Role Description Employees are responsible for triaging, investigating, and resolving potential instances of healthcare fraud and/or abusive conduct by medical professionals or providers. Using information from tips, complaints, external intelligence or behavior data, the medical community and law enforcement, employees conduct confidential investigations and document relevant findings and report any illegal activities in accordance with all laws and regulations. Identify, communicate, and recover losses as deemed appropriate. These investigations may include participation in telephone calls or meetings with providers, members, clients, legal, compliance, and other investigative areas and requires adherence to state and federal compliance policies, reimbursement policies, and contract compliance. Where applicable, testimony regarding the investigation may be required in a court of law. - Perform root-cause and trend analysis and translate findings into prevention (policy recommendations, new detection rules, training opportunities, control improvements). - Utilize appropriate documentation and tracking controls in the case tracking system to ensure compliance and auditability requirements are met. - Collaborate with SIU Investigator to apply knowledge of coding guidelines to determine validity of aberrances. - Gather all relevant facts to articulate behavior through an Investigation Summary and compliance package. - Collaborate with a variety of external sources to identify current and emerging patterns and schemes related for FWA. - Provide case direction and mentorship to investigators/analysts (work planning, quality checks, documentation standards, coaching on interviews and evidence development). - Develop and deliver case presentations to leadership, clients, and compliance (case theories, evidence summaries, overpayment methodology, recommended outcomes). - Ensure confidentiality and data handling compliance (PHI/PII, minimum necessary, secure sharing, retention requirements) and coach others on the same. - Maintain SOPs and training materials; lead calibration sessions to improve consistency in decisioning, documentation, and case outcomes. - Track and report SIU metrics/KPIs (cycle time, recoveries, outcomes, inventory health, referral sources). - Perform member and provider interviews, and review medical documentation as needed. - Communicate with legal, Law Enforcement, clients and business partners as needed. Qualifications - High School Diploma / GED - Certified Professional Coder certification (CPC) - Professional certification as a Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI) or similar certification - 5+ years of experience working in a FWA / SIU or Fraud investigations role - 2+ years of experience within the health insurance claims industry - 2+ years of knowledge and/or experience with medical/behavioral health codes and service delivery - 2+ years of experience working with law enforcement or legal entities or 3+ years of investigative experience with fraud investigations - 2+ years of experience with computer research - 2+ years of experience with regulatory compliance - 2+ years of experience with data analysis as it relates to financial recovery/settlements - Intermediate level of proficiency in Microsoft Excel (pivot tables and macros) and Word (creating, editing, and saving documents) - Familiar with CPT code terminology Preferred Qualifications - Associate degree in the area of Criminal Justice or experience in a related field Benefits - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (all benefits are subject to eligibility requirements) Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

• Develop and maintain dashboards, metrics, and tracking reports for transition projects; • Consolidate information from multiple projects and present it clearly and objectively to clients and leadership; • Support monitoring of schedules, risks, open issues, and action plans together with project managers; • Organize and document Knowledge Transfer (KT) activities between teams; • Support the preparation and updating of operational documentation, procedures, and knowledge bases; • Participate in status meetings with clients, managers, and technical teams; • Use Artificial Intelligence tools to increase productivity, organize information, prepare documents, and generate executive summaries.

Role Description This role not only encompasses the day-to-day operation as a senior level 2 technical support executive, but also extends to the day-to-day engagement with internal, customer, and potentially 3rd party teams. This includes working collaboratively with our core development and professional services teams, and constantly looking for service and product improvements. Role requires ideally have 8+ years’ experience in configuring, deploying, and supporting electronic trading systems or similar. A background in financial services trading systems, the FIX protocol, and trading message workflows especially equities and foreign exchange is therefore highly desirable. Qualifications - 8+ years’ experience supporting electronic trading platforms or applications - In depth knowledge of the FIX messaging protocol versions 4.2 – 5.0 - Good knowledge of capital markets and trading workflow (ideally across more than one asset class) - Ability to deploy trading solutions and make technical changes including: - Define workflow - Configuration - Creation of deployment packages and client deployments - Strong track record in a technology support environment working with structured support processes (ideally with good knowledge of ITIL) - Experience working with service CRM tools (e.g., 4Me, Service NOW, Jira Service Desk) - Ability to work within a structured support framework (to meet SLA target) - Technical documentation skills - Software testing experience - Scripting skill and experience - Unix / bash skills - Proven customer and inter-team communication skills - Ability to coach and mentor junior staff Requirements - Providing service management support to the customer within an SLA framework - Providing an escalation point to the customers for service problems - Take a lead role as service champion for certain strategic customers - Maintenance and management of toolsets and Knowledge Base content - Creating and presentation of the agreed Customer Service reports - Embedding and driving compliance with policy and standard operating procedures - Delivery against change control and request management processes - Acting as the standard bearer for the (ITSM) Incident Management system and contributing to the on-going improvement of service levels - To lead the continual development and improvement of the support team with the emphasis on customer focus being a priority Key Responsibilities - Taking a proactive approach with strategic customers to mitigate potential service issues - Providing regular incident updates to the team and customers concerning open incidents - Developing, co-ordinating and promoting incident management activities across the whole of Support and Development - Taking responsibility for the effective functioning of the Incident Management processes across all support areas - Providing expert advice to customers in the resolution of Incidents, including negotiation with customers, service support teams, and 3rd parties in order to resolve issues - Managing the monitoring and resolution of stalled or breached jobs with 2nd and 3rd line groups - Ensuring effective and rapid response to Major Incidents - Ensuring that any service breach is suitably recorded and described before it is closed - Reviewing and recommending, as appropriate, changes to support processes to ensure continuous improvement of the incident management process - Providing guidance on Incident Management to all support staff and assist in their training and knowledge development - Reviewing and improving the accuracy and content of the Service Management System knowledge base - Producing metrics for service performance and customer satisfaction both on a regular and an ad hoc basis - Helping users and customers to know about the availability of services and the procedure for obtaining them. - Maintain user and customer satisfaction through efficient and professional handling of all service requests - Assist users and customers with general information, complaints, or comments. Desirable Qualifications - Networking - AWS or Azure cloud management Working Hours / Holidays - US West Coast working hours - US Holidays (Indian Holidays will be working days)

Title: BCBA- Board Certified Behavior Analyst Location: Des Moines, Iowa Department: Carelinks ABA</p> Job Description: Carelinks ABA is growing, and we&rsquo;re looking for BCBAs (both P/T and F/T) who genuinely care about doing meaningful work with kids and families! Our approach is simple: be supportive, be reliable, communicate clearly, and put the child&rsquo;s needs at the center of everything. If you&rsquo;re the type of clinician who takes pride in doing things the right way and brings a calm, steady presence to your team, you&rsquo;ll feel right at home here! We provide child-led, individualized ABA services in homes and community settings, with flexibility built into the role so you can work in a way that fits your life while still giving families the consistency they deserve. As a BCBA with Carelinks, you&rsquo;ll oversee treatment plans, mentor your RBT team, and partner with families to create meaningful, practical change. We keep systems organized and communication clear so you can focus on what matters most &mdash; clinical care that feels human and supportive. What You'll Do - Complete FBAs and skills assessments - Develop and update individualized treatment plans - Review data and adjust programming as needed - Document session notes, reports, and supervision in CentralReach - Provide coaching, modeling, and feedback to RBTs - Collaborate with caregivers, schools, and outside providers - Participate in team meetings and ongoing clinical development - Ensure services meet ethical and payer standards - Maintain 25 direct billable hours per week (for full-time employment) What We're Looking For - The desire to change lives! - Active BCBA certification - Master&rsquo;s degree in ABA, Psychology, Education, or related field - Strong communication, organization, and follow-through - Ability to work independently while staying connected to the team - Reliable transportation for in-home/community sessions Preferred: - In-home ABA experience - Familiarity with naturalistic/NDBI approaches - Bilingual abilities - CentralReach experience What We Offer - Flexible Scheduling & Caseload Autonomy - Build a caseload that fits your preferred workload - Flexibility in how you structure your day - Options for in-home, community, and hybrid services - Supportive, Responsive Leadership - Leadership that is easy to reach and quick to help - Collaborative, no-micromanagement environment - Clear communication and consistent follow-through - Professional Development & Growth - Ongoing clinical training and support - Opportunities to take on projects or expanded roles - CEU and skill-building opportunities $96,000 - $106,000 a year We want our clinicians to feel supported both at work and at home, and therefore offer full-time employees: - Health insurance (comprehensive medical plan options) - Dental insurance - Vision insurance - 401(k) retirement plan - Pet insurance - Life insurance We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed,