Senior Fraud Operations Manager in United States

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: This is an individual contributor role. The Senior Manager negotiates, executes, conducts high level review and analysis, dispute resolution and/or settlement negotiations of contracts. Works with larger and more complex, market/regional/national based groups/systems in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals and cost initiatives. The Senior Manager will be responsible for contracting and implementing fee for service and value-based agreements with key physician groups, facilities, and ancillary providers to support commercial and individual exchange networks. This person will also work collaboratively with Aetna and CVS departments to identify initiatives to improve physician performance and quality of care provided to our members. Recruits providers as needed to ensure attainment of network expansion and adequacy targets. Accountable for cost arrangements within defined groups. Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities. What You’ll Do Lead end-to-end contract negotiations, execution, and analysis with a focus on hospital, ph

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: As a Senior Software Development Engineer at Aetna, you will play a critical leadership role in the design, development, and continuous enhancement of enterprise-scale Provider Applications. You will drive technical solutions for complex business problems, ensure application stability, and lead cross-functional initiatives as a Project Owner. This role requires a balance of hands-on engineering expertise, technical leadership, and delivery ownership, including overseeing vendor/contractor teams, ensuring alignment with enterprise architecture, and delivering high-impact solutions that improve provider data systems and operational efficiency. Required Qualifications: 5+ years of hands-on application development experience with Python and Google Cloud Platform (GCP) 2+ years of experience leading or contributing to large-scale application development initiatives Preferred Qualifications: Experience working in Agile/SCRUM environments Proven experience in project/program management, including planning, execution tracking, and delivery management Strong organizational, leadership, and planning skills with the ability to manage multiple priorities Experience working with distributed teams and cross-functional stakeholders Prior exposure to

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. A Brief Overview As a Senior IT Project Manager, you will manage the resources, schedule and budget across teams, ensuring effective delivery. Your role focuses on creating an environment that enables team success, fostering collaboration, and driving continuous improvement. While this is a senior-level position, it is an Individual Contributor (IC) role, meaning you will influence and guide teams without direct people management responsibilities. What You Will Do Manage resources, schedule and budget. Design and develop tools and processes for effective team delivery. Analyze team productivity and quality data to generate actionable insights for improvement. Develop and execute stakeholder communication strategies to gather feedback and incorporate it into process enhancements. Implement knowledge-sharing systems (e.g., wikis, documentation platforms) to promote transparency and collaboration. Act as a liaison between teams and stakeholders, removing obstacles and ensuring smooth delivery. Minimum Requirements 7–10&#43; years of relevant experience in agile project management delivery or Scrum Master roles. Strong problem-solving and decision-making skills. Proven ability to collaborate effectively across teams and stakeholders.<

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 CVS Health is seeking a highly skilled Senior Data Engineer, Observability Engineering to join the Enterprise Observability Platform organization and help advance the next generation of observability, infrastructure, and security data capabilities. The Senior Data Engineer, Observability Engineering will play a critical role in designing, building, and operating scalable data pipelines and data products that power enterprise observability, operational intelligence, and security analytics across the organization. The Senior Data Engineer, Observability Engineering is a senior individual contributor responsible for developing and optimizing Databricks-based data engineering solutions that ingest, transform, govern, and deliver high-volume telemetry, infrastructure, application, and security data. This role combines deep hands-on technical execution with ownership of engineering excellence, operational reliability, performance optimization, and data platform best practices. Working closely with Observability Engineering, Security Engineering, Infrastructure Engineering, and Data Platform teams, the Senior Data Engineer, Observability Engineering will contribute to the evolution of the enterprise observability lakehouse by building resilient ingestion frameworks, establishing data quality standards, enhancing governance controls, and driving efficient, scalable data processing patter

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. A Brief Overview Remove impediments, foster cross-functional collaboration, support Product Owners, and meet with business leaders to support one or more major project initiatives for Medicare. This role differs from a traditional Scrum Master by having a broader focus on overall delivery flow and, often, a more direct hand in stakeholder management and project governance. Key Responsibilities Agile Coaching & Facilitation: Fostering a culture of continuous improvement, mentoring teams on Agile values, and facilitating ceremonies (stand-ups, planning, retrospectives). Delivery Management: Managing project scope, timelines, and dependencies while tracking progress through metrics like velocity and quality. Impediment Removal: Proactively identifying and clearing roadblocks that prevent the team from achieving goals. Stakeholder Alignment: Serving as a liaison between stakeholders and the team, managing expectations, and ensuring transparent communication. Process Improvement: Refining Agile practices to increase efficiency, quality, and effectiveness. Required Qualifications 7-10&#43; years of experience in Agile delivery, Scrum Master, Agile Coach, Program Delivery, or related roles. Familiarity with software development, DevOps, or technical

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 Senior Manager, Project Management is responsible for leading and overseeing Coordination of Benefits projects and operational initiatives that improve payment accuracy, reduce overpayments, enhance compliance, and drive process efficiency across the organization. This role manages a portfolio of complex, cross-functional projects and collaborates with stakeholders across Claims, Enrollment, Provider Services, Operations, Technology, Analytics, and Vendor Management to ensure successful delivery of strategic business objectives. The Senior Manager is accountable for defining project scope, objectives, timelines, resource requirements, and success measures while ensuring initiatives are delivered on time, within budget, and aligned with organizational goals. This role leverages data analytics and business intelligence to identify trends, assess risks, develop solutions, and implement process improvements that enhance operational performance and the provider and member experience. In addition to project leadership, the Senior Manager directly manages staff, providing day-to-day leadership, coaching, performance management, and professional development. Responsibilities include establishing team priorities, allocating resources, managing workload distribution, fostering collaboration, and creating a culture of accountability, innovation, and continuous improvement. The role

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 Senior Manager, Corporate Development — M&A Integration plays a critical role in advancing the organization’s mergers, acquisitions, divestitures, and strategic growth initiatives. This individual will support multiple transactions simultaneously and partner closely with business leaders and cross-functional teams to plan and execute due diligence, integrations, and separations. As a key member of the M&A Integration team, the Senior Manager will develop and manage value chain analyses, entanglement assessments, stranded-cost analyses, one-time cost evaluations, service grids, and transition services agreements for acquisitions and divestitures. The ideal candidate brings strong M&A execution experience, strategic thinking, financial acumen, stakeholder-management expertise, and the ability to deliver results in a complex, matrixed environment. Key Responsibilities Transaction Execution and Integration Support multiple acquisitions, divestitures, and strategic transactions concurrently. Partner with Corporate Development leadership to evaluate, plan, and execute complex transactions. Lead critical integration and separation planning activities to support smooth transitions and achieve transaction objectives. Develop and maintain transaction workplans, timelines, milestones, risk logs,

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 As an On-Site Wellness Coach, you will serve as a trusted health and well-being partner for employees at an assigned client location in Georgia. In this role, you will leverage your expertise in wellness coaching, behavior change, motivational interviewing, health education, and employee engagement to help individuals achieve sustainable lifestyle improvements and support organizational wellness goals. You will work directly with employees through one-on-one coaching, group programs, health screenings, and wellness initiatives designed to improve overall health outcomes, reduce health risks, and increase participation in employer-sponsored wellness programs. This role offers the opportunity to make a meaningful impact by helping employees build healthier habits related to nutrition, physical activity, stress management, sleep, weight management, and tobacco cessation. You will collaborate with employer leadership, wellness teams, and healthcare partners to deliver engaging wellness solutions that drive measurable results. You will accomplish this by: Providing individualized health and wellness coaching using evidence-based behavior change techniques and motivational interviewing. Conducting health risk assessments and reviewing biometric screening results to identify opportunities for health improvement. Creating customized wellness action pl

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 As an On-Site Wellness Coach, you will serve as a trusted health and well-being partner for employees at an assigned client location in Texas. In this role, you will leverage your expertise in wellness coaching, behavior change, motivational interviewing, health education, and employee engagement to help individuals achieve sustainable lifestyle improvements and support organizational wellness goals. You will work directly with employees through one-on-one coaching, group programs, health screenings, and wellness initiatives designed to improve overall health outcomes, reduce health risks, and increase participation in employer-sponsored wellness programs. This role offers the opportunity to make a meaningful impact by helping employees build healthier habits related to nutrition, physical activity, stress management, sleep, weight management, and tobacco cessation. You will collaborate with employer leadership, wellness teams, and healthcare partners to deliver engaging wellness solutions that drive measurable results. You will accomplish this by: Providing individualized health and wellness coaching using evidence-based behavior change techniques and motivational interviewing. Conducting health risk assessments and reviewing biometric screening results to identify opportunities for health improvement. Creating customized wellness action plan

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 As an On-Site Wellness Coach, you will serve as a trusted health and well-being partner for employees at an assigned client location in Nebraska. In this role, you will leverage your expertise in wellness coaching, behavior change, motivational interviewing, health education, and employee engagement to help individuals achieve sustainable lifestyle improvements and support organizational wellness goals. You will work directly with employees through one-on-one coaching, group programs, health screenings, and wellness initiatives designed to improve overall health outcomes, reduce health risks, and increase participation in employer-sponsored wellness programs. This role offers the opportunity to make a meaningful impact by helping employees build healthier habits related to nutrition, physical activity, stress management, sleep, weight management, and tobacco cessation. You will collaborate with employer leadership, wellness teams, and healthcare partners to deliver engaging wellness solutions that drive measurable results. You will accomplish this by: Providing individualized health and wellness coaching using evidence-based behavior change techniques and motivational interviewing. Conducting health risk assessments and reviewing biometric screening results to identify opportunities for health improvement. Creating customized wellness action p

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. In this position, you will work and support the efforts of groups such as Design Engineering, Product Engineering, Process Integration, Probe, and Assembly to proactively design products that optimize all manufacturing functions and assure the best cost, quality, reliability, time-to-market, and customer happiness. How To Qualify: B.S.EE degree with &#43; 2 years of experience M.S.EE degree with 1&#43; years of experience. Coursework in CMOS Circuit Design and VLSI Coursework that included crafting the physical layout of circuits Knowledge and experience using Cadence Virtuoso Excellent problem-solving and analytical skills A self-motivated, hard-working team player who enjoys working with others. Good communication and documentation skills Drive innovation into the future Memory generation with a dynamic work environment. What Sets You Apart: Knowledge of layout synthesis and place and route techniques Experience with LVS and DRC tools such as Calibre Utilize AI-Enabled tools to assist in layout floor planning, place and route Standard cell construction and analog layout techniques Having an innovative approach that is open to improving upon any of our processes or products. As a world leader in the semiconductor industry, Micron is dedicated to your persona

Leidos Engineering LLC is a premier national engineering-based management consulting firm. We are seeking an experienced and motivated candidate to join our team as a Senior Energy Engineer. The position is ideal for a person with excellent technical skills and energy engineering experience with experience in calculating energy saving estimates, energy auditing, and communicating technical issues within the project team while working closely with contractors, suppliers, architects, and project engineers. Primary Responsibilities: Reviewing technical energy efficiency applications for incentives and rebates for Ameren Illinois electric and natural gas customers Review different types of energy using systems within the industrial and/or commercial markets (HVAC, Lighting, compressed air systems, energy management systems, etc) Research technology changes to support improvements to the energy efficiency program and provide solutions for implementation improvements Maintain working knowledge of the Illinois Technical Reference Manual and associated energy efficiency concepts. Review existing energy savings methods for quality control/improvements Utilize independent judgment to verify technical requirements are met throughout various energy savings initiatives Coordinate & provide guidance to supporting teams regarding energy efficiency programs Basic Qualifications Bachelor’s degree in engineering, Economics, Business Administration or related, with six plus (6&#43;) years of relevant experience Prior experience in energy efficiency or similar technologies. Proficiency with Microsoft Office Products, especially Microsoft Excel Must be a

Senior Systems Engineering Manager (Systems Engineering Management) Company: The Boeing Company Boeing Defense, Space & Security (BDS) is looking for a Senior Systems Engineering Manager (Level M) to join the System Engineering, Integration and Test (SEIT) Team in Berkeley, MO . The SEIT Senior Manager will lead a high-performing, cross-functional Systems Engineering, Integration, and Test (SEIT) team, driving the development and delivery of cutting-edge capabilities for the Air Proprietary Program. This position reports directly to the Air Proprietary SEIT Director. This position will plan, organize and direct activities for the Air Proprietary Systems Engineering team. A successful candidate will have familiarity with: Model Based System Engineering (MBSE) using MSOSA tools System Engineering best practices, processes, and procedures Design, Integration, and Test including architecture, interfaces, requirements, modeling, and verification Certification including Airworthiness, Certifications, and SCFTA Configuration Management & Data Management including Teamcenter/IPDM, SSOWs, SDRLs Specialty Engineering including FMECA, R&M, Supportability, System Health, and Human Engineering EME/EEE & Product Security including EMC, TEMPEST, System Security, and Cyber Collaboration with System Safety Function including CSIs, Hazard analysis, and SSWGs Position Responsibilities Responsible for integration across the Air Proprietary program statement of work ensuring synchronized work is accomplished in support of the integrated master schedules and in compliance to customer requirements Oversees translating strategies int

Senior Nondestructive Test (NDT) Technician Company: Boeing Defense, Space & Security (BDS) has an exciting opportunity for a Senior Nondestructive Test (NDT) Technician - UT & RT to join our Quality Fabrication organization in St . Louis, MO! Join our dynamic and supportive Quality team! In this role, you will conduct Non-Destructive Testing (NDT) on aerospace products using cutting edge methods including ultrasonic (UT), eddy current (ET), and/or radiographic (RT). You will work with digital and automated inspection systems in an aerospace environment aligned with industry standards and regulations. Opportunities for rapid skill growth and progress depending on performance. Employees will be required to obtain Boeing NDT certification and pass a vision exam. Failure to achieve or maintain certification requirements may lead to termination of employment. Candidates must have documented evidence of NDT certification, education and/or OJT hours in UT or RT available for Boeing Level 3 review Work Environment : May be exposed to noise, dust, fumes, airborne particles, smoke (not over OSHA permissible exposure levels). This position requires the applicant to work in a radiation environment and involves exposure to radiation. Candidates must demonstrate a strong understanding of relevant safety and health regulations, protocols, policies, and procedures to ensure a safe working atmosphere for self and others. Safety training and equipment are provided by Boeing in accordance with applicable laws, industry standards, and company policies. Will be required to wear Personal Protective Equipment (PPE) applicable to the testi

Senior Internal Auditor BGS Vertical Lift (Quality Systems Specialist) Company: The Boeing Company Boeing Global Services (BGS) is looking for a Senior Internal Auditor BGS Vertical Lift (Quality Systems Specialist) to join their Vertical Lift Quality Team in Mesa, AZ. This position will focus on supporting Vertical Lift Quality organization. Position Responsibilities: · Create and maintain the site Internal Audit Schedule · Maintain the site Internal Audit Program per AS9100 requirements · Promotes a healthy Quality Management System (QMS) rooted in process-based management methodologies · Performs process risk assessments · Writes Internal Audit reports and documents process non-conformance · Support process owners with corrective action process requirements · Performs and oversees Internal Audits – conduct assessments of processes and practices for comparison to applicable standards and requirements. · Maintain Internal Audit monthly metrics/KPIs · Provide monthly Internal Audit performance to the DQMR · Identified as the Process Owner for the Internal Audit Program that resides in the local Quality Management System · Align CAPA process with company and AS9100 requirements for Corrective Actions · Recommend and implement changes to the existing Internal Audit Program · Assist our business unit across Vertical Lift sites with continuous improvements and or lean projects · Use data for analysis trends and opportunities for improvement · Use experience and knowledge relative to all methods of Root Cause Corrective Actions, e.g., 5-Why, Fish bone, Boeing Problem Solving Model (BPSM)</