Fraud Jobs in Reading, Massachusetts

167 jobs

When you join Eastern Bank, you join the largest and oldest mutual bank in the country. We pride ourselves in having knowledgeable and experienced professionals that can provide the expertise, personal attention and service our customers deserve. As the fourth-largest full-service commercial bank in Greater Boston, we are able to offer you unique opportunities for career growth throughout the org...

When you join Eastern Bank, you join the largest and oldest mutual bank in the country. We pride ourselves in having knowledgeable and experienced professionals that can provide the expertise, personal attention and service our customers deserve. As the fourth-largest full-service commercial bank in Greater Boston, we are able to offer you unique opportunities for career growth throughout the org...

Overview: Located in Charlestown, MA, the Commonwealth Medicine Center for Health Care Financing (CHCF) helps state agencies, our primary clients, identify opportunities to increase savings and reimbursements through federal and other third party sources, establish effective savings and reimbursement programs and capitalize on all possible revenue streams. At the same time, we identify opportunit...

Overview: Located in Charlestown, MA, the Commonwealth Medicine Center for Health Care Financing (CHCF) helps state agencies, our primary clients, identify opportunities to increase savings and reimbursements through federal and other third party sources, establish effective savings and reimbursement programs and capitalize on all possible revenue streams. At the same time, we identify opportunit...

Overview: Located in Charlestown, MA, the Commonwealth Medicine Center for Health Care Financing (CHCF) helps state agencies, our primary clients, identify opportunities to increase savings and reimbursements through federal and other third party sources, establish effective savings and reimbursement programs and capitalize on all possible revenue streams. At the same time, we identify opportunit...

Overview: Located in Charlestown, MA, the Commonwealth Medicine Center for Health Care Financing (CHCF) helps state agencies, our primary clients, identify opportunities to increase savings and reimbursements through federal and other third party sources, establish effective savings and reimbursement programs and capitalize on all possible revenue streams. At the same time, we identify opportunit...

Responsibilities As the Fraud Analyst you will use our proprietary fraud tools to review player deposits, daily gameplay and withdrawal transactions for potential credit card fraud and/or terms and conditions violations. Work closely with our Customer Service team to obtain requested player documents, resolve player status disputes and address billing questions. Identify technological and process...

Fraud Analyst (Outbound Payments) Responsibilities As the Fraud Analyst on the withdrawal side, you will use our proprietary fraud tools to review user withdrawals, daily gameplay and deposit transactions for potential credit card fraud, money laundering and/or terms and conditions violations. Work closely with our Customer Service team to obtain requested player documents, address payment issue...

MAJOR RESPONSIBILITIES: Conduct with assistance data mining and data analysis utilizing claims data to detect aberrancies and outliers in claims and develop trends and patterns for potential cases Develop with assistance audit rules, queries and reports to detect potential FWA activity. Analyze member records and claims data to ensure compliance with applicable regulations, contracts and policy ma...

MAJOR RESPONSIBILITIES: Apply in-depth knowledge of federal and state regulations and healthcare industry standards. Conduct independent data mining and data analysis utilizing claims data to identify potential cases of FWA. Conduct onsite audits which may include a review of the physical plant, member medical records, and employee records. Conduct audit entrance and exit conferences with provider...

The digital revolution is changing everything. It’s everywhere – transforming how we work and play. Are you leading the way as a digital disrupter? Accenture Digital is driving these exciting changes and bringing them to life across 40 industries in more than 120 countries. At the forefront of digital you’ll create it, own it, and make it a reality for clients looking to better serve their connect...

Organization: Accenture Analytics Travel: 80% (Monday – Thursday) Position: Accenture Analytics Fraud Analytics Consultant The digital revolution is changing everything. It’s everywhere – transforming how we work and play. Are you leading the way as a digital disrupter? Accenture Digital is driving these exciting changes and bringing them to life across 40 industries in more than 120 countries....

The Tufts Health Plan Director, Fraud Prevention & Recovery, Associate General Counsel directs and oversees the unit responsible for investigating, and seeking recoveries for, fraud and abuse activities impacting THP's business (including provider, member, and employer fraud). Operating within the Legal Department, the Director will manage a team of analysts, investigators and clinicians. KEY RES...

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Accenture Analytics - Fraud Management Analytics Analyst-00305168 Description Organization: Accenture Analytics Travel: 80% (Monday – Thursday) Position: Accenture AnalyticsFraud Analytics Analyst The digital revolution is changing everything. It’s everywhere – transforming how we work and play. Are you leading the way as a digital disrupter? Accenture Digital is driving these exciting change...

Associate Business Risk & Fraud Analyst, Three Year Term, Benefits Eligible-241438 Federal Reserve Bank of Boston Primary Location MA-Boston Full-time / Part-time Full-time Employee Status Regular Overtime Status Exempt Job Type Experienced Travel Yes, 5 % of the Time Shift Day Job Job Sensitivity Tier II - Credit Check This is a term position for 3 years. The Federal Reserve is u...

Fraud Analyst - Boston, MA (TO2)(102181) Program Management - Analyst USA-MA-Boston Security Clearance:NACI Clearance Status:Must be Obtainable Schedule:Full Time : Type of Travel:Local Percent of Travel Required:Up to 10% Description Duties and Responsibilities: -Assists in obtaining documents and other information related to investigations and cases. Performs research to locate potent...

Fraud, Waste and Abuse Program AuditorFraud, Waste and Abuse Program Auditor Agency Name: University of Massachusetts Medical School Official Title: Fraud, Waste and Abuse Program Auditor Functional Title: Fraud, Waste and Abuse Program Auditor Occupational Group: Accountants and Auditors Position Type: Not Given Full-Time or Part-Time: Full-Time Salary Range: $0.00 to $0.00 Annually...

Fraud Analyst (Outbound Payments) Responsibilities As the Fraud Analyst on the withdrawal side, you will use our proprietary fraud tools to review user withdrawals, daily gameplay and deposit transactions for potential credit card fraud, money laundering and/or terms and conditions violations. Work closely with our Customer Service team to obtain requested player documents, address payment issu...

MRINetwork™ is the world’s largest executive search and recruitment organization. We have a global network of more than 1,000 offices. Management Recruiters - The Boston Group is our 5 office franchise, which was established in 1966 to provide executive and management level staffing services to a wide variety of industries. Only SERIOUS and QUALIFIED inquiries need apply please!!!!! SVP Corporat...