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Medical Records Pre-Service

Ankeny, IA
... cases, retro reviews, PA Electronic Medical Records using multiple systems Remote CoventBridge Group Medical Review/CMS Fraud/Waste/Abuse January 2020 – Nov 2021 Review medical records Investigate providers Apply Medicare and Medicaid rules and ... - 2025 Nov 04

Customer Service Support

Accra, Greater Accra, Ghana
... and Complaint • Educating Customers on the new Product and Service • Sim Replacement • Creating Dynamic Numbering • Mobile money Attendant • Mobile Money Pin reset • Promoting Fraud awareness in the Office • Preparing weekly report for the Company. ... - 2025 Nov 04

Systems Analyst Business

Little Elm, TX
... Serve as a liaison between business, development, architecture, and external stakeholders to ensure clear communication and understanding of claims management, fraud detection, and prevention systems. Led discussions with stakeholders, including ... - 2025 Nov 03

Talent Acquisition C A

Irving, TX
... C O R E C O M P E T E N C I E S Professional Summary E D U C A T I O N / C E R T I F I C A T I O N S El Centro College Fraud, Waste and Abuse Certified C A R E E R E X P E R I E N C E UT Southwestern Medical Center May 2023 to present ADMINISTRATIVE ... - 2025 Nov 03

Java Developer Spring Boot

Irving, TX
... Fraud Detection in E-Commerce 08/2021 - 12/2021 Fraud Detection in E-Commerce Websites •Created a web application for detecting fraudulent customers based on historical data. •Worked extensively on Spring Boot for building Microservices and ... - 2025 Nov 03

Clinical Research Social Media

Atlanta, GA
... Potential Scientific Misconduct and Fraud; AEM Adverse Event Monitoring; AEM Report Form Completion; Safety Investigator Reports; Global Policy on Interactions with Health professionals ; Mater files Maintenance; Clinical Monitoring; Policy on ... - 2025 Nov 03

Data Engineer Power Bi

Hyderabad, Telangana, India
... ●Created predictive models (Python/Spark ML) for customer behavior forecasting (AUC 0.89) and built real-time fraud detection systems processing 5K events/sec with 95% accuracy. EDUCATION University of Southern Mississippi Hattiesburg, USA Aug 2020 ... - 2025 Nov 03

Data Analytics Sas Developer

Hanover, MD
... t Business Objects t RAT-STATs t Quest Analytics Software t OnePI/Integrated Data Repository t Fraud Prevention System t Data Analytics Studio t Chronic Conditions Warehouse t Microsoft Office Package t Teradata t Snowflake EXPERIENCE PURISOLVE INC. ... - 2025 Nov 03

Customer Service Representative

Colgante, Pampanga, Philippines
... eBay Sutherland Global Services 12/f PCC, 38th St., Triangle dr., BGC—Taguig February to July 2017 Trust and safety – Fraud analyst, Account takeover, multi accounts, restrictions and Suspensions CUSTOMER SERVICE REPRESENTATIVE I; Weight Watchers US ... - 2025 Nov 03

Internal Control Systems

Rapid City, SD, 57701
... Bachelors, BA in Information Studies & Archaeology Graduation Date: May 2009 NOTABLE SKILLS Financial and Performance Auditing Fraud Detection and Procurement Audit Regulatory compliance and IPSAS Public Sector Governance Internal Control Evaluation ... - 2025 Nov 02
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