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San Antonio, TX
... PRIOR EXPERIENCEC (1996 – 2012) Sales Tax audits, recoveries, returns and research – 5 years Medicaid audits and fraud – 3 years General Accounting including AR, AP, Billing, Contract Management, Financial Statements, Payroll, Expenses, General ...
- Jul 23
Atlanta, GA
... Led the development and deployment of Generative AI models and LLMs for demand forecasting, fraud detection, and inventory optimization, driving 20% improvements in business operations and reducing costs. Expert in designing scalable ETL processes ...
- Jul 23
Floral Park, NY
... of action plans of failed controls by implementing mitigating controls Documented entity level controls and coordinated fraud assessments Assisted in annual risk assessment of audit plan for Sarbanes Oxley testing Evaluated the adequacy and ...
- Jul 23
New York City, NY
... • Collaborated with data scientists to support machine learning initiatives for predicting patient readmissions and identifying fraud in insurance claims; facilitated data preparation for models using feature engineering and outlier detection ...
- Jul 23
Orlando, FL
... INSIGHT GLOBAL (FISERV) Coral Springs, FL Senior Lead Technical Agile Coach Mar 2024 – Present Work with the Agile Transformation Office and Engineering Productivity within the Issuer (Payments, Collections, Fraud, and Capital Management) segment. ...
- Jul 23
Mesquite, TX
... Handle cases of returns fraud and chargeback disputes. Process and issue refunds to affected members. Maintain detailed records of interactions and resolutions. Ensure compliance with company policies and procedures during the resolution process. ...
- Jul 23
North Brunswick, NJ
... Integrated pre-trained ML models for fraud detection and streamed predictions via Kafka consumers. Used message queues (Kafka) to propagate cache eviction events across microservices in a distributed system. Build and configure a virtual datacentre ...
- Jul 23
Charlottesville, VA
... analysis • EDI • Negotiation • Research • HCPCS • Organizational skills • Workers' compensation law • Workers' compensation • Fraud Assessments Medical Billing — Proficient July 2019 Understanding the procedures and forms used for medical billing. ...
- Jul 23
Spring, TX
... Sites • AR Billing • AR Billing System • Monitoring Accounts To Ensure Payments Uo To Date • Preparing financial documents Fraud Specialist FIS Global-Houston, TX January 2022 to June 2022 • Manage Inbound & Outbound high volume calls • Verify ...
- Jul 23
Sacramento, CA
... was readily upon the efficient construct of operating and time management concluded by strict measure of preventative waste fraud and abuse corresponding to this much the role as a classified agent working for the bureau of alcohol firearms and ...
- Jul 23