City National BankNYSE: RY: Provider of commercial banking, wealth management, and investment services.
3+ YOE3+ years card fraud and rule-writing experience (Falcon or comparable), 3+ years project management and reporting/query tools experience (Brio, Microsoft Query, Microsoft Access, Microsoft Excel, Crystal Reports or Business Objects); strong analytical and communication skills.
Falcon, Brio, Microsoft Query, Microsoft Access, Microsoft Excel, Crystal Reports, Business Objects, Microsoft Word, Microsoft PowerPoint
Director, Fraud Strategy – Digital Banking & Authentication
Wilmington, Delaware, United States
OnsiteFull Time
BarclaysLondon Stock Exchange: BARC: Global bank providing retail, corporate, and investment financial services.
Extensive experience in digital banking and consumer lending fraud strategy, stakeholder influence, team leadership, policy and control development, and building business cases and roadmaps.
Fraud Data Analytics Lead, (Senior Consultant, Data & Analytics)
Baltimore or Alabama or California or Delaware or District of Columbia or Florida or Georgia or Maryland or New Jersey or New York or North Carolina or Pennsylvania or South Carolina or Tennessee or Texas or Virginia or West Virginia
$121k-$160k/yrRemoteFull Time
Fearless: Digital services firm delivering IT solutions for government agencies.
10+ YOE10+ years in fraud analytics or program integrity, bachelor\u0002s or equivalent, Public Trust clearance eligibility, U.S. citizenship required, experience with fraud detection models, SQL and Python proficiency, strong communication and stakeholder advising skills.
Kansas City or Virginia or Oklahoma or Idaho or West Virginia or Wisconsin or Washington or Utah or Texas or Tennessee or South Dakota or South Carolina or Pennsylvania or Oregon or Ohio or New York or New Jersey or Nebraska or North Carolina or Missouri or Minnesota or Michigan or Maryland or Massachusetts or Kansas or Illinois or Iowa or Georgia or Florida or Delaware or District of Columbia or Connecticut or Colorado or California or Arizona or Alabama or North Dakota or Wyoming or Montana or Vermont or Nevada or Indiana or Louisiana or Maine or New Hampshire or Rhode Island or Mississippi or New Mexico or Kentucky or Arkansas
5+ YOE5+ years data analytics and report development experience, bachelor\u0002s or equivalent, strong statistical analysis, ETL knowledge, ability to partner with business stakeholders.
CitiNYSE: C: Providing global banking, investment, and wealth management services.
5+ YOE5+ years fraud risk management in consumer banking or payments; Bachelor’s degree required (Master’s preferred); knowledge of authentication, digital capabilities, analytics/models; strong communication and leadership skills.
JPMorgan ChaseNYSE: JPM: Global financial services firm providing banking and investment solutions.
7+ YOEBachelor's or Master's degree, 7+ years in strategic analytics/risk/data science, proficiency in SQL or SAS, Microsoft Excel and PowerPoint, strong analytical, communication, and mentoring skills.
4+ YOEBachelor's degree or equivalent experience, minimum 4 years project management experience, strong relationship management, discovery and execution skills, ability to influence without authority, coordinate complex cross-functional work, and strong communication and problem-solving.
OneMain FinancialNYSE: OMF: Provides personal loans and credit cards to nonprime consumers.
3+ YOEBachelor’s in quantitative field; 3+ years in quantitative risk analytics; SAS/SQL/Python; data visualization (Tableau/Power BI); Excel; independent and collaborative work.
SAS, SQL, Python, Tableau, Power BI, Microsoft Excel
Manager, Special Investigations Unit – Healthcare Fraud
Tennessee or Vermont or Georgia or Texas or Minnesota or New Mexico or Michigan or Maine or Washington or New York or District of Columbia or New Jersey or Connecticut or Rhode Island or Louisiana or Ohio or Massachusetts or Maryland or Arizona or Illinois or Colorado or Florida or Pennsylvania or New Hampshire or Delaware
$54k-$159k/yrRemoteFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
5+ YOE5+ years investigative experience with minimum 2 years in health care fraud investigations; experience leading teams, strong analytical and communication skills; bachelor’s degree in related field preferred; professional investigative certifications preferred.
3+ YOEBachelor's degree, 3+ years product management experience, fintech/regulated industry experience preferred, experience with Jira and Confluence, agile methodologies, strong analytics and communication skills, US work authorization required.
Deputy Attorney General I-V Fraud & Consumer Protection Division
Wilmington or Dover or New Castle County
$87k-$147k/yrHybridFull Time
State of Delaware: The executive government branch of the State of Delaware.
Admission to the bar (Delaware or willingness to sit), substantial criminal litigation and trial experience preferred, ability to handle complex fraud and labor-related prosecutions, pass background checks, and work independently.
Florida or Georgia or Arkansas or Minnesota or Michigan or Massachusetts or Kentucky or Kansas or Indiana or Alabama or West Virginia or Wisconsin or Illinois or Delaware or New Jersey or Virginia or New Hampshire or North Carolina or Mississippi or Missouri or Texas or Tennessee or South Carolina or Iowa or Maryland or Ohio
$48k-$118k/yrRemoteFull Time
AllstateNYSE: ALL: Provides insurance products for vehicles, homes, and businesses.
Investigating automobile claims, determining coverage, liability and damages, handling subrogation and fraud potential, and delivering customer service; experience as an auto adjuster preferred.
Pennsylvania or Maryland or Washington or North Carolina or Louisiana or Kentucky or Kansas or Indiana or Illinois or Georgia or Iowa or Florida or Colorado or California or Delaware or Connecticut or Arkansas or Arizona or Alabama or Alaska or Nevada or Vermont or Tennessee or Idaho or Oklahoma or Hawaii or Mississippi or Utah or New Hampshire or New Mexico or Wyoming or North Dakota or South Dakota or Rhode Island or West Virginia or Montana or Texas or District of Columbia or Ohio or New Jersey or Oregon or South Carolina or Missouri or Virginia or Massachusetts or Nebraska or Minnesota or Michigan or Wisconsin or New York or Maine
$68k-$106k/yrHybridFull Time
Highmark Health: Provides health insurance and integrated medical care services.
5+ YOEConduct internal investigations into fraud, privacy and security incidents; perform risk assessments; audit support; 5+ years related experience; Bachelor's in accounting/finance/business/IS required.
JEVS Human Services: Provides vocational training and social services in Philadelphia.
2+ YOE2+ years QA/compliance or related experience; bachelor's degree preferred; experience with HIPAA, audits, fraud prevention; strong analytical and communication skills; proficiency with Microsoft Office and EMR/databases.
Microsoft Word, Microsoft Excel, Microsoft SharePoint, Microsoft PowerPoint, Microsoft OneDrive, Microsoft Outlook, Microsoft Teams, CellTrak, Netsmart, Sendata
Managing Director, Risk Advisory, Global Investigations & Forensic Accounting
Chicago or Wyoming or Wisconsin or West Virginia or Washington or Virginia or Vermont or Utah or Texas or Tennessee or South Dakota or South Carolina or Rhode Island or Pennsylvania or Oregon or Oklahoma or Ohio or North Dakota or North Carolina or New York or New Mexico or New Jersey or New Hampshire or Nevada or Nebraska or Montana or Missouri or Mississippi or Minnesota or Michigan or Massachusetts or Maryland or Maine or Louisiana or Kentucky or Kansas or Iowa or Indiana or Idaho or Hawaii or Georgia or Florida or Delaware or Connecticut or Colorado or California or Arkansas or Arizona or Alaska or Alabama
RemoteFull Time
Ankura: Provides global business advisory and expert consulting services.
10+ YOEBachelor's in Accounting, 10+ years with Big 4 or forensic/accounting investigations firms, expertise in GAAP/IFRS/PCAOB, CPA preferred, fraud examination credentials, proven revenue generation and investigation leadership.
Medical Review Manager-Program Integrity ( RN, BSN, or MSN required )
United States or Virginia Beach or Arizona or Arkansas or Delaware or Florida or Georgia or Illinois or Indiana or Kansas or Kentucky or Massachusetts or Maryland or Michigan or Mississippi or Missouri or Montana or North Carolina or Nebraska or Nevada or New York or Ohio or Oklahoma or Pennsylvania or South Carolina or Tennessee or Texas or Virginia or District of Columbia or Wisconsin or West Virginia or Puerto Rico
RemoteFull Time
Commence: Provides clinical review and data transformation services for healthcare.
5+ YOE3+ MgmtActive RN licensure, 5+ years clinical and medical review experience, 3+ years management, strong knowledge of Medicare/CMS program integrity, QA experience, and ability to lead nationwide fraud-focused medical reviews.
Delta Group: Conducts fraud investigations and surveillance for the insurance industry.
5+ YOEStrong investigative skills, attention to detail, ability to detect fraud patterns, client interaction, independent work, excellent verbal/written communication, time management, and proficiency with Word, Excel, Outlook and Teams. CFE/FCLS and 5+ years preferred.
Word, Excel, Outlook, Teams, Laptop, Audio Recording device, Digital Camera