Job TitleNote from HM: Candidates who have also worked at TCS, Infosys or Wipro would be ideal Must Have's: Extensive experience in NICE Actimize IFM-X Design and implement custom models within AIS (Actimize Intelligence Server) and RCM (Risk Case Manager). Hands On Experience in Actimize solution version upgrade and Service pack deployment.Roles and Responsibilities (8-12 yrs):• Extensive experience in NICE Actimize IFM-X (Integrated Fraud Management), including integration and customization of fraud detection systems.• Design and implement custom models within AIS (Actimize Intelligence Server) and RCM (Risk Case Manager).• Coordinate with teams to ensure the seamless integration of IFM-X with client systems, optimizing fraud prevention strategies.• Develop technical designs, ensuring scalability and compliance with industry standards.• Utilize SQL for data integration and analysis; familiarity with Java is a plus.• Hands On Experience in Actimize solution version upgrade and Service pack deployment.• Perform/assist issue resolution and project interaction with client/s.• Good to have Knowledge in development of Java plugins for RCM/ Execute Java Blocks / AIS Web service for AIS modeler.
Premera Blue Cross is hiring an Investigator III in our Hybrid SIU team. You will lead medium to high complexity fraud cases from start to finish, analyze claims data, and coordinate with law enforcement as needed.The role requires healthcare fraud investigation experience...
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