Remote Lead, Prepayment Fraud, Waste & Abuse Operations
Gainwell Technologies
- Remote job
Gainwell Technologies is seeking an Operations Manager for Prepayment Fraud, Waste, and Abuse to lead investigations, research, and case management. You will provide strategic and operational oversight to drive program integrity, regulatory compliance, and continuous process improvement. As a key liaison, you will collaborate with clients, medical consultants, compliance teams, and business partners to mitigate risks and enhance fraud detection initiatives. #J-18808-Ljbffr Gainwell Technologies
- Gainwell Technologies LLC is seeking an Operations Manager for Prepayment Fraud, Waste and Abuse. You will lead investigations, governance, and performance across the operation, ensuring compliant, timely reviews and proactive risk mitigation. The role partners with clients...OperationsFraud
$81k - $115.7k
...companies need great teams to propel their operations. Join the group that solves business challenges... ..., and career development. Summary The Prepayment Fraud, Waste, and Abuse (FWA) Operations Manager is responsible for leading and optimizing Prepayment FWA operations to...OperationsFraudFull timeFlexible hours$45.5 per hour
...CPC/CPMA required Nov 16th to Feb 8th might extend Fraud Waste Abuse exp Commercial Medicare/ Medicaid on site Bowie MD 3 days... ...provider behavior driving each call Carry select flagged leads through to a documented, substantiated finding Partner with...Remote workFraudContract work3 days per week$45.5 per hour
...CPMA required\n \n Nov 16th to Feb 8th might extend\n \n Fraud Waste Abuse exp\n \n Commercial Medicare/ Medicaid\n \n on site Bowie... ...provider behavior driving each call \n Carry select flagged leads through to a documented, substantiated finding \n Partner...Remote jobFraud3 days per week$91.1k - $179.5k
...Support the client in its mission to reduce fraud, waste, and abuse within programs by developing data... ..., communicating closely with Task Lead and Coordinator for oversightDevelop and... ...their mission promise. Our Enterprise Operations & Risk offering enables clients to achieve...OperationsFraudWork at officeLocal area$65k - $88.6k
...Caring Community The Fraud and Waste Professional is... ...organizational strategy and operating objectives, including... ...suspected fraud, waste, and abuse involving the Medicaid... ...Work Style: Fully remote in the contiguous US,... ...Inc. (NYSE: HUM) is a leading U.S. healthcare...Remote workOperationsFraudFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...Customer Success Manager - Team Lead on behalf of our client,... ...Lean Financial Operations automation. They're a global... ...+ countries to eliminate waste, accelerate growth, and defeat fraud with industry-leading native... ...(k) match, generous PTO, remote flexibility US work...Remote workOperationsFraudFull timeWork at office
$95.6k - $188.4k
...Consultant, Financial Crime and Fraud, you will work with a cross... ...relationships Ability to lead projects or workstreams Ability... ...promise. Our Enterprise Operations & Risk offering enables... ...identifying and mitigating fraud, waste, or abuse. Ability to travel 5-25%,...OperationsFraudLocal area$51.96 - $62.44 per hour
...Description The Team Lead is primarily responsible... ...managing their assigned operations team technicians,... ...support for onsite and remote operations. Provide... ...including scheduling e-waste pickup, ensure things stay... ...RECORDED VIDEO INTERVIEW Fraud Alert – Recruitment...Remote workOperationsFraudFull timeWork at officeWeekend work$91.1k - $179.5k
...Support the client in its mission to reduce fraud, waste, and abuse within programs by developing data... ..., communicating closely with Task Lead and Coordinator for oversight Develop... ...their mission promise. Our Enterprise Operations & Risk offering enables clients to...OperationsFraudWork at officeLocal area$155k - $175k
...helping stop a child sexual abuse operation. I love TRM not just because... ...learning, data science, anti-fraud and compliance to crack complex... ...agencies around the world. Lead Instructor Location... ...Full time Location Type Remote Department Build a Safer...Remote workOperationsFraudFull timeWork at officeLocal areaWorldwideWeekday work$175k - $200k
...FiveBy is a high-end anti-fraud and online security... ...headquartered in Seattle with operations across the United States. We are a fully remote consulting company of... ...seeking a full-time Practice Lead to own the performance,... ...types, such as account abuse, promotional and...Remote workOperationsFraudHourly payFull timeWork at officeLocal area- AnewHealth is one of the nation’s leading pharmacy care management... ...support, pharmacy operations, clinical documentation, quality... ...assurance events, HIPAA concerns, fraud, waste, and abuse concerns, medication access... ...required. This is a remote position. medical/dental/vision...Remote workOperationsFraudFull timeTemporary workLocal areaFlexible hours
$134.6k - $230.8k
...enjoy the flexibility to work remotely * from anywhere within the... ..., legal, product, and operations stakeholders to translate business... ...billing patterns, and prepay/postpay review into scalable... ...integrity, payment integrity, fraud, waste, and abuse, claims payment accuracy,...Remote workOperationsFraudMinimum wageFull timeWork experience placementWork at officeLocal area$112.7k - $193.2k
...Integrity's Intelligent Fraud Detection products.... ...the flexibility to work remotely * from anywhere within... ...AI/ML, analytics, and operations to deliver data-driven... ...experience in fraud and abuse domains within payment... ...enabled platformsExperience leading or mentoring other product...Remote workOperationsFraudMinimum wageFull timeWork experience placementWork at officeLocal areaShift work$111.41k - $189.74k
FRAUD PREVENTION SR LEADWHAT IS THE OPPORTUNITY?The Fraud Prevention Senior Lead is responsible for leading delivery of large scale enterprise... ...customer experience, operational resilience, and financial risk... ...otherwise indicated as fully remote, reporting into a designated...Remote workOperationsFraud$112.9k - $257k
...nation safe.As a Site Coordination Lead, you’ll play a pivotal role in... ...stakeholders, vendors, and operational personnel. This role is... ...and protect against identity fraud. You are expected to be on camera... ...their cameras on during meetings.Remote: If this position is listed as...Remote workOperationsFraudFull timeContract workPart timeWork at officeLocal area$112.8k - $257k
...Integration LeadThe Opportunity:As a Security Operations Center (SOC) Task Lead, you’re in the middle of the action,... ...and protect against identity fraud. You are expected to be on camera during... ...their cameras on during meetings.Remote: If this position is listed as remote...Remote workOperationsFraudFull timeContract workPart timeWork at officeLocal area- Valet Living is seeking a Sales Engineer, Expanded Waste Services to turn waste data and site analyses into practical, cost-saving solutions... ...technical narrative, and support complex proposals with field operations and pricing teams. The role requires 5+ years in a related...Remote jobOperations
$86.8k - $198k
...startup-minded AI Deployment Lead with hands-on experience designing... ...product management or product operations, technical account management,... ...and protect against identity fraud. You are expected to be on... ...their cameras on during meetings.Remote: If this position is listed as...Remote workOperationsFraudFull timeContract workPart timeWork at officeLocal area$110k - $160k
...an Engineering Project Manager or above to lead solid waste projects in our Salt Lake City office. We are... ...engineering permitting construction and operations support. There is flexibility for a mix of in-office and remote (hybrid). How you can make an impact Apply...Remote workOperationsFull timeWork at office$86.8k - $198k
...Opportunity:Oversee all financial operations for a large federal task order... ...to support mission delivery. Lead task‑order financial... ...and protect against identity fraud. You are expected to be on camera... ...their cameras on during meetings.Remote: If this position is listed as...Remote workOperationsFraudFull timeContract workPart timeWork at officeLocal area- Twilio is hiring a Compliance Operations Specialist for a remote role based in Estonia. You will monitor Twilio product traffic (voice, SMS, and KYC)... ...compliant activity. The ideal candidate has 1-2 years in KYC/fraud/compliance, strong data skills, and excellent...Remote jobOperationsFraud
- ...own the payments orchestration layer and real-time processing, while owning metrics like authorization rate and GMV. The role requires strong cross‑functional collaboration with engineering, finance, fraud, and operations, plus a bias for action. #J-18808-Ljbffr FélixRemote jobOperationsFraud
$142.9k - $266k
...seeking a Program Manager to lead the day-to-day performance and... ...PMO) and lead the management, operations, compliance and growth of the... ...and protect against identity fraud. You are expected to be on camera... ...their cameras on during meetings.Remote: If this position is listed as...Remote workOperationsFraudFull timeContract workPart timeWork at officeLocal area- ...Swoon is hiring a Lead Solution Architect for a major banking client... ...Chicago but this is a fully remote opportunity. This is a... ...cloud platforms, security, and operations. Create architecture diagrams... ...business, engineering, risk, fraud, security, and compliance teams...Remote workOperationsFraudContract work
$134.1k - $241.4k
...Unmanned Systems (C-UxS) Program Lead serves as a technical subject... ..., flight testing, and operational fielding—while coordinating across... ...technical backgrounds.FAA Part 107 Remote Pilot Certification (required)... ...learn more about recruitment fraud and how to report it, please...Remote workOperationsFraudFull timeContract workFor contractorsWork at officeWorldwideFlexible hours$77.6k - $176k
...to an Integrated Product Team Lead within a Navy warfare center cybersecurity... ...processesAbility to prepare operations and procedures manuals to... ...and protect against identity fraud. You are expected to be on... ...their cameras on during meetings.Remote: If this position is listed as...Remote workOperationsFraudFull timeContract workPart timeLocal area$77.6k - $176k
...expertise in supply chain, logistics, and operational preparedness for public health and... ...authenticity and protect against identity fraud. You are expected to be on camera during... ...to have their cameras on during meetings.Remote: If this position is listed as remote, there...Remote workOperationsFraudFull timeContract workPart timeLocal area$166k - $220k
...by Lattice OS, an AI-powered operating system that turns thousands of... ...experienced EW Mission Integration Lead with prior training and... ...engineers.Conduct onsite and remote troubleshooting support with customers... ....What to Do If You Suspect Fraud: Should you encounter any...Remote workOperationsFraudFull timeContract workWork experience placementImmediate start
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