Role Description We are looking for a proactive Middle Antifraud Analyst to strengthen our Fraud Prevention team. This is a role focused on using and developing antifraud rules, analyzing fraud cases, and collaborating closely with agents to improve fraud detection and operational efficiency. If you have strong analytical thinking, hands-on analyst experience, and want to directly influence risk management and system logic, this is your opportunity to make a measurable impact on fraud prevention at scale. Challenges that await you - Your main responsibility will be to test and improve antifraud rules for existing products and new fraud scenarios related to products launching in 2026, balancing security and customer experience. - Optimize, and document antifraud rules across multiple channels (card, transfers, tokenization, etc.). - Improve cost efficiency and controls for operational antifraud tools. - Collaborate with agents to investigate alerts, verify rule logic, and adjust thresholds. - Analyze confirmed fraud cases and identify new patterns or emerging risks. - Conduct back-testing and assess the efficiency of existing rules. - Propose and implement new approaches for fraud detection automation. - Monitor fraud metrics, build queries, and create dashboards to track performance. Qualifications - 2+ years of relevant experience in fraud analysis, risk management, or a related field. - Strong knowledge of mathematical statistics and probability theory. - Analytical mindset and systematic thinking. - Strong skills in SQL for data analysis and Python for automation or modeling. - Attention to detail and ability to translate insights into actionable solutions. - Excellent communication skills for effective collaboration with cross-functional teams. - A mathematical or technical degree from a top university such as MSU, MIPT, HSE, MSTU, MEPhI, or NES will be a plus. - Understanding of payment processes, transaction flows, and fraud typologies will be a plus. - B1 or higher English level for effective communication with an international team. Benefits - Relocation support to one of our hubs — Serbia, Georgia — with assistance for the employee and their family. - Flexible work from one of our offices or remote. - Healthcare coverage. - Education Budget: Language lessons, professional training, and certifications. - Wellness Budget: Mental health and fitness activity reimbursements. - Vacation policy: 20 days of annual leave and paid sick leave.

Role Description Provides analyst support for configuration oversight activities. Responsible for accurate and timely implementation and maintenance of critical information on claims/provider databases, validating data housed on databases and ensuring adherence to business and system requirements of customers as it pertains to provider contracting, network management, credentialing, benefits, prior authorizations, fee schedules, and other business requirements critical to claim accuracy. Facilitates end-to-end claim audits, maintains audit records, provides counsel regarding coverage amount/benefit interpretation within the audit process, monitors and controls backlog and workflow of audits, and ensures that audits are completed in a timely fashion and in accordance with audit standards. - Analyzes and interprets data to determine accurate/appropriate configuration. - Accurately interprets state and/or federal benefits, contracts, and business requirements and converts these terms to configuration parameters. - Validates coding, updates and maintains benefit plans, provider contracts, fee schedules and various system tables through the user interface. - Applies previous experience and knowledge to verify accuracy of updates to claim/encounter and/or system updates as necessary. - Reviews documentation regarding updates/changes to member enrollment, provider contracts, provider demographic information, claim processing guidelines and/or system configuration requirements; evaluates the accuracy of these updates/changes as applied to appropriate modules within the core claims processing system. - Conducts high-dollar, random and focal audits on samples of processed transactions; ensures outcomes are aligned to original documentation and allows for appropriate processing. - Clearly documents audit results and makes recommendations as necessary. - Researches and tracks the status of unresolved errors issued on daily transactional audits, and communicates with core operations functional business partners to ensure resolution within 30 days of error issuance. - Helps evaluate the adjudication of claims using standard principles and state specific policies and regulations to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims. - Prepares, tracks, and provides audit findings reports according to designated timelines. - Presents configuration audit findings and makes recommendations to leadership for improvements based on audit results. - Manages fluctuating volumes of work and prioritizes work to meet deadlines and needs of the configuration department and user community. Qualifications - At least 2 years of claims auditing experience within a health care operations setting, or equivalent combination of relevant education and experience. - Experience/understanding of claims processes and claims auditing. - Experience verifying documentation related to updates/changes within claims processing system. - Experience validating and confirming information related to provider contracting, network management, credentialing, benefits, prior authorizations, fee schedules, and other business requirements. - Analytical and critical-thinking skills. - Flexibility to meet changing business requirements, and commitment to high-quality/on-time delivery. - Attention to detail. - Effective verbal and written communication skills. - Microsoft Office suite proficiency, including Excel abilities (VLOOKUP/Pivot Tables, etc.), and applicable software programs proficiency. Preferred Qualifications - Experience in a managed care organization supporting Medicaid, Medicare and/or Marketplace programs. - Intermediate to advanced Microsoft Excel skills. Benefits Molina Healthcare offers a competitive benefits and compensation package. Company Description Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Role Description We are seeking a Board Certified Behavior Analyst (BCBA) to join our team in a fully remote parent training role. In this position, you will provide parent training and caregiver support services for families of children receiving ABA services. This role is ideal for a BCBA seeking flexibility, autonomy, and a manageable caseload without the demands of in-clinic supervision. Our company is family-owned, collaborative, and focused on creating sustainable clinical environments for both staff and families. Responsibilities - Conduct parent training sessions via telehealth - Complete behavioral assessments and treatment recommendations as needed - Develop individualized treatment goals and caregiver strategies - Provide coaching and support to caregivers using evidence-based ABA practices - Maintain accurate and timely clinical documentation - Manage your own schedule and caseload responsibilities - Adhere to all ethical, payer, and licensing standards Qualifications - Current and unrestricted BCBA certification - Texas licensure (LBA) or eligibility to obtain licensure - TMHP credentialing preferred - Previous ABA and caregiver training experience preferred - Strong communication and interpersonal skills - Highly organized and self-motivated - Comfortable working independently in a remote environment - CPR/BLS certification preferred Requirements - Candidates credentialed with TMHP are strongly preferred. Benefits - Dental insurance - Flexible schedule - Health insurance - Paid time off - Vision insurance - Flexible Scheduling - Competitive Compensation - Remote Work Opportunity - Minimal Administrative Burden - Supportive, Family-Owned Company - Opportunities for Professional Growth Compensation - Hourly rate: $45–70/hour depending on experience and credentialing status - Flexible scheduling with the ability to set your own availability

• Under minimal supervision, the Beaker/Blood Bank analyst will work on the design, build, configuration, testing and maintenance of Epic Beaker clinical/anatomic path and blood bank software. • Work collaboratively with members of the lab team to ensure workflow, device integration, testing, validation, and Beaker functionality meeting specifications. • Work collaboratively with clinical teams to ensure Epic Beaker and blood bank software meeting specifications. • Performs ongoing maintenance and configuration updates to Epic Beaker and Blood Bank applications. • Creates test scripts, timelines, and plans for application and workflow changes. Performs actual testing of clinical information system configuration and processes, including testing across applications and/or the testing of the application configuration of other analysts. Coordinates and participates in requestor and user testing of application changes. • Provides tier-two support to end-users both remotely and in-person. Monitors, investigates, troubleshoots, and resolves incoming tickets. Serves as a liaison between users and vendors. Coordinates system fixes and changes with software vendors. Coordinates the deployment of application changes with the training team and operations.