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C
24 days ago

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Fraud, Waste, and Abuse (FWA) Analyst II identifies and develops potential healthcare fraud leads through data mining, claims analysis, and investigative research. As a key contributor to the SIU lead development process, this role evaluates provider, member, pharmacy, and ancillary healthcare billing patterns for signs of fraud, waste, abuse, and other anomalies. The Analyst II uses internal claims data, analytical tools, business rule results, and industry intelligence to assess potential FWA concerns and determine whether they warrant formal investigation. This role requires strong analytical skills, healthcare claims expertise, and the ability to translate complex data into actionable investigative leads and recommendations. Essential Responsibilities Lead Development & Fraud Detection Develop proactive and reactive leads to identify potential fraud, waste, and abuse. Generate FWA leads by mining claims databases, reporting tools, and investigative systems. Validate and refine leads generated by business rules to assess their credibility and investigative value. Examine spike analyses, utilization trends, payment anomalies, and outlier reports for unusual billing patterns. Evaluate provider, member, pharmacy, DME, transportation, and facility billing for indicators of fraud or abuse. Moni

REMOTEsqlPower BITableau
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M
25 days ago

The key objectives of the TPRM Program are to: Assess the risk of third-party relationships which drive the rigor of risk management activities both during the third-party onboarding and ongoing monitoring lifecycle phases using the TPRM Program’s formula-based risk methodology; Act as a liaison across key internal stakeholder teams (Procurement, Legal, Enterprise Security and the Business) to ensure clear and accurate communication of third-party risks aligned to risk management activities in order to complete risk assessments in a timely manner; Identify TPRM program enhancements aimed at the effective and efficient management of third-party risk in order to support Business strategic initiatives. Reporting to the TPRM Manager and working closely with the TPRM Risk Analyst, the Associate TPRM Risk Analyst will support day-to-day execution of the third-party risk lifecycle. This is a support-oriented analyst role focused on applying established TPRM procedures and risk methodology to standard engagements, maintaining complete and accurate assessment records, coordinating routine stakeholder activity, and escalating issues that require additional judgment. Responsibilities: Risk Intake & Assessment Methodology Apply the TPRM Program’s formula-based inherent risk methodology and assign Criticality designations for standard third-party relationships, documenting the inputs, rationale, and supporting evidence Perform completeness and consistency checks on intake information, risk calculations, and assessment records; identify missing, inconsistent, or unclear information and escalate exceptions in accordance with defined thresholds. Documentation Analysis & SME Coordination Gather, organize, and maintain third-party-provided information and documentation in accordance with TPRM assessment methodology and audit-readiness expectations. Identify and route required SME reviews using defined risk triggers, track responses, and document completed SM

mongodbawsazure
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Description: The key objectives of the TPRM Program are to: Assess the risk of third-party relationships which drive the rigor of risk management activities both during the third-party onboarding and ongoing monitoring lifecycle phases using the TPRM Program’s formula-based risk methodology Act as a liaison across key internal stakeholder teams (Procurement, Legal, Enterprise Security and the Business) to ensure clear and accurate communication of third-party risks aligned to risk management activities in order to complete risk assessments in a timely manner Identify TPRM program enhancements aimed at the effective and efficient management of third-party risk in order to support Business strategic initiatives Reporting to the TPRM Manager, the TPRM Risk Analyst will be expected to have strong experience operating in a risk-based, data-driven model that will accommodate the business’s need to onboard vendors in a shortened timeframe, all while managing expectations and heightened scrutiny of both internal and external stakeholders including our customers. The TPRM Risk Analyst will understand and clearly communicate not only the “What” but also the “Why” in terms of third-party risk management activities in order to support efficient and effective third-party risk management as MongoDB continues to grow. This role requires substantial ability to interpret data and apply risk knowledge and judgment as the TPRM Risk Analyst manages a complex ecosystem of data, regulations, and stakeholder relationships while continuously identifying areas of enhancement to support effective third-party risk management. We are looking to speak to candidates who are based in Dublin for our hybrid working model. Responsibilities: Risk Assessment Validation & Remediation Strong experience in managing the full lifecycle of a Third Party from Sourcing to Payment Independently validate inherent risk rating and Criticality designation for all third-party relationships with minimal in

mongodbawsazure
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Our vision is to transform how the world uses information to enrich life for all. Join an inclusive team passionate about one thing: using their expertise in the relentless pursuit of innovation for customers and partners. The solutions we build help make everything from virtual reality experiences to breakthroughs in neural networks possible. We do it all while committing to integrity, sustainability, and giving back to our communities. Because doing so can fuel the very innovation we are pursuing. Role Purpose - Own capacity analysis and readiness planning for the HTY and MSI volume ramp, translating volume forecasts into integrated capacity, manpower, storage, system and process plans. - Act as the Micron project manager for FG ramp readiness, driving cross-functional actions, 3PL governance and management reporting. Capacity Analysis & Industrial Engineering - Build and maintain capacity models across receiving, storage, VAS and shipment; identify bottlenecks and headroom by week and by month. - Run time-and-motion and line-balancing studies to validate standard times, manpower, equipment and space requirements. - Apply lean manufacturing methods (value stream mapping, standard work, waste elimination, kaizen) to improve throughput and cost per unit. - Model what-if scenarios for upside volume, shift patterns and contingency plans. Data Management & Dashboards - Consolidate operational data from SAP/S4, WMS/AT

sqlartificial intelligenceai
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About Capco Capco, a Wipro company, is a global technology and management consultancy specializing in driving digital transformation within the financial services industry. Operating at the intersection of business and technology, Capco combines innovative thinking with deep industry expertise to deliver end-to-end, data-driven solutions for banking and payments, capital markets, wealth and asset management, insurance, and energy clients worldwide. With a client portfolio spanning more than 100 global organizations, Capco helps businesses accelerate digital initiatives and unlock value through technology innovation. Our expertise spans Digital Transformation, Data & Analytics, Business and Finance Transformation, Technology Modernization, and Change Management. We are committed to maintaining our agile, entrepreneurial culture while attracting and developing exceptional talent. About the Job We are looking for an Insurance Finance professional with IFRS 17 experience to join a growing finance team in Kuala Lumpur. If you have experience in insurance accounting or financial reporting, have worked with IFRS 17, and are comfortable supporting financial close and reporting activities, we'd be keen to hear from you. The position can be considered at Senior Analyst or Manager level, depending on your experience. What You'll Do Manage or support month-end, quarter-end and year-end financial close activities. Prepare and review insurance accounting entries, reconciliations and financial reports. Support IFRS 17 accounting and reporting activities. Analyse balance sheet and P&L movements and provide commentary on key variances. Support statutory, management and regulatory reporting. Partner with Finance, Actuarial, Risk and other stakeholders on accounting and reporting matters. Support internal and external audit requirements. Review accounting treatments and maintain appropriate financial controls. Contribute to process improvement, automation and fin

accountingfinance
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Employee Applicant Privacy Notice Who we are: Shape a brighter financial future with us. Together with our members, we’re changing the way people think about and interact with personal finance. We’re a next-generation financial services company and national bank using innovative, mobile-first technology to help our millions of members reach their goals. The industry is going through an unprecedented transformation, and we’re at the forefront. We’re proud to come to work every day knowing that what we do has a direct impact on people’s lives, with our core values guiding us every step of the way. Join us to invest in yourself, your career, and the financial world. The role: We are seeking an Operations Control Analyst - SMB who will support the Vendor Relationship Manager in maintaining the operational integrity and regulatory compliance of third-party vendors within the Small Business Lending unit. This role focuses on the execution of the control framework, ensuring that vendor activities across the entire SMB lifecycle—including sales, servicing, and collections—align with SoFi’s internal policies and external regulatory requirements. What you’ll do: To assist the Vendor Relationship Manager - SMB in maintaining the operational integrity of the Small Business Lending unit, the Operations Control Analyst — SMB will focus on the following structured responsibilities: Process Integrity and Resilience: You will execute consistent monitoring and rigorous testing of vendor processes to ensure all workflows are thoroughly documented, testable, and capable of supporting long-term operational resilience. Risk Mitigation and Compliance: Working closely with the Vendor Manager and the Operations Exam & Control Support Manager, you will assess vendor risk across customer acquisition and servicing to ensure alignment with internal policies and regulatory requirements. Data-Driven Insights: By utilizing advanced Excel or Google Sheets functions, you wil

restaigo
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W
2mo ago

Your wellbeing, our mission. Join a company shaping a healthier world. GET TO KNOW US At Wellhub we're revolutionizing workplace wellness. Our platform connects employees worldwide to the best partners for fitness, mindfulness, therapy, nutrition, and sleep—all in one simple subscription. Headquartered in NYC with team members in Europe, North America and South America, we’re on a mission to make every company a wellness company. We believe work should be fulfilling, inspiring, and balanced. Here, you’ll find a team that values wellbeing, collaboration, and different perspectives, where passion and creativity push boundaries to create real impact. Your contributions will help shape a healthier, more balanced world for you and millions of people globally. Join us in redefining the future of wellbeing! THE OPPORTUNITY We are hiring a Business Intelligence Analytics Projects Senior Analyst to our Channel Partners team in São Paulo, Brazil ! This role is designed for a highly analytical, data-driven professional, with a strong performance mindset and a clear focus on scalability and efficiency. You will act as the technical architect and visual storyteller of our partner ecosystem, owning the full insight lifecycle, from modeling complex data using SQL and Python to delivering executive, ready insights through Looker, Metabase, Google Analytics, and Google Workspace, while actively leveraging AI-powered tools to scale data management and insight delivery for Channel Partners. Your mission is to turn data into measurable performance gains, accelerating decision-making through automation, intelligence, and clarity. YOUR IMPACT Act as a strategic analytics partner for Channel Ops and Strategy, translating performance questions into scalable technical and AI-enabled solutions. Enable teams through data literacy, tooling, and AI usage coaching, reinforcing a strong data-driven and performance-oriented culture. Identify inefficiencies across the

pythonsqlai
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WPP is the trusted growth partner for the world’s leading brands. We unite cutting-edge media intelligence and data solutions, world-class creativity, next-generation production, transformative enterprise solutions and expert strategic counsel in a single company – powered by exceptional talent and our agentic marketing platform, WPP Open, to help our clients navigate change, capture opportunity and deliver transformational growth. We work with the world's most valuable brands and have global reach across 100+ markets, with deep local expertise. Our people are the key to our success. We're committed to fostering a culture of creativity, belonging and continuous learning, attracting and developing the brightest talent, and providing exciting career opportunities that help our people grow. For more information, visit WPP.com. Why we're hiring: This role will be working as part of both the Maconomy ERP testing team, who are responsible for all QA, Test & Release activities for this platform, as well as the QA Transformers team who own and operate our Test Automation platforms. You will provide technical as well as best practice support for all areas of test automation to the business. What you'll be doing: Lead Test Automation Efforts: Develop and implement automated testing strategies for functional, integration and regression testing, ensuring maximum test coverage and efficiency. Test Automation Framework Development: Lead the development, and maintenance of reusable and scalable test scripts, as well as supporting the design and development of our Global test frameworks Supporting Multi-Testing Streams: Ensuring that tests are developed and can be deployed to support multiple streams of work at the same time, such as multiple environment testing, as well as monthly releases Test Maintenance & Optimisation: Continuously monitor, update, and refactor existing test scripts to ensure they are up-to-date with a

ci/cdgitai
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Our vision is to transform how the world uses information to enrich life for all . Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of information into intelligence, inspiring the world to learn, communicate and advance faster than ever. (English follows after Japanese) 役割概要 シニア・ペイロール・アナリストとして、日本における給与業務の運用およびサポートにおいて重要な役割を担い、給与処理全体の正確性・法令遵守・効率性を確保します。 社内関係者および外部ベンダーと密接に連携し、日本の労働法規および社内ポリシーに沿った給与業務を推進します。本ポジションでは、調整・修正・法定対応を含む複雑な給与業務に対応しながら、業務改善や効率化の機会を特定し、自動化やAIを活用した業務高度化にも貢献します。 少人数のチーム環境の中で高いオーナーシップを持ち、日本の給与業務を主軸として担当し、グローバルチームと連携しながら業務を進めていただきます。また、日常業務の遂行に加え、継続的なプロセス改善や業務変革にも関与できるポジションです。 本ポジションでは、高い主体性、問題解決能力、および複雑かつ変化の多い給与業務に対応できる力が求められます。 主な業務内容 日本における給与業務全体の運営およびサポートを担当し、正確性・タイムリー性・法令遵守を確保する 調整・修正・法定対応を含む複雑な給与処理に対応し、社内外関係者と連携して適切に解決する 給与プロセスおよびロジックに関する理解を活かし、外部ベンダーの処理結果を検証しながら品質を担保する 給与データ、税計算、控除内容の正確性を担保するためのリコンシリエーションおよび検証業務を実施する 自動化やAIを活用した業務改善の機会を特定し、Payroll業務の効率性・統制・サービス品質の向上に貢献する HR、Finance、IT、およびグローバルPayrollチームと連携し、各種施策の推進および業務の円滑化を支援する 監査およびコンプライアンス対応をサポートし、必要な資料準備や問い合わせ対応を行う 応募要件 必須要件 日本の給与業務に関する5年以上の実務経験 日本の給与実務、法定要件、所得税、社会保険、年末調整に関する深い理解 給与調整、修正、遡及変更、例外対応を含む複雑なケースに対応できる能力 給与プロセスおよびロジックを理解し、ベンダーのアウトプットを正しく検証できるスキル 根本原因を特定し、実務的な解決策を導ける分析力および問題解決能力 自律的に業務を進め、複数の優先事項を管理しながら担当領域にオーナーシップを持てる能力 従業員、ベンダー、HR、Finance等の関係者と円滑にコミュニケーションできる日本語能力 グローバルチームと連携できるレベルの英語コミュニケーション能力 あると望ましい経験・スキル 給与・勤怠・人事システム&#xff08;Workday、SAP等を含む&#xff09;の使用経験 外資系企業やアウトソース環境でのPayroll業務経験 監査、コンプライアンスレビュー、給与統制業務のサポート経験 業務改善、システム導入、Payroll変革プロジェクトへの関与経験<

artificial intelligenceaiSAP
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About Us Twitch is the world’s biggest live streaming service, with global communities built around gaming, entertainment, music, sports, cooking, and more. It is where thousands of communities come together for whatever, every day. We’re about community, inside and out. You’ll find coworkers who are eager to team up, collaborate, and smash (or elegantly solve) problems together. We’re on a quest to empower live communities, so if this sounds good to you, see what we’re up to on LinkedIn and X , and discover the projects we’re solving on our Blog . Be sure to explore our Interviewing Guide to learn how to ace our interview process. About the Role Twitch is looking for a passionate, high energy addition to our Trust & Safety team. Our Trust & Safety Analysts are at the core of enabling Twitch to be a welcoming and safe place for people to build communities. This role will particularly focus on supporting the vibrant and fantastic communities on Twitch by keeping them safe from online harms. Alongside other Analysts around the world, you’ll be an essential element of Trust and Safety’s efforts to foster a thriving, creative Twitch. We look for effective written and verbal communication skills, professionalism, initiative, and sound decision-making in all Trust & Safety candidates. You can work in Sydney, Australia. You Will: Assess and take appropriate action on user reports of Twitch policy violations promptly and effectively Prioritize swift action on sensitive community issues, including child safety, terrorism and violent extremism, and off service behaviors Review and assess sensitive content, including graphic, violent, or disturbing imagery and video as part of investigations, enforcement actions, and third-party engagements, with access to wellness resources and support Review and respond to internal and external escalations Participate in shift rotation for some weekends and holidays Maintain exper

sqlaiswift
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JOB TITLE Access and Identity Management - Business Analyst A CAREER WITH POINT72'S TECHNOLOGY TEAM As Point72 reimagines the future of investing, our Technology group is constantly improving our company’s IT infrastructure, positioning us at the forefront of a rapidly evolving technology landscape. We’re a team of experts experimenting, discovering new ways to harness the power of open source and AI solutions, and embracing enterprise agile methodology. We encourage professional development to ensure you bring innovative ideas to our products while satisfying your own intellectual curiosity. WHAT YOU'LL DO Translate business and security requirements into scalable, production‑ready AIM and IGA solutions that support firmwide operations Partner closely with business, Global Systems Administration, and technology stakeholders to deliver secure, efficient, and user‑friendly access solutions Analyze data to identify access trends, control gaps, and process inefficiencies, with a focus on automating manual processes and improving platform scalability Own requirements gathering, functional documentation, and user stories from ideation through UAT, deployment, and post‑release support Leverage tools such as SailPoint, JIRA, SQL, Splunk, and Power BI to support access governance, reporting, and operational insights Design and maintain dashboards and KPIs that measure access lifecycle performance, risk indicators, and user experience Support data‑driven decision making by validating data quality, ensuring consistency, and aligning metrics to business objectives Build deep domain expertise in identity governance, security controls, and investment‑driven technology platforms Contribute to a culture that prioritizes integrity, transparency, and the highest ethical standards WHAT’S REQUIRED 4+ years of experience as a Business Analyst supporting Access & Identity Management (AIM) and Identity Governance & Administration (IGA) initiatives

sqlaiExcel
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Our vision is to transform how the world uses information to enrich life for all . Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of information into intelligence, inspiring the world to learn, communicate and advance faster than ever. As a Product Owner within SMAI, you will play an important role on t he team that defines, drives, and delivers end-to-end smart manufacturing solutions, integrated across functions of the business. The team applies industry-leading methodologies in automation, artificial intelligence (AI), and generative AI (GenAI) to enhance Micron’s product development, business, and administrative processes across the company. This role offers a rare opportunity to help build and shape a growing Smart Manufacturing and AI team that is directly supporting the growth of Micron’s domestic manufacturing footprint in Boise. As a Senior / Staff Product Owner, you’ll play a foundational role in defining how AI and GenAI are embedded into early technology development and yield ramp , driving real , measurable impact on factory performance. You’ll work at the intersection of manufacturing, data science, and product strategy , pa

artificial intelligenceaiproject management
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Our vision is to transform how the world uses information to enrich life for all . Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of information into intelligence, inspiring the world to learn, communicate and advance faster than ever. The Senior Internal Trust and Protection Analyst will play a pivotal role in identifying, assessing, and mitigating risks posed by employees, contractors and others with access to sensitive information. This candidate will also help develop corporate strategy, review policy and procedures, evaluate insider risk control gaps, and develop training related to insider risk and intellectual property protection. This role acts as a subject matter expert throughout the entire insider risk lifecycle. It covers detection, triage, investigation, case adjudication, and mitigation. The position requires strong analytical, technical, and communication skills. It also demands proficiency in industry-standard investigation methods and working with cross-functional teams to improve Micron’s security posture. You will balance robust security measures with maintaining a positive work culture and ensuring the preventive actions do not erode employee trust and morale! Responsibilities: Lead end-to-end investigations into the most sophisticated and sensitive insider risk matters at Micron, including suspected intellectual property theft, major theft, trade secret misappropriation, economic espionage, unauthorized data ex-filtration, fraud, and workplace violence threats. Develop and implement comprehensive investigative plans, including evidence collection strategies, coordination with Micron's various investigation partners, and structured witness and subject interviews using advanced elicitation techniques.</

airecruitment
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Our vision is to transform how the world uses information to enrich life for all . Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of information into intelligence, inspiring the world to learn, communicate and advance faster than ever. As a Product Owner at Micron Technology, Inc., you will report to the Smart Manufacturing and Artificial Intelligence organization. The team defines, drives, and delivers end-to-end smart manufacturing solutions, integrated across functions of the business. The team applies industry-leading methodologies in automation, artificial intelligence (AI) , and generative AI (GenAI) to enhance Micron’s product development, business, and administrative processes across the company. Responsibilities and Tasks Support DRAM technology development, which includes deployment of existing smart-manufacturing solutions to TD as well as the development of new customized tools/solutions for TD. Work with users to capture and analyze information related to the adoption of apps for Smart Manufacturing. Identify gaps, weaknesses, and inefficiencies in current solutions, including opportunities for AI-driven enhancements. Define business solutions and propose projects for implementation, leveraging AI and GenAI technologies where applicable. Lead projects and activities requiring coordination, support, and management of resources from global teams. Collaborate with Data Engineers and Data Scientist to design, execute, and deliver smart manufacturing solutions. Use metrics and performance data to identify opportunities for improvement, including predictive analytics and intelligent decision support. Provide domain and system expertise; collaborate with data sci

artificial intelligenceaiproject management
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