Healthcare Analytics & Fraud Insight Specialist
Blue Cross and Blue Shield of North Carolina
Blue Cross and Blue Shield of North Carolina is seeking a Senior Analytics Analyst to partner with SIU and Payment Integrity, delivering BI, dashboards, and audit support to identify fraud, waste, and payment accuracy opportunities. You will translate complex healthcare data into insights and drive measurable savings across the organization. You will develop recurring and ad hoc reports, collaborate with BI Analysts and Data Scientists, and ensure data quality and governance for scalable #J-18808-Ljbffr Blue Cross and Blue Shield of North Carolina
$91k - $169k
...to contribute to the company’s success. As a Portfolio Analytics & Strategy Specialist (Fraud Model Analyst) within PNC's Technology organization, you... ...for acquisition and portfolio strategies to provide insight into portfolio risk. Manages engagements with internal...FraudFull timeTemporary workPart timeWork experience placementWork at officeRemote work$125k - $135k
...lives? Do you have Electronic Healthcare Record (EHR) experience and... ...Health Information Technology Specialists to support an IQVIA pharmaceutical... ...Electronic Health Record insights to enhance patient care and... ...tolerance policy for candidate fraud. All information and...FraudFull timePart timeImmediate startWorldwideNight shift$88.9k - $155.5k
...you will provide strategic planning, and analytics support to Vizient/Sg2 clients, serving... ...analyses under limited supervision, synthesize insights into clear strategic recommendations,... ....Demonstrated experience supporting healthcare strategic planning initiatives, including...SuggestedFull timeWork at office$175k - $190k
OUR MISSION Imagine building a better healthcare journey for patients with cancer, where individuals... ...the Product Manager for our Care Model Insights (CMI) team, you will be responsible for... ...employer. Be cautious of recruitment fraud, and always confirm that communications...Fraud- ...Betting & Gaming is seeking an Operations Data Analyst to own data pipelines, dashboards, and analytic work across CX, Fraud, Payments, WFM, and VIP. You will surface insights, flag risks, and partner with the Strategy & Analytics team to connect data to strategic goals...Fraud
$112k - $249.6k
...opportunity to contribute to the company’s success. As a Portfolio Analytics and Strategy Specialist Senior within PNC's Enterprise Risk Management... ...targeting for acquisition and portfolio strategies to provide insight into portfolio risk. Manages engagements with internal...Full timeTemporary workPart timeWork experience placementWork at office$89.17k - $142.68k
...Description Serves as a strategic analytics partner to the Special... ...financial reporting, operational insights, and statistically sound... ...analysis, dashboard development, healthcare claims expertise, and stakeholder engagement to identify fraud, waste, abuse, payment...Fraud$39 - $42 per hour
...continuing to collaborate with healthcare professionals and advocate... ...global provider of advanced analytics, technology solutions and clinical... ...services, commercial insights and healthcare intelligence to... ...tolerance policy for candidate fraud. All information and credentials...FraudHourly payFull timePart timeImmediate startWorldwide- ...of. Function Description The Bankruptcy Specialist will perform procedures relating to bankrupt... .... Various law agencies regarding fraud, forgery, theft, and embezzlement. Minimum... ...members, clients, and managers, Strong analytical skills required, with a high degree of accuracy...FraudFull timePart timeWork experience placementWork at officeLocal area
- ...Consulting & Professional Services Medicine Healthcare Hospitals & Clinics Specialties mental health... ...operations, quality assurance, documentation support, analytics, fraud/risk detection, customer insights, product personalization, and administrative...Fraud
$170k
...Medtronic is a global leader in healthcare technology with a Mission to... ...products, and communicate insights to internal stakeholders, including... ...environmentStrong analytical capabilities, with the ability... ...of employment. Recruitment Fraud AlertWe are aware of phishing...FraudHourly payFull timeH1bWork at officeLocal areaImmediate startRemote workFlexible hours- PDPM Support Specialist Why Join Our Team? As a PDPM Support Specialist... ...discrepancies, or potential fraud, waste, or abuse through... ...reimbursement processes Strong analytical and auditing skills with... ...requirements Federal and state healthcare regulations Medicare and...FraudFor contractorsLocal area
- ...Associate Interventional Specialist At Globus Medical, we move with a sense of urgency... ...of these patients, and the surgeons and healthcare providers who treat them. We embrace a... ...researchers and educators to transform clinical insights into tangible solutions. Our solutions...Local areaNight shift
- ...Betting & Gaming in Denver is seeking an Operations Data Analyst to join the Analytics & AI Enablement team. You’ll build the analytical foundations that Ops leaders rely on across Support, Fraud, Payments, and WFM, translating data into actionable recommendations. You’...Fraud
- ...Ability to work independently as well as part of a team Strong analytical and problem-solving skills to effectively communicate with technical... ...Analytics Business Intelligence Data Quality Management Fraud Management Monitoring, Surveillance, and Testing Collaboration...FraudFull timeWork at officeShift workDay shift
- PNC is seeking a Portfolio Analytics & Strategy Specialist (Fraud Model Analyst) to own the lifecycle of quantitative models used for detecting fraud. The role requires strong Python/R and SQL skills, data science foundations, and experience validating complex models....Fraud
$65k - $75k
...Workplace Technology Specialist Pax8 is hiring a Workplace Technology Specialist in the... ...tech systems tracking requests and using insights to improve. Innovate with AI and automation... ...help confirm authenticity and prevent fraud. These safeguards are designed to be...FraudTemporary workWork experience placementWork at officeLocal areaFlexible hours$46.72k - $62.01k
Specialist - Policy Process & Knowledge Management Job Category : Customer Service Full-Time... ...support, complaint intake coordination, fraud-prevention documentation, and customer... ...written communication, organizational, analytical, and problem-solving skills. Required:...FraudFull timeCasual workWork at officeLocal areaRemote workWork from home- ...or disability status.Job DescriptionJob Description: As a healthcare consultant, you will be working independently on individual... ...with a lot of passion. We are awaiting to meet the excellent analytic specialist exactly like you. We would love to listen to your career...
- Operations Analyst, Strategy & Analytics About Us Fanatics is building a leading global digital... ...Ops leaders across Customer Support, Fraud, Payments, and WFM rely on, and then you... ...the dashboards, and surface the insights before anyone has to ask. Write, QA, and...FraudTemporary workFor contractorsFor subcontractorShift work
- ...Asset Protection Specialist Position Purpose: The Asset Protection Specialist is primarily responsible for preventing financial loss caused by theft and fraud and supporting safety and environmental program compliance in their assigned store/multiple stores. They...Fraud
$28 per hour
...national linen rental and laundry service specializing in the healthcare market. Acquired by private equity firm Calera Capital in 2018... ...management and ensuring customer satisfactionKnowledge: Practical insight specific to the textile services industry and...- A leading home improvement retailer is seeking an Asset Protection Specialist in Colorado. This role involves preventing financial loss through theft and fraud, ensuring compliance with safety programs, and monitoring store security. Responsibilities include preparing...Fraud
$93.75k - $133.2k
...skills to protect against cyberattacks, terrorism, fraud, and evolving threats. Using your analytical skills, data analysis capabilities, attention to detail... ...expands. Set yourself apart. Apply today. How Your Healthcare and Medical Expertise Translates to a Special Agent...FraudWork at officeLocal areaShift work$71.9k - $189k
...leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries.... ...process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your...FraudFull timePart timeLocal areaImmediate startWorldwide$28.5 - $31.5 per hour
Reimbursement Systems Specialist Location: Lone Tree Compensation: $28.50 - $31.50/hr Job Type: Contract (3+ months) AimHire is partnering... ...work experience. 2-3 years of relevant experience. Strong analytical and problem‑solving abilities. Experience operationalizing...Contract workWork experience placement- Canvas Credit Union is seeking a Card Dispute Representative to research and process complex debit and credit card disputes, ensuring regulatory compliance and accurate handling for both internal staff and members. The role emphasizes proactive communication, timely resolution...Fraud
$123.4k - $343.8k
...leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries.... ...process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your...FraudFull timePart timeImmediate startWorldwide$65k - $75k
...Specialist, Human Resources The Specialist, Human Resources fosters a positive workplace... ...surveys and exit interviews and share insights with HR leadership. Culture &... ...need for diverse high-quality medical and healthcare professionals. USS is pivotal in positioning...Local area$61.9k - $141k
...verification process that leverages advanced biometrics and artificial intelligence to ensure authenticity and protect against identity fraud. You are expected to be on camera during interviews and assessments. We reserve the right to take your picture to verify your...FraudFull timeContract workPart timeWork at officeLocal areaRemote work
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