The job profile for this position is Fraud Lead Analyst, which is a Band 3 Senior Contributor Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. Join a specialized Special Investigations (SIU) referral and case enhancement team focused on identifying and mitigating healthcare fraud. In this role, you’ll use your investigative experience and data‑driven insights to assess suspected fraud referrals, uncover high‑risk billing patterns, and guide meaningful investigations that protect patients and reduce financial risk for clients and customers. Responsibilities: - Independently research, analyze, and assess suspected healthcare fraud referrals using investigative techniques and data analysis. - Identify high‑risk billing behaviors, fraud trends, and potential overpayments through detailed data review. - Evaluate referrals submitted to SIU and determine whether allegations warrant full investigation. - Deliver clear, well‑structured case assessments with actionable investigative recommendations. - Partner closely with investigators and field staff to develop leads and refine investigative strategies. - Use technology and analytics to support complex investigations and adapt investigative direction as new information emerges. - Monitor industry alerts, regulatory updates, and fraud bulletins to assess potential exposure. - Handle sensitive and confidential information with integrity and professionalism. Qualifications: Required - 3 + years of experience in healthcare insurance investigation, audit or relevant experience - Strong analytical, research, and problem‑solving skills - Clear and concise written and verbal communication skills - Proficiency with Microsoft Excel and Word Preferred: - Bachelor’s degree in Criminal Justice or related field - AHFI and/or CFE certification - CPT and ICD‑10 coding knowledge - Experience working with data analytics tools and investigative databases If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 68,300 - 113,900 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Overview UnityPoint Health is seeking a Privacy Officer to join our Compliance team! In compliance with the HIPAA Privacy Rule, the Privacy Officer will be responsible for privacy issues in one or more Markets, assisting in other Markets as needed, and participating in the implementation of a standardized privacy program applicable to the entire system. The responsibilities for this role include: - Collaborating with the management team in the design, implementation, and monitoring of privacy initiatives to ensure adherence to patient privacy regulations/laws (e.g. HIPAA, Part 2, Mental Health state laws, etc.); - Developing and overseeing appropriate privacy-related education for new employees and existing staff members; - Investigating suspected cases of improper privacy activity, misuse of data, mitigation, breach notification, education/training, and coordinate reporting to the applicable Compliance Committee as appropriate and recommend corrective steps. If you enjoy working in Privacy, we would love for you to apply! A background or interest in privacy issues relating to the conduct of medical research is a plus! Location: Applicants must reside in the Midwest as there will be travel to UnityPoint Health's markets in Iowa, Illinois, and Wisconsin Hours: Monday-Friday, 8am-5pm Why UnityPoint Health? At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members. Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.  Here are just a few:     - Expect paid time off, parental leave, 401K matching and an employee recognition program. - Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members. - Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family. With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.   And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. Find a fulfilling career and make a difference with UnityPoint Health. Responsibilities - Work in collaboration with the System Privacy Officer and Market Information Security Officer to maintain the privacy and security program for assigned Market(s). - Support other Market Privacy Officers by handling incidents and matters from other Markets to ensure equitable distribution of work. - Establish subject matter expertise as requested by the System Privacy Officer to support the system-wide privacy program. - Support standardization of the privacy program across Markets, including standardized training and policies. - Participate in system-wide initiatives impacting privacy. - Plan, execute and manage a variety of technical, investigative, and education-based projects as a key member of the Compliance Department. - Respond to investigations and/or inquiries from regulatory agencies on privacy concerns including, but not limited to: the Office of Civil Rights, Attorney General, accreditation bodies, etc. - Develop communication tools and vehicles to disseminate and update management and staff on privacy initiatives, related policies and procedures, and regulations. - Serve as a resource to providers and team members in establishing methods to improve efficiency and reduce vulnerability to privacy issues. - Ensure Markets have appropriate Business Associate Agreements in place and perform ongoing monitoring thereof. - Work with the management team in the design, implementation and monitoring of the privacy program and initiatives to promote and ensure adherence to federal and state privacy laws and regulations. - Develop and oversee appropriate privacy-related education for new employees and existing team members. - Assist in the development and execution of a Privacy Auditing and Monitoring Plan. - Investigate suspected cases of improper privacy activity, coordinate reporting to the applicable regulatory bodies and Compliance Committee as appropriate, and recommend corrective steps. - Ensure compliance with privacy monitoring and documentation requirements. - Manage the process to receive, investigate, document, and respond to all privacy complaints. - Ensure process for compliance with patient rights(i.e. accounting of disclosures, request to amend, right to access, restrict use and disclosure, and specific remedial privacy training) - Collaborate with HR to ensure consistent application of sanctions for violations of privacy rules. - Perform privacy walk-throughs and physical space assessments. - Work with the System Privacy Officer to ensure that the organization has and maintains appropriate privacy and confidentiality consents, authorization forms, privacy notices, privacy policies and procedures, and business associate agreements. - Prepare periodic reports to System Privacy Officer and leadership on status of privacy and security initiatives. - Participate in periodic enterprise-wide meetings related to privacy/security. - Support an environment of innovation, learning, teamwork, and professional practice, consistent with the mission, vision and values of the organization. - Provide resources to help ensure all organization services, policies and procedures follow agency standards, regulatory mandates, accrediting bodies and federal, state and local regulations as appropriate. - If delegated, function as the Identity Theft Prevention Officer. - Collaborate with other Market Privacy Officers in building strong relationships in areas of responsibilities. - Serve as a member or liaison to affiliate IRB as applicable. Qualifications - Bachelor's degree + 5 years of Privacy experience or equivalent required - Certification in Healthcare Privacy (CHPC), Certified HIPAA Professional (CHP), or Certified Information Privacy Professional (CIPP) preferred, must obtain within a year if not certified upon hire - Experience within a large, complex healthcare organization and strong knowledge of federal and state privacy laws preferred

• Own the full DMEPOS credentialing lifecycle, including new enrollments, revalidations, reactivations, updates, and ongoing maintenance • Track and manage application status to ensure timely and accurate submissions • Maintain complete and audit-ready documentation aligned with regulatory standards • Monitor and interpret federal and state regulatory requirements, ensuring continuous compliance • Proactively implement updates to internal processes, policies, and documentation as requirements evolve • Act as a safeguard for compliance risk across all credentialing activities • Serve as the primary liaison with Medicare Administrative Contractors (MACs) and other regulatory bodies • Partner cross-functionally with internal teams to drive credentialing timelines and remove blockers • Lead customer-facing interactions to guide providers through licensing requirements and expectations • Develop, maintain, and continuously improve Credentialing SOPs and documentation standards • Identify inefficiencies and implement scalable solutions to improve turnaround times and accuracy • Lead data collection efforts to support reporting, tracking, and performance optimization • Serve as the internal credentialing expert, advising teams on requirements, risks, and best practices • Support onboarding and training initiatives related to credentialing processes • Facilitate onsite customer ID verification processes as needed • Ability to travel up to 20%, nationwide

• Champion the anti-corruption compliance and third-party due diligence processes and practices to analyze and monitor RAY's international third-party relationships for international suppliers, sales intermediaries, customers, distributors, offset partners, acquisition targets and other third parties • Be responsible for conducting and documenting analysis by determining legal, reputational, or compliance risks associated with engaging in high risk third parties as well as determining legal mitigation plans for high risk third parties • Lead the review and risk assessments of anti-corruption compliance deviations and engage in root cause analysis consistent with internal processes and policies. • Engage with senior level staff from supply chain, procurement, and legal on improving compliance with third-party engagement • Develop, maintain, and deliver up-to-date industry leading and comprehensive anti-corruption training for internal and external stakeholders • Support global business operations, including coordination and active engagement with business development, global contracts, international supply chain and program management • Act as a liaison and provide ongoing advice with various senior level staff and other leadership on improvement and execution of Raytheon's antibribery and anti-corruption compliance program using leading practices, tools and processes • Support global business operations, including coordination and active engagement with business development, global contracts, international supply chain and program management • Coordinate with key stakeholders within Raytheon Legal, RTX business units, external business partners and third parties • Act as an Ethics & Compliance champion guiding leaders in making ethical and compliance decisions