The Senior Vice President, Associate General Counsel, Risk Management and Litigation provides ... Fraud/Abuse/Waste avoidance, etc.) * Expertise and significant experience in handling medical ...
The Senior Vice President, Associate General Counsel, Risk Management and Litigation provides ... Fraud/Abuse/Waste avoidance, etc.) * Expertise and significant experience in handling medical ...
Assists in maintaining policies, SOX control documentation, risk assessments and other controls ... Assists in managing to defined customer service level expectations and key vendor processing ...
Assists in maintaining policies, SOX control documentation, risk assessments and other controls ... Assists in managing to defined customer service level expectations and key vendor processing ...
Assists in maintaining policies, SOX control documentation, risk assessments and other controls ... Assists in managing to defined customer service level expectations and key vendor processing ...
Assists in maintaining policies, SOX control documentation, risk assessments and other controls ... Assists in managing to defined customer service level expectations and key vendor processing ...
Assists in maintaining policies, SOX control documentation, risk assessments and other controls ... Assists in managing to defined customer service level expectations and key vendor processing ...
Assists in maintaining policies, SOX control documentation, risk assessments and other controls ... Assists in managing to defined customer service level expectations and key vendor processing ...
... Risk & Regulation named NICE Actimize #1 in Anti-Money Laundering #1 in Anti-Fraud Have won many ... management personnel . Requirements: Self-sufficient senior sales person; likes to be given end ...
... Risk & Regulation named NICE Actimize #1 in Anti-Money Laundering #1 in Anti-Fraud Have won many ... management personnel . Requirements: Self-sufficient senior sales person; likes to be given end ...
Implement fraud prevention controls around cash, payments, and merchant transactions * Partner with Risk Management on insurance, operational, and financial exposure areas * Oversee monitoring of ...
Implement fraud prevention controls around cash, payments, and merchant transactions * Partner with Risk Management on insurance, operational, and financial exposure areas * Oversee monitoring of ...
SUMMARY: Responsible for the management and oversight of the Operations Fraud area within ... Maintains policies, SOX control documentation, risk assessments and other controls around all ...
SUMMARY: Responsible for the management and oversight of the Operations Fraud area within ... Maintains policies, SOX control documentation, risk assessments and other controls around all ...
SUMMARY: Responsible for the management and oversight of the Operations Fraud area within ... Maintains policies, SOX control documentation, risk assessments and other controls around all ...
SUMMARY: Responsible for the management and oversight of the Operations Fraud area within ... Maintains policies, SOX control documentation, risk assessments and other controls around all ...
SUMMARY: Responsible for the management and oversight of the Operations Fraud area within ... Maintains policies, SOX control documentation, risk assessments and other controls around all ...
SUMMARY: Responsible for the management and oversight of the Operations Fraud area within ... Maintains policies, SOX control documentation, risk assessments and other controls around all ...
Risk Management: * Ensure all treasury services are implemented in accordance with regulatory requirements and internal risk controls. * Assist in fraud prevention efforts by educating clients on ...
Risk Management: * Ensure all treasury services are implemented in accordance with regulatory requirements and internal risk controls. * Assist in fraud prevention efforts by educating clients on ...
Risk Management: * Ensure all treasury services are implemented in accordance with regulatory requirements and internal risk controls. * Assist in fraud prevention efforts by educating clients on ...
Risk Management: * Ensure all treasury services are implemented in accordance with regulatory requirements and internal risk controls. * Assist in fraud prevention efforts by educating clients on ...
Risk Management: * Ensure all treasury services are implemented in accordance with regulatory requirements and internal risk controls. * Assist in fraud prevention efforts by educating clients on ...
Risk Management: * Ensure all treasury services are implemented in accordance with regulatory requirements and internal risk controls. * Assist in fraud prevention efforts by educating clients on ...
Audit Manager
Nashville, TN · On-site
$100K - $131K/yr
Fraud, Waste & Abuse Investigations: Oversee investigations including intake/triage, scoping ... Advanced degree or graduate coursework in auditing, risk management, or public administration is a ...
Quick apply
Audit Manager
Nashville, TN · On-site
$100K - $131K/yr
Fraud, Waste & Abuse Investigations: Oversee investigations including intake/triage, scoping ... Advanced degree or graduate coursework in auditing, risk management, or public administration is a ...
Audit Manager - Nashville, TN/Hybrid
Nashville, TN · On-site
$100K - $131K/yr
Fraud, Waste & Abuse Investigations : Oversee investigations including intake/triage, * scoping ... Advanced degree or graduate coursework in auditing, risk management, or public * administration is ...
Audit Manager - Nashville, TN/Hybrid
Nashville, TN · On-site
$100K - $131K/yr
Fraud, Waste & Abuse Investigations : Oversee investigations including intake/triage, * scoping ... Advanced degree or graduate coursework in auditing, risk management, or public * administration is ...
Ethos Risk Services is a leading insurance claims investigation and medical management company ... and fraud detection. At the forefront, we provide accurate data and actionable insights that ...
Ethos Risk Services is a leading insurance claims investigation and medical management company ... and fraud detection. At the forefront, we provide accurate data and actionable insights that ...
Investigator
Ashland City, TN · On-site
$25 - $35/hr
Ethos Risk Services is a leading insurance claims investigation and medical management company ... and fraud detection. At the forefront, we provide accurate data and actionable insights that ...
Investigator
Ashland City, TN · On-site
$25 - $35/hr
Ethos Risk Services is a leading insurance claims investigation and medical management company ... and fraud detection. At the forefront, we provide accurate data and actionable insights that ...
Ethos Risk Services is a leading insurance claims investigation and medical management company ... and fraud detection. At the forefront, we provide accurate data and actionable insights that ...
Ethos Risk Services is a leading insurance claims investigation and medical management company ... and fraud detection. At the forefront, we provide accurate data and actionable insights that ...
Investigator
Chattanooga, TN · On-site
$30 - $35/hr
Ethos Risk Services is a leading insurance claims investigation and medical management company ... and fraud detection. At the forefront, we provide accurate data and actionable insights that ...
Investigator
Chattanooga, TN · On-site
$30 - $35/hr
Ethos Risk Services is a leading insurance claims investigation and medical management company ... and fraud detection. At the forefront, we provide accurate data and actionable insights that ...
Investigator
Memphis, TN · On-site
$30 - $40/hr
Ethos Risk Services is a leading insurance claims investigation and medical management company ... and fraud detection. At the forefront, we provide accurate data and actionable insights that ...
Quick apply
Investigator
Memphis, TN · On-site
$30 - $40/hr
Ethos Risk Services is a leading insurance claims investigation and medical management company ... and fraud detection. At the forefront, we provide accurate data and actionable insights that ...
Investigator
Chattanooga, TN · On-site
$30 - $35/hr
Ethos Risk Services is a leading insurance claims investigation and medical management company ... and fraud detection. At the forefront, we provide accurate data and actionable insights that ...
Quick apply
Investigator
Chattanooga, TN · On-site
$30 - $35/hr
Ethos Risk Services is a leading insurance claims investigation and medical management company ... and fraud detection. At the forefront, we provide accurate data and actionable insights that ...
Overnight Fraud Risk Management information
What are Overnight Fraud Risk Management jobs?
What is the difference between Overnight Fraud Risk Management vs Fraud Analyst?
| Aspect | Overnight Fraud Risk Management | Fraud Analyst |
|---|---|---|
| Primary Focus | Monitoring and managing fraud risks during overnight hours | Analyzing and investigating fraud cases across all hours |
| Work Environment | Night shifts, often in security or risk departments | Day or shift work in financial or banking institutions |
| Required Credentials | Risk management certifications, knowledge of fraud detection tools | Financial or criminal justice background, analytical skills |
Overnight Fraud Risk Management roles focus on monitoring fraud risks during night hours, often requiring specialized risk management knowledge. Fraud Analysts typically work during regular hours analyzing and investigating fraud cases. Both roles are essential in combating financial fraud but differ mainly in work hours and specific responsibilities.
What are the key skills and qualifications needed to thrive as an Overnight Fraud Risk Management specialist, and why are they important?
What are the main challenges faced by professionals working in Overnight Fraud Risk Management, and how can they be addressed?
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 7 days ago
Wellpath rating
7.1
Based on 92 frontline employees who took The Breakroom Quiz
377th of 884 rated healthcare providers
Job description
• Make a difference every day in the lives of the underserved
• Join a mission driven organization with a people first culture
• Excellent career growth opportunities
Join us and find a career that supports:
• Caring for overlooked, underserved, and vulnerable patients
• Diversity, equity, inclusion, and belonging
• Autonomy in a warm team environment
• Growth and training
Perks and Benefits
In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including:
• DailyPay, receive your money as you earn it!
• Tuition Assistance and dependent Scholarships
• Employee Assistance Program (EAP) including free counseling and health coaching
• Company paid life insurance
• Tax free Health Spending Accounts (HSA)
• Wellness program featuring fitness memberships and product discounts
• Preferred banking partnership and discounted rates for home and auto loans
*Eligibility for perks and benefits varies based on employee type and length of service.
Now is your moment to make a difference in the lives of the underserved.
If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time.
The Senior Vice President, Associate General Counsel, Risk Management and Litigation provides strategic leadership, tactical insights, and substantive expertise in managing a diverse range of professional liability claims. Reporting to the Chief Legal Officer, this role oversees the Claims Management team, the company’s insurance portfolio, and the broader risk management strategy. The position is critical in ensuring comprehensive oversight of the company’s risk management operations, driving effective resolution of liability matters while safeguarding organizational interests.
- Lead a team of claims handlers to manage litigation and compensable events, implementing strategies to minimize professional liability exposure and costs.
- Analyze data to predict future exposure, inform strategies for reducing claims and expenses, and improve company services.
- Manage professional liability claims, including "pro se" claims and those involving healthcare services to patients in correctional facilities, in coordination with multiple outside law firms.
- Oversee the Clinical Risk Management department, including a specialized correctional health clinical claims director nurse, to develop a comprehensive risk management model.
- Collaborate with operational, clinical, and compliance leaders to ensure risk management practices align with the company’s values and motto of “Always Do The Right Thing.”
Education
- Graduate of ABA-accredited law school.
Experience
- Minimum of 15+ years of legal experience in litigation, and litigation and risk management, preferably in both a law firm and in-house environment; healthcare industry experience required.
- Experience working with healthcare clients is preferred, working knowledge of common Federal healthcare regulatory elements (HIPAA, Fraud/Abuse/Waste avoidance, etc.)
- Expertise and significant experience in handling medical malpractice litigation and professional liability claims management is a requirement of the position.
- Experience managing and defending 8th Amendment, 42 USC 1983 and similar cases is highly desirable.
Licenses/Certifications • Licensed to practice law and admitted to the bar in at least one state or the District of Columbia - Eligible for admission as an In-House Counsel in the state of Tennessee.
Compliance
- Must remain in good standing with the Board of Professional Responsibility.
We are committed to fostering, cultivating, and preserving a culture of uniqueness.
We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees.
We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles.
Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description.
We are an Affirmative Action Employer in accordance with applicable state and local laws.