contracts. The ideal candidate...Senior
- ...Senior Business Manager, Fraud Operations Strategy The Senior Business Manager of Fraud Operations Strategy will lead a high-performing team of data science and risk professionals dedicated... ...& External entities to align fraud prevention efforts with broader corporate...SeniorFraudLocal area
- ...Services, Inc. is looking for a detail-oriented SIU Investigator in Alexandria, VA. The candidate will conduct investigations into healthcare claims anomalies and ensure compliance through audits and analyses. This role requires a Bachelor's degree or relevant experience...Fraud
$262.5k
...5 Title: Civil Cyber Leader, Senior Vice President The Opportunity... ...15+ years of experience leading complex, high‑impact technical... ...technologies to enhance threat prevention, detection, and response. Experience... ...and protect against identity fraud. You are expected to be on...SeniorFraudContract workLocal areaRemote work- ...Management Consultants, Inc. in Boston is looking for an experienced Senior Data Analyst to support client delivery and business... ...The ideal candidate possesses at least 5 years of experience in healthcare analytics, a strong bachelor's degree in a related field, and proficiency...Senior
- ...What we would like to see: In a senior developer role, you will design and... ...integration processes to enhance loss prevention technologies for a leading financing firm. Drawing from your vast... ...interfaces to enable integration of fraud detection systems with a host of new...SeniorFraud
- ...The Anxiety Institute, LLC. in McLean, Virginia is seeking a Senior Staff Clinician to provide evidence-based treatment for anxiety and related disorders. This role involves delivering up to 25 hours per week of direct client care, conducting evaluations, and collaborating...Senior
- ...Stryker Corporation is seeking a Senior Informatics Program Analyst to support the Integrated Healthcare Transformation initiative within the Veterans Health Administration. The role involves analyzing and enhancing healthcare programs, supporting decision-making through...Senior
$115k - $170k
...Overview As a Steampunk Senior Salesforce Functional Analyst, you will work... ...project using Agile.? Experience leading grooming sessions, developing the product... ...your picture to verify your identity and prevent fraud. Steampunk is a Change Agent in the...SeniorFraud$110k - $160k
...looking for you to join our team as a Senior Test Engineer . You will work with our... ...-related field ~ Proven experience of leading the deployment of enterprise and custom... ...your picture to verify your identity and prevent fraud. Steampunk is a Change Agent in the...SeniorFraud
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