Director, AI-Enabled Fraud Prevention & Investigations

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Remote - USA Remote Posted 30+ days ago

The company is investing in our fraud detection and investigation capabilities and is seeking a Director, AI-Enabled Fraud Prevention & Investigations to join our Legal department as a senior individual contributor. This hybrid role combines: (1) managing hands-on investigations of potential provider fraud with (2) building AI-powered tools and processes to make investigations more efficient and help catch potential future fraud earlier. You will develop and pilot new AI-enabled investigatory processes for the company’s Medicare Advantage business, and own resulting investigations, in…

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