8 Fraud Risk Management jobs in Nashville.

Hiring now: Various Risk Positions @ Citizens, Payment Integrity Mgr @ Elevance H.Explore more at jobswithgpt.com.

šŸ”„ Skills

investigation (3) Risk Management (2) Operational Risk (2) Compliance (2) Data Risk (2) Team Leadership (2) Risk (2) Finance (2) fraud detection (2) healthcare fraud (2)

šŸ“ Locations

Franklin (4) Nashville (4)
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Citizens

Various Risk Positions Franklin
Skills & Focus: Risk Management, Operational Risk, Compliance, Data Risk, Cyber Security, Consumer Quality Assurance, Team Leadership, Financial Institutions, Third Party Risk, Fair Lending
About the Company: Citizens is a leading financial institution committed to providing resources and programming to support healthy habits and development across all aspects of liā€¦
Experience: Entry Level and Professional
Type: Full Time
Benefits: Comprehensive benefits, support for professional growth, dedicated programs for mentorship.
Customer Service and Call Center Specialist Franklin
Skills & Focus: Customer Service, Call Center, Risk, Team Lead, Quality Assurance, Fraud, Documentation, Finance, Administrative, Support
About the Company: Citizens is dedicated to supporting its communities, achieving business growth, and fostering a diverse work environment.
Experience: Entry Level
Type: Full-time
Consumer QA QC Lead Risk Franklin
Skills & Focus: Consumer, QA, QC, Lead, Risk, Finance, Accounting, Technology, Security, Digital
About the Company: Citizens is a leading financial institution dedicated to supporting our customers, colleagues, and communities.
Experience: Entry Level
Type: Full Time

Elevance Health

Payment Integrity Manager Nashville
Skills & Focus: payment integrity, claims payment, fraud detection, billing errors, process management, project plans, compliance program, report development, strategic support, healthcare administration
About the Company: Elevance Health is a health company dedicated to improving lives and communities ā€“ and making healthcare simpler. We are a Fortune 25 company with a longstandiā€¦
Experience: Minimum of 5 years related work experience, including minimum of 2 years leadership experience.
Type: Hybrid
Benefits: Market-competitive total rewards including merit increases, paid holidays, Paid Time Off, 401(k) +match, medical, dentaā€¦
Investigator I Nashville
Skills & Focus: investigation, claims analysis, fraud detection, healthcare insurance, statistical analysis, case reports, customer communication, data analysis, research, healthcare spending
About the Company: Elevance Health is a health company dedicated to improving lives and communities ā€“ and making healthcare simpler. We are a Fortune 25 company with a longstandiā€¦
Experience: Minimum of 2 years related experience preferably in healthcare insurance departments such as Grievance and Appeals, Contracting or Claim Operations, law enforcement; or any combination of education and experience which would provide an equivalent background.
Benefits: Includes merit increases, paid holidays, Paid Time Off, incentive bonus programs, medical, dental, vision, short and loā€¦
Investigator Senior Nashville
Skills & Focus: healthcare fraud, investigation, claim reviews, data mining, law enforcement, health insurance policies, provider network contracting, health insurance claims handling, policy development, entity review
About the Company: Elevance Health is a health company dedicated to improving lives and communities ā€“ and making healthcare simpler. We are a Fortune 25 company with a longstandiā€¦
Experience: 5 years related experience in healthcare insurance and healthcare insurance investigation, law enforcement; or any combination of education and experience, which would provide an equivalent background.
Type: Hybrid
Benefits: merit increases, paid holidays, Paid Time Off, incentive bonus programs, medical, dental, vision, short and long term dā€¦