Role Description As a Dispute Analyst, you’ll be working in the Ongoing Monitoring team at Tide. To carry out this role efficiently, you need to be organised and able to remain calm under pressure. You will be responsible for investigating fraud and scam activities. Additionally, you will: - Analyse transactions and gather evidence. - Work closely with internal teams and external partners to detect and prevent fraudulent activities. - Protect customer assets and ensure regulatory compliance. - Interact with Tide members and resolve their queries promptly. Your interpersonal skills will be crucial when working with many of Tide’s internal and external stakeholders, and you must take initiative in a busy and ever-changing work environment. Flexibility to work shifts in a 24/7 operational environment with rotational shifts is required. Some of the Things You’ll Be Doing: - Raising chargeback requests on behalf of our members. - Responding to queries from our finance partners and third-party financial institutions. - Reviewing the chargeback/representation documents received from our finance partners. - Ensuring compliance with relevant banking regulations, laws, and industry standards related to fraud prevention, reporting, and customer protection. - Making fair decisions based on high-quality investigations and in line with external regulations and internal policies to deliver fair outcomes for our customers. - Researching and investigating disputed card transactions and performing network analysis. - Making outbound calls to our members, if required, to resolve queries immediately. Qualifications - A minimum of 1+ year of fraud/investigation experience; experience in the banking industry is a plus. - Keen interest in transaction monitoring, financial crime, or fraud. - Ability to remain calm under pressure. - Excellent communication and interpersonal skills to collaborate effectively with internal teams and external stakeholders. - Ability to adapt to changing priorities, work independently, and make sound decisions in a fast-paced banking environment. - Problem-solving skills and a willingness to share your solutions. - Prior customer service experience. Benefits - Competitive salary - Self & Family Health Insurance - Term & Life Insurance - OPD Benefits - Mental wellbeing through Plumm - Learning & Development Budget - WFH Setup allowance - 15 days of Privilege leaves - 12 days of Casual leaves - 12 days of Sick leaves - 3 paid days off for volunteering or L&D activities - Stock Options (If applicable) Company Description At Tide we help SMEs save time (and money) in the running of their businesses by not only offering business accounts and related banking services, but also a comprehensive set of highly usable and connected administrative solutions from invoicing to accounting. - Tide is available for UK, Indian, German and French SMEs. - Over 1.8 million members: 800,000 UK and 1,000,000 in India and growing rapidly. - Over $300 million raised in funding. - Over 2,500 Tideans globally - we’re diversity champions! - We have offices in Central London, with a member support and technology centre in Sofia, Bulgaria, technology centres in Serbia, Romania, Lithuania and Hyderabad and offices in Gurugram and New Delhi, and in Berlin, Paris and Luxembourg.

Role Description The Investigator is responsible for identifying, investigating, and preventing healthcare fraud, waste, and abuse (FWA). This role leverages claims data analysis, regulatory guidelines, and investigative methodologies to detect suspicious billing patterns and activities. The Investigator conducts thorough investigations, which may include fieldwork such as interviews and evidence collection, and ensures compliance with applicable regulatory requirements. Schedule: Monday - Friday 8:00am - 4:30pm If you reside in the state of Nebraska, you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: - Assess and triage allegations of misconduct received within the organization - Conduct investigations of low- to moderately complex fraud, waste, and abuse cases involving members, providers, employees, and third parties - Identify potential fraudulent activities through data analysis, trend identification, and investigative techniques - Develop and execute efficient, case-specific investigative strategies - Maintain accurate, complete, and timely case documentation within the SIU case management system - Gather, preserve, and analyze evidence; prepare clear and concise investigative summaries and reports - Support settlement negotiations and provide documentation for legal or recovery actions - Analyze referral data to identify patterns, trends, and emerging risks - Ensure adherence to all applicable federal and state regulations, contractual obligations, and company policies - Report suspected fraud, waste, and abuse to appropriate regulatory agencies as required - Collaborate with internal teams and external partners, including state and federal agencies, as directed by SIU leadership - Participate in regulatory meetings, workgroups, and cross-functional initiatives - Communicate findings effectively through written reports and verbal presentations - Establish and manage investigation goals, monitor progress, and adjust priorities as needed - Participate in legal proceedings, including depositions, arbitration, and court testimony, as required Qualifications - Bachelor’s degree or Associate’s Degree with 2+ years of equivalent work experience - Ability to travel up to 25% as required - Intermediate level of proficiency in Microsoft Excel and Word Requirements - Experience in healthcare fraud, waste, and abuse investigations or auditing - Knowledge of federal and state healthcare regulations related to FWA - Experience with data analysis and trend identification in healthcare claims - Formal training in healthcare fraud investigations - National Health Care Anti-Fraud Association (NHCAA) affiliation - Accredited Health Care Fraud Investigator (AHFI) - Certified Fraud Examiner (CFE) - Certified Professional Coder (CPC) - Medical Laboratory Technician (MLT) - Knowledge of investigative techniques and evidence handling practices Benefits - Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays - Medical Plan options along with participation in a Health Spending Account or a Health Saving account - Dental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage - 401(k) Savings Plan, Employee Stock Purchase Plan - Education Reimbursement - Employee Discounts - Employee Assistance Program - Employee Referral Bonus Program - Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

Title: Health Systems Services Lead Analyst - Curascript - Remote Location: Remote, US CategoryProject & Program Management Job Id26005441 Save Make an impact at the center of complex health system operations. In this role, you will serve as a trusted expert and problem-solver—ensuring accurate account setup, pricing integrity, and contract alignment for sophisticated health system customers while improving processes that drive customer experience and revenue outcomes. Responsibilities - Serve as the primary expert and escalation point for ensuring accurate class of trade, licensing validation, and pricing eligibility. - Partner across Sales, Contracting, Pricing, Operations, Finance, EDI/IT, and Compliance to enable smooth onboarding and operational execution. - Interpret complex manufacturer contracts, specialty distribution agreements, GPO structures, and eligibility rules to guide accurate pricing and compliance. - Identify, troubleshoot, and resolve pricing or configuration issues, using sound judgment to determine when escalation is necessary. - Translate complex operational and contractual scenarios into clear, actionable guidance for internal partners. - Lead or support projects focused on onboarding efficiency, pricing accuracy, process improvement, and cross-functional alignment. - Document learnings and improvements to prevent recurring issues and strengthen operational consistency. Qualifications (Required) - 3+ years of experience supporting account setup, pricing, contracting, or operations in a complex healthcare or related environment. - Strong working knowledge of account hierarchies, pricing structures, eligibility validation, and class of trade concepts. - Proven ability to analyze data, identify root causes, and resolve issues involving systems, contracts, or operational workflows. - Demonstrated judgment, ownership, and comfort navigating ambiguity within cross-functional organizations. - Clear communicator able to simplify complex topics for diverse audiences. Qualifications (Preferred) - Experience working directly with health systems, specialty pharmacy, or specialty distribution organizations. - Familiarity with GPO arrangements, EDI onboarding, or customer automation workflows. - Exposure to project management practices or leading cross-functional initiatives. - Bachelor’s degree or equivalent work experience. 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 75,700 - 126,100 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. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. 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. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Title: Commercial Underwriter Locations: United States AL, GA, MS, TN, LA time type Full time Remote job requisition id R6394 Job Description: At EMC, we're all about working together to make an impact. As part of our team, you'll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts-always supporting each other to do our best work. Join us, and let's improve lives together. This position can be performed remotely for candidates who reside in AL, GA, MS, TN, LA Essential Functions: - Maintains and grows a profitable book of business for assigned middle market territory adhering to underwriting authority. Evaluates accounts for risk selection and pricing purposes. - Analyzes exposure, company and region risk appetite, account premium and loss history, financial data, line(s) of business, price guidance, motor vehicle records, online sources of information, reports from Premium Audit or Loss Control and other relevant information to underwrite policies. Offers appropriate coverage, terms and conditions for exposures - Develops and fosters agency relationships. Educates agents on EMC products, underwriting appetite, systems, and services - Visits agencies to discuss accounts and provide agents with updates at EMC. Collaborates with marketing representatives to ensure agents receive excellent customer experiences, responsiveness, and select EMC as their insurer of choice. - Effectively communicates risk acceptance and/or rejection decisions to agents - Collaborates with experienced underwriters to continue to develop understanding of company and regional risk appetite. Consults experienced underwriters to ask questions and gain understanding in underwriting best practices - Participates in the agency planning and review processes with marketing and regional management. Monitors progress of assigned agents and guides agents in achieving annual goals. Education & Experience: Commercial Underwriter II: - Bachelor's degree, preferably in insurance or business administration, or equivalent relevant experience - One year of experience in commercial lines underwriting or related experience - Insurance designations, such as AINS, AU, CIC, or CPCU preferred Candidates that exceed the minimum qualifications may be considered for a higher level position. Senior Commercial Underwriter: - Bachelor's degree, preferably in insurance or business administration or equivalent relevant experience - Five years of experience in commercial lines underwriting or related experience - Insurance designations, such as AINS, AU, CIC, or CPCU preferred Knowledge, Skills & Abilities: - Strong analytical, decision-making, and negotiating skills - Strong problem-solving skills and the ability to make sound decisions - Strong customer service skills - Ability to work effectively with others, as well as independently - Ability to maintain high standards of professional competence - Strong computer skills, including knowledge of Microsoft Office and social media - Ability to work on multiple projects while meeting deadlines - Strong written and verbal communication skills - Occasional travel; a valid driver's license with an acceptable motor vehicle report per company standards required if driving Hiring salary range for Senior Commercial Underwriter: The hiring salary range for this position will vary based on geographic location, falling within either of the following: $92,670 - $128,045 or $102,443 - $128,045 A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs. Hiring salary range for Commercial Underwriter II: The hiring salary range for this position will vary based on geographic location, falling within either of the following: $60,813 - $84,038 or $67,200 - $92,395 A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs. For information relating to the benefits EMC Team Members receive as part of a comprehensive rewards package, Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws. All of our locations are tobacco free including in company vehicles.