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
Jobs in United States
System Engineer in United States
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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. Job Description Carries out and facilitates Scrum events, removing impediments, promoting collaboration, supporting the Product Owner, and driving continuous improvement. Ensures the effective implementation of the Scrum framework, creating a conducive environment for the team's success, and fostering a culture of collaboration and continuous learning. What you will do Counsels scrum master teams on agile principles and values to support self-organization, continuous learning, and continuous improvement. Interprets the agile metrics and reporting framework in order to track and report key information and monitor team progress. Designs and develops industry-leading process evaluation tools to assess the application of scrum principles in team processes. Develops actionable insights from analytics and reports on team productivity, velocity, and quality. Develops the stakeholder communication strategy to gather and incorporate feedback into process improvements. Handles various responsibilities to facilitate the scrum process and support the scrum team. Implements sharing and documentation systems to facilitate sharing through wikis, documentation platforms, or knowledge management tools. Instructs team members on agile values, principles, and practices to help stakeholders and product owners understand the benefi
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
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. Job Description Carries out and facilitates Scrum events, removing impediments, promoting collaboration, supporting the Product Owner, and driving continuous improvement. Ensures the effective implementation of the Scrum framework, creating a conducive environment for the team's success, and fostering a culture of collaboration and continuous learning. What you will do Counsels scrum master teams on agile principles and values to support self-organization, continuous learning, and continuous improvement. Interprets the agile metrics and reporting framework in order to track and report key information and monitor team progress. Designs and develops industry-leading process evaluation tools to assess the application of scrum principles in team processes. Develops actionable insights from analytics and reports on team productivity, velocity, and quality. Develops the stakeholder communication strategy to gather and incorporate feedback into process improvements. Handles various responsibilities to facilitate the scrum process and support the scrum team. Implements sharing and documentation systems to facilitate sharing through wikis, documentation platforms, or knowledge management tools. Instructs team members on agile values, principles, and practices to help stakeholders and product owners understand the benefits of a
Become a part of our caring community Become a valued member of Humana's Internal Review Team as a Grievances & Appeals Representative 2, where you will play a critical role in addressing client concerns and denials. You will perform thorough reviews of clinical documentation to assess whether grievances, appeals, or additional requests are justified. Then, you will provide final determinations utilizing your expertise and collaboration with clinical and other Humana teams. Your contributions will directly support Humana's commitment to delivering high-quality service and making a positive difference in the lives of those we serve. Must be passionate about contributing to an organization focused on continuously improving consumer experiences. Key Responsibilities: Assign cases to team members for submission to an independent entity for 2nd level review. Monitor and record the number of cases assigned to the team, as well as the distribution of cases among individual associates. Operate within established guidelines to maintain work expectations and quality standards, while exercising discretion in prioritizing tasks and managing timelines with minimal supervision. Demonstrate flexibility and resilience in adapting to evolving processes and a fast-paced work environment. Use your skills to make an impact Required Qualifications Minimum of 1 year of customer service experience Minimum of 1 year of data entry experience Experience in a production-driven environment Must have strong experience using multiple Microsoft systems simultaneously (Teams, SharePoint, Excel, etc.) Ability to manage large volume on inventory daily Preferred Qualifications Previous inbound call center or related customer service experi
$106K – $176.6K/yr
ROLE SUMMARY This laboratory-based leadership role will lead upstream process development for both mammalian cell culture and microbial fermentation platforms within Vaccines Early Bioprocess Development (EBPD). The incumbent will provide scientific and people leadership for the design, planning, execution, and interpretation of experiments supporting recombinant protein and vaccine antigen production. The role requires strong expertise in upstream process development, including host and cell-line evaluation, media and feed optimization, bioreactor process development, and integration of product yield and quality considerations. The successful candidate is expected to bring deep expertise in at least one platform, mammalian cell culture or microbial fermentation, together with demonstrated knowledge of and ability to lead programs across the other platform. Responsibilities include application of high-throughput and scale-down models, Design of Experiments (DOE), process characterization and modeling, scale-up, technology transfer, and development of processes suitable for good manufacturing practice (GMP) manufacture. Experience with automated and conventional bioreactor systems, such as ambr, stirred-tank bioreactors, and rocking-motion bioreactors, is highly valued. The role requires rigorous documentation, clear communication of data and recommendations, effective cross-functional collaboration, and a proven record of scientific and team leadership. ROLE RESPONSIBILITIES · Provide scientific and people leadership for the upstream process development workstream spanning mammalian cell culture and microbial fermentation within the Vaccines EBPD Process Development group. · Lead the design, prioritization, execution, documentation, and communication of complex studies to improve cell growth, recombinant protein expression, prod
We anticipate the application window for this opening will close on - 30 Sep 2026 Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical technologies that improve the lives of 72+ million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact. A Day in the Life We are seeking a committed professional to join our team. While this is a remote position not located at a physical Medtronic site, the candidate hired will be required to reside within the territory and drive to multiple accounts throughout the region. A valid driver's license is essential for this role. Our Neuromodulation Operating Unit provides advanced therapies for chronic pain, movement disorders, and other neurological conditions. Through spinal cord stimulation, deep brain stimulation, and targeted drug delivery systems, we deliver personalized treatments that restore function, reduce symptoms, and improve quality of life worldwide. Check us out on LinkedIn: Medtronic Brain Modulation and Pain Interventions At Medtronic, the Clinical Specialist, supports the Neuromodulation Pain and Target Drug Delivery Therapies in the areas of surgical coverage, follow-up support, troubleshooting, customer service and education. This person will be engaged in basic market de
We anticipate the application window for this opening will close on - 30 Sep 2026 Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical technologies that improve the lives of 72+ million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact. A Day in the Life Job Specific Summary We are seeking a committed professional to join our team. While this is a remote position not located at a physical Medtronic site, the candidate hired will be required to reside within the territory and drive to multiple accounts throughout the region. A valid driver's license is essential for this role. Our Neuromodulation Operating Unit provides advanced therapies for chronic pain, movement disorders, and other neurological conditions. Through spinal cord stimulation, deep brain stimulation, and targeted drug delivery systems, we deliver personalized treatments that restore function, reduce symptoms, and improve quality of life worldwide. Check us out on LinkedIn: Medtronic Brain Modulation and Pain Interventions At Medtronic, the Clinical Specialist, supports the Neuromodulation Pain and Target Drug Delivery Therapies in the areas of surgical coverage, follow-up support, troubleshooting, customer service and education. This person will be en
We anticipate the application window for this opening will close on - 30 Sep 2026 Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical technologies that improve the lives of 72+ million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact. A Day in the Life We are seeking a committed professional to join our team. While this is a remote position not located at a physical Medtronic site, the candidate hired will be required to reside within the territory and drive to multiple accounts throughout the region. A valid driver's license is essential for this role. As one of three comprehensive portfolios at Medtronic, Neuroscience is dedicated to improving the lives of people living with neurological disorders, spine conditions, and chronic pain. Guided by our Mission—to alleviate pain, restore health, and extend life—we develop technologies and therapies that help people regain function, reduce pain, and return to the activities that matter most. Our Cranial & Spinal Technologies (CST) Operating Unit develops and delivers an integrated ecosystem of spinal implants, navigation and robotic guidance systems, advanced imaging, and data-driven planning tools for complex spine and cranial procedures. Platforms such as AiBLE™ connect these technologies to enhance surgical precision, streamline workflows, and support improved patient outcomes across the globe. Check us out on LinkedIn: <a target="_blank" href="https://www.linkedin.com/company/medtronic-brain-and-spine-therapies/posts/
Work Flexibility: Field-based What You’ll Do As an Orthopaedic Instruments Sales Representative, you will drive business growth by selling medical devices and surgical products within your assigned territory. You will leverage your strong communication, negotiation, and presentation skills to influence a wide range of stakeholders, while effectively managing complex sales cycles involving multiple decision-makers. Thriving in a fast-paced, high-performance environment, you take full ownership of your business—demonstrating strong organization, accountability, and time management as you work to consistently meet and exceed your sales goals. Develop and execute territory sales plans to achieve and exceed quota Build and maintain relationships with surgeons, operating room staff, SPD, supply chain, and hospital administrators Conduct product demonstrations, evaluations, and trials in clinical and operating room environments Support and lead product launches, conversions, and implementations Deliver in-services and training to clinical staff on proper product use Identify and advance new business opportunities and pipeline growth Analyze territory performance, track sales metrics, and communicate results to leadership Provide real-time problem solving in fast-paced surgical environments What you need Required: Bachelor’s degree OR 5+ years of outside sales, B2B sales, or territory management experience Preferred: 2+ years of experience in medical device sales, or healthcare sales, or B2B outside sales with quota responsibility, strongly preferred Proven track record of quota attainment, revenue growth, or territory expansion Experience selling into hospitals, physicians, healthcare systems, payroll, or B2B
At Vanta, our mission is to help businesses earn and prove trust. We believe that security should be monitored and verified continuously, and we empower companies to practice better security and prove it with ease. Vanta has a kind and talented team, and while some have prior security experience, many have been successful at Vanta without it. Partner Marketing at Vanta drives revenue growth and market expansion through high-impact cloud, technology and ecosystem partnerships. Our team builds and invests in joint campaigns, co-marketing initiatives, and MDF programs to generate pipeline, accelerate deals, and deepen partner relationships. As we scale, repeatable programs, partner-ready plays, and data-driven insights are critical to maximizing the impact of our partner investments. As the Senior Manager, Partner Marketing Programs at Vanta, you will build, scale and execute the foundational engine behind our global partner marketing strategy. This is a highly visible, highly cross functional role working closely with partner product marketing, partner enablement, partner marketing, partner sales, systems and finance. You will champion three critical focus areas to propel our partnership strategy forward: Orchestrate high-impact partner communications and community engagement —including product launches, enablement webinars, and an active partner community—designed to keep partners fully enabled, deeply engaged, and continuously choosing Vanta. Maximize Market Development Fund (MDF) Impact and ROI —strategically allocating, tracking, and optimizing investments to turn MDF into a high-yield engine for measurable pipeline expansion across our entire partner ecosystem. Scale partner pipegen programs by transforming Vanta's campaign calendar and product roadmap into robust, partner-ready packages, campaign kits, and sales plays that drive joint pipeline. Reporting to the Head of Global Strategic Partner Marketing, you will empower our partner network to grow and scale wit
This is where your work makes a difference. At Baxter, we believe every person—regardless of who they are or where they are from—deserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our Baxter colleagues are united by our Mission to Save and Sustain Lives. Together, our community is driven by a culture of courage, trust, and collaboration. Every individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations, and we hold each other accountable for delivering exceptional results. Here, you will find more than just a job—you will find purpose and pride. Your role at Baxter You will support plant operations by planning, scheduling, and coordinating maintenance activities that ensure the safe and reliable operation of facility equipment and systems. This role handles preventive, corrective, and emergency maintenance from initial request through completion, while partnering with cross-functional teams, vendors, and technicians to minimize downtime and maintain operational efficiency. What you'll be doing Schedule preventive maintenance work in accordance with the preventive maintenance program Schedule corrective and emergency maintenance work, utilizing internal and/or external resources Receive and triage requests from multiple functional groups and schedule the resulting maintenance work Identify and implement corrections to the maintenance program Identify and procure materials, consumables, and maintenance spare parts Manage multiple contracts and billing for embedded contractors and recurring fees including janitorial staff, c
We take play seriously. We’re looking for curious adventurers ready to find their party, fueled by imagination and drive to build what’s never been built before. At Hasbro and Wizards of the Coast, you’ll collaborate with passionate teams to reimagine our iconic brands and create experiences that spark joy, connection, and community through the magic of play. This is your chance to shape legendary play that lasts a lifetime. The eCommerce Creative Manager is responsible for planning, coordinating, tracking, and delivering eCommerce creative assets across multiple brands, markets, and workstreams. Applying strong project management practices, this role drives schedules, milestones, dependencies, reporting, and cross-functional alignment to ensure assets are delivered on time and against business priorities. Working across Creative, Commercial, Brand, Licensing, Product Development, Operations, and regional teams, the Creative Manager provides clear visibility into project status, proactively identifies and escalates risks, and drives accountability for deliverables. The role also supports continuous improvement of workflows, systems, and reporting to increase efficiency and scalability. Effective from the date that Hasbro opens its new Boston location, this position will be on-site Tuesday-Thursday at Hasbro's new HQ location in Boston, MA. In the interim, this position will be onsite Tuesday-Thursday at Hasbro's HQ in Pawtucket, RI or at Hasbro's temporary location in Boston, MA A Day in the Life as an eCommerce Creative Manager: Manage multiple eCommerce creative projects and asset deliverables from intake through final delivery. Develop and maintain project schedules, milestones, dependencies, deliverables, and ownership across brands, markets, and creative workstreams. Drive day-to-day project execution, ensuring priorities, responsibilities, and deadlines are clearly understood. Proactively identify risks, blockers, resource constraints, and depen
$103K – $128K/yr
Why join us Brex is the intelligent finance platform that enables companies to spend smarter and move faster in more than 200 markets. By combining global corporate cards and banking with intuitive spend management, bill pay, and travel software, Brex enables founders and finance teams to accelerate operations, gain real-time visibility, and control spend effortlessly. Brex’s AI-native automation and world-class service eliminate manual expense and accounting tasks for customers so they can focus on what matters most. Tens of thousands of the world's best companies run on Brex, including DoorDash, Coinbase, Robinhood, Zoom, Plaid, Reddit, and SeatGeek. Working at Brex allows you to push your limits, challenge the status quo, and collaborate with some of the brightest minds in the industry. We’re committed to building a diverse team and inclusive culture and believe your potential should only be limited by how big you can dream. We make this a reality by empowering you with the tools, resources, and support you need to grow your career. People Team at Brex The People team builds and sustains the culture that powers Brex. We focus on talent, growth, and the employee experience; creating an environment where high-agency individuals can thrive. From hiring to development, we design systems that grow with scale and challenge people to reach their potential. It’s a team for builders, coaches, and culture-shapers. Where you’ll work This role will be based in our San Francisco office. We are a hybrid environment that combines the energy and connections of being in the office with the benefits and flexibility of working from home. We currently require a minimum of three coordinated days in the office per week, Monday, Wednesday and Thursday. As a perk, we also have up to four weeks per year of fully remote work! What You’ll Do As our People Programs Lead, you will be the face of employee onboarding, owning the entire new hire journey end-to-end to empower, equip, and enable
$103K – $128K/yr
Why join us Brex is the intelligent finance platform that enables companies to spend smarter and move faster in more than 200 markets. By combining global corporate cards and banking with intuitive spend management, bill pay, and travel software, Brex enables founders and finance teams to accelerate operations, gain real-time visibility, and control spend effortlessly. Brex’s AI-native automation and world-class service eliminate manual expense and accounting tasks for customers so they can focus on what matters most. Tens of thousands of the world's best companies run on Brex, including DoorDash, Coinbase, Robinhood, Zoom, Plaid, Reddit, and SeatGeek. Working at Brex allows you to push your limits, challenge the status quo, and collaborate with some of the brightest minds in the industry. We’re committed to building a diverse team and inclusive culture and believe your potential should only be limited by how big you can dream. We make this a reality by empowering you with the tools, resources, and support you need to grow your career. People Team at Brex The People team builds and sustains the culture that powers Brex. We focus on talent, growth, and the employee experience; creating an environment where high-agency individuals can thrive. From hiring to development, we design systems that grow with scale and challenge people to reach their potential. It’s a team for builders, coaches, and culture-shapers. Where you’ll work This role will be based in our New York office. We are a hybrid environment that combines the energy and connections of being in the office with the benefits and flexibility of working from home. We currently require a minimum of three coordinated days in the office per week, Monday, Wednesday and Thursday. As a perk, we also have up to four weeks per year of fully remote work! What You’ll Do As our People Programs Lead, you will be the face of employee onboarding, owning the entire new hire journey end-to-end to empower, equip, and enable Brex
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