Fraud Investigator jobs in Mesa, Arizona (AZ)

Contribute to the development of new security tools, procedures, and processes, including initial recommendation, engineering, maintenance, and operational tuning.

The Sales Engineer will be a client facing sales professional who provides expertise level support and guidance to RiskIQ's customers.

Provides instruction to providers and staff in abstracting codes effectively from medical records to ensure quality and timely care of our members as well as correct reimbursement.

Develop and maintain effective working relationships with corporate Loss Prevention partners and field-based peers; share current store/market trends and provide feedback on current or proposed initiatives.

Documents and maintains billable hours on a time and expense basis for failure analysis and forensic engineering projects for clients.

Support the FX Expansion roadmap, helping with the production of business cases and other artifacts and driving support for new product initiatives.

Recognize the need for and can lead change management initiatives while maintaining teammate engagement; driven by results, you understand key metrics and can motivate others to achieve desired outcomes.

Assist with the development, implementation and maintenance of policy/procedure updates and BSA/AML training.

Provides advice and counsel to the healthcare-related departments including, but not limited to, Provider Services, Medical Management, Program Integrity, and Claims.

Audit all aspects of information security and facilitate integration with revenue optimization, fraud, and merchant management teams to ensure that all information owned, collected or controlled by or on behalf of the company is processed and stored in accordance with applicable laws and other global regulatory requirements, such as data privacy.