Senior Manager in Cyber Governance and Risk at Capital One driving efforts in cybersecurity risk management. Leading complex projects and collaborating with stakeholders to enhance security posture.
About the role
- Manager I Investigations directing Fraud Investigations Unit at Elevance Health, overseeing Medicaid fraud investigations and analysis of provider patterns. Leading a team and communicating with state agencies on fraud trends.
Responsibilities
- Directs activities of the Fraud Investigations Unit overseeing Medicaid markets
- Supervises investigations of alleged Medicaid fraud
- Coordinates analysis of provider utilization patterns and trends
- Oversees integration of various computer systems in the Unit
- Communicates with Medicaid state agencies, CMS, OIG, and DOJ
- Hires, trains, coaches, counsels, and evaluates performance of direct reports
Requirements
- Requires a BA/BS in business or nursing
- Minimum of 5 years in investigations
- U.S. Citizenship required
- Previous management experience preferred
- CFE, AHFI, CPC Certifications preferred
- Experience with Virginia and Arkansas Medicaid preferred
Benefits
- Health insurance
- 401(k) contribution
- Paid Time Off
- Incentive and recognition programs
- Equity stock purchase
- Flexible work arrangements
Job title
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Experience level
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Degree requirement
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