Top Operations & Support Jobs

Conduct and document fraud/SIU investigations for health insurance, analyze data and coding, perform interviews, collaborate with law enforcement, legal and stakeholders, prepare investigation summaries, and support compliance and recovery efforts.

Provide prompt, accurate phone and written customer service to insureds and sales agents across multiple lines of business. Resolve issues on first contact, document interactions, follow HIPAA and department policies, recommend coverage options, and meet productivity and attendance standards. Use email, chat, and phone to handle difficult customers professionally.

Provide front-desk and administrative support for an adult primary care clinic: verify patient information, schedule appointments, manage check-out, document in the EMR (Epic), handle patient inquiries and billing questions, process messages/mail/faxes, escalate urgent issues, and support departmental goals and workflows.

Lead a global exploratory ideation team within Payment Integrity to identify, validate, and convert new medical cost savings opportunities. Own pipeline prioritization, governance, financial reporting, forecasting, and delivery against savings targets. Partner with Product, Operations, and enablement teams to operationalize concepts into production and communicate progress and risks to senior leadership.

As a Scheduling Specialist, you will manage patient referrals and schedules using an online system, ensuring optimal clinician assignments and workflow processing.

Lead development and execution of a Voice of the Customer and business relationship management capability for Corporate Real Estate. Design survey frameworks, partner with analytics, convert feedback to improvement plans, and present executive-level insights to drive service quality and accountability.

The Operational Database Administrator manages enterprise databases, ensuring performance, security, and compliance, while supporting 24×7 operations and collaborating with multiple teams for maintenance and upgrades.

Lead and manage a 24/7 Country Security Operations Center (CSOC) providing integrated physical security monitoring, intelligence, and travel security operations. Oversee staffing, performance, KPIs, incident response, governance, training, and continuous improvement while coordinating with global ESIOC/IOC leadership and stakeholders.

Identify, investigate and prevent healthcare fraud, waste, and abuse using claims data and other sources. Conduct field interviews, collect records and evidence, maintain case documentation, analyze trends, ensure regulatory compliance, coordinate with state/federal partners, support settlements, and participate in legal proceedings. Travel within Rhode Island up to 50% and work hybrid from the Warwick, RI office.

Lead identification, investigation, and prevention of healthcare fraud, waste, and abuse. Use claims data and guidelines to detect aberrant billing, conduct fieldwork and interviews, collect evidence, analyze trends, maintain case records, support settlements and legal proceedings, and coordinate with state/federal partners and regulators.