423 Medicare Fraud Analyst jobs in the United States
Healthcare Fraud Investigator *Clinical*
54404 Marshfield, Wisconsin
Sanford Health
Posted 16 days ago
Job Viewed
Job Description
**Careers With Purpose**
**Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.**
**Facility:** Marsh Security Hlth Plan
**Location:** Marshfield, WI
**Address:** 1515 N St Joseph Ave, Marshfield, WI 54449, USA
**Shift:** 8 Hours - Day Shifts
**Job Schedule:** Full time
**Weekly Hours:** 40.00
**Salary Range:** $29.00 - $46.50
**Department Details**
- Bachelor's degree in health related field or equivalent education is required.
- Minimum 3 years' experience in health insurance investigation/audit.
- Master's Degree preferred
- Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud Examiner (CFE) preferred
- Nursing or other clinical experience highly preferred
**Job Summary**
Responsible for conducting audits and investigations of potentially fraudulent claim activity. Will plan, develop, and implement investigative processes and procedures. Conduct preliminary investigations, involving internal and external research, detailed data analyses, review of medical records, and interviews of members, providers, and other third parties. Analyzes information gathered by the investigation/audit and report findings, preparing written summaries and recommendations. Conducts investigative interviews of patients and providers as necessary.
Prepare evidence package for referral to third parties including contract holders, state insurance fraud bureaus and law enforcement agencies. Respond to subpoenas and requests for information from law enforcement agencies and State Departments of Insurance. May represent company as a witness in judicial proceedings when appropriate.
Performs special projects requiring expertise in fraud detection, data analytics, investigation, claim auditing and other areas related to Special Investigations. Completes reports of investigative findings and recommends investigative next steps. Identifies root causes of fraud, proposing internal and external corrective actions to address these root causes. Advises on investigative priorities, strategies, and techniques.
Apply laws, regulations, plan policies and guidelines, contract provisions, coding rules, coverage rules, and industry standards to information gathered during the investigation. Share expertise and promoting investigative best practices among management and staff. Educate and collaborate with various business units to raise awareness of potential concerns.
Must have excellent communication and interpersonal skills, along with strong analytical and problem-solving abilities. Ability to work on complex projects with general direction and minimal guidance.
**Qualifications**
Bachelor's degree in health related field or equivalent education is required.
Minimum 3 years' experience in health insurance investigation/audit.
Master's Degree preferred
Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud Examiner (CFE) preferred
Nursing or other clinical experience highly preferred
**Benefits**
Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit .
Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call or send an email to .
Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.
**Req Number:** R-
**Job Function:** Legal and Compliance
**Featured:** No
**Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.**
**Facility:** Marsh Security Hlth Plan
**Location:** Marshfield, WI
**Address:** 1515 N St Joseph Ave, Marshfield, WI 54449, USA
**Shift:** 8 Hours - Day Shifts
**Job Schedule:** Full time
**Weekly Hours:** 40.00
**Salary Range:** $29.00 - $46.50
**Department Details**
- Bachelor's degree in health related field or equivalent education is required.
- Minimum 3 years' experience in health insurance investigation/audit.
- Master's Degree preferred
- Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud Examiner (CFE) preferred
- Nursing or other clinical experience highly preferred
**Job Summary**
Responsible for conducting audits and investigations of potentially fraudulent claim activity. Will plan, develop, and implement investigative processes and procedures. Conduct preliminary investigations, involving internal and external research, detailed data analyses, review of medical records, and interviews of members, providers, and other third parties. Analyzes information gathered by the investigation/audit and report findings, preparing written summaries and recommendations. Conducts investigative interviews of patients and providers as necessary.
Prepare evidence package for referral to third parties including contract holders, state insurance fraud bureaus and law enforcement agencies. Respond to subpoenas and requests for information from law enforcement agencies and State Departments of Insurance. May represent company as a witness in judicial proceedings when appropriate.
Performs special projects requiring expertise in fraud detection, data analytics, investigation, claim auditing and other areas related to Special Investigations. Completes reports of investigative findings and recommends investigative next steps. Identifies root causes of fraud, proposing internal and external corrective actions to address these root causes. Advises on investigative priorities, strategies, and techniques.
Apply laws, regulations, plan policies and guidelines, contract provisions, coding rules, coverage rules, and industry standards to information gathered during the investigation. Share expertise and promoting investigative best practices among management and staff. Educate and collaborate with various business units to raise awareness of potential concerns.
Must have excellent communication and interpersonal skills, along with strong analytical and problem-solving abilities. Ability to work on complex projects with general direction and minimal guidance.
**Qualifications**
Bachelor's degree in health related field or equivalent education is required.
Minimum 3 years' experience in health insurance investigation/audit.
Master's Degree preferred
Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud Examiner (CFE) preferred
Nursing or other clinical experience highly preferred
**Benefits**
Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit .
Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call or send an email to .
Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.
**Req Number:** R-
**Job Function:** Legal and Compliance
**Featured:** No
View Now
0
Healthcare Fraud Investigator *Clinical*
58103 Fargo, North Dakota
Sanford Health
Posted 16 days ago
Job Viewed
Job Description
**Careers With Purpose**
**Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.**
**Facility:** Fargo Health Plan
**Location:** Fargo, ND
**Address:** th St S, Fargo, ND 58103, USA
**Shift:** 8 Hours - Day Shifts
**Job Schedule:** Full time
**Weekly Hours:** 40.00
**Salary Range:** $29.00 - $46.50
**Department Details**
- Bachelor's degree in health related field or equivalent education is required.
- Minimum 3 years' experience in health insurance investigation/audit.
- Master's Degree preferred
- Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud Examiner (CFE) preferred
- Nursing or other clinical experience highly preferred
**Job Summary**
Responsible for conducting audits and investigations of potentially fraudulent claim activity. Will plan, develop, and implement investigative processes and procedures. Conduct preliminary investigations, involving internal and external research, detailed data analyses, review of medical records, and interviews of members, providers, and other third parties. Analyzes information gathered by the investigation/audit and report findings, preparing written summaries and recommendations. Conducts investigative interviews of patients and providers as necessary.
Prepare evidence package for referral to third parties including contract holders, state insurance fraud bureaus and law enforcement agencies. Respond to subpoenas and requests for information from law enforcement agencies and State Departments of Insurance. May represent company as a witness in judicial proceedings when appropriate.
Performs special projects requiring expertise in fraud detection, data analytics, investigation, claim auditing and other areas related to Special Investigations. Completes reports of investigative findings and recommends investigative next steps. Identifies root causes of fraud, proposing internal and external corrective actions to address these root causes. Advises on investigative priorities, strategies, and techniques.
Apply laws, regulations, plan policies and guidelines, contract provisions, coding rules, coverage rules, and industry standards to information gathered during the investigation. Share expertise and promoting investigative best practices among management and staff. Educate and collaborate with various business units to raise awareness of potential concerns.
Must have excellent communication and interpersonal skills, along with strong analytical and problem-solving abilities. Ability to work on complex projects with general direction and minimal guidance.
**Qualifications**
Bachelor's degree in health related field or equivalent education is required.
Minimum 3 years' experience in health insurance investigation/audit.
Master's Degree preferred
Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud Examiner (CFE) preferred
Nursing or other clinical experience highly preferred
**Benefits**
Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit .
Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call or send an email to .
Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.
**Req Number:** R-
**Job Function:** Legal and Compliance
**Featured:** No
**Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.**
**Facility:** Fargo Health Plan
**Location:** Fargo, ND
**Address:** th St S, Fargo, ND 58103, USA
**Shift:** 8 Hours - Day Shifts
**Job Schedule:** Full time
**Weekly Hours:** 40.00
**Salary Range:** $29.00 - $46.50
**Department Details**
- Bachelor's degree in health related field or equivalent education is required.
- Minimum 3 years' experience in health insurance investigation/audit.
- Master's Degree preferred
- Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud Examiner (CFE) preferred
- Nursing or other clinical experience highly preferred
**Job Summary**
Responsible for conducting audits and investigations of potentially fraudulent claim activity. Will plan, develop, and implement investigative processes and procedures. Conduct preliminary investigations, involving internal and external research, detailed data analyses, review of medical records, and interviews of members, providers, and other third parties. Analyzes information gathered by the investigation/audit and report findings, preparing written summaries and recommendations. Conducts investigative interviews of patients and providers as necessary.
Prepare evidence package for referral to third parties including contract holders, state insurance fraud bureaus and law enforcement agencies. Respond to subpoenas and requests for information from law enforcement agencies and State Departments of Insurance. May represent company as a witness in judicial proceedings when appropriate.
Performs special projects requiring expertise in fraud detection, data analytics, investigation, claim auditing and other areas related to Special Investigations. Completes reports of investigative findings and recommends investigative next steps. Identifies root causes of fraud, proposing internal and external corrective actions to address these root causes. Advises on investigative priorities, strategies, and techniques.
Apply laws, regulations, plan policies and guidelines, contract provisions, coding rules, coverage rules, and industry standards to information gathered during the investigation. Share expertise and promoting investigative best practices among management and staff. Educate and collaborate with various business units to raise awareness of potential concerns.
Must have excellent communication and interpersonal skills, along with strong analytical and problem-solving abilities. Ability to work on complex projects with general direction and minimal guidance.
**Qualifications**
Bachelor's degree in health related field or equivalent education is required.
Minimum 3 years' experience in health insurance investigation/audit.
Master's Degree preferred
Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud Examiner (CFE) preferred
Nursing or other clinical experience highly preferred
**Benefits**
Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit .
Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call or send an email to .
Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.
**Req Number:** R-
**Job Function:** Legal and Compliance
**Featured:** No
View Now
1
Healthcare Fraud Investigator *Clinical*
57117 Sioux Falls, South Dakota
Sanford Health
Posted 16 days ago
Job Viewed
Job Description
**Careers With Purpose**
**Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.**
**Facility:** GSS National Campus
**Location:** Sioux Falls, SD
**Address:** 4800 W 57th St, Sioux Falls, SD 57108, USA
**Shift:** 8 Hours - Day Shifts
**Job Schedule:** Full time
**Weekly Hours:** 40.00
**Salary Range:** $29.00 - $46.50
**Department Details**
- Bachelor's degree in health related field or equivalent education is required.
- Minimum 3 years' experience in health insurance investigation/audit.
- Master's Degree preferred
- Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud Examiner (CFE) preferred
- Nursing or other clinical experience highly preferred
**Job Summary**
Responsible for conducting audits and investigations of potentially fraudulent claim activity. Will plan, develop, and implement investigative processes and procedures. Conduct preliminary investigations, involving internal and external research, detailed data analyses, review of medical records, and interviews of members, providers, and other third parties. Analyzes information gathered by the investigation/audit and report findings, preparing written summaries and recommendations. Conducts investigative interviews of patients and providers as necessary.
Prepare evidence package for referral to third parties including contract holders, state insurance fraud bureaus and law enforcement agencies. Respond to subpoenas and requests for information from law enforcement agencies and State Departments of Insurance. May represent company as a witness in judicial proceedings when appropriate.
Performs special projects requiring expertise in fraud detection, data analytics, investigation, claim auditing and other areas related to Special Investigations. Completes reports of investigative findings and recommends investigative next steps. Identifies root causes of fraud, proposing internal and external corrective actions to address these root causes. Advises on investigative priorities, strategies, and techniques.
Apply laws, regulations, plan policies and guidelines, contract provisions, coding rules, coverage rules, and industry standards to information gathered during the investigation. Share expertise and promoting investigative best practices among management and staff. Educate and collaborate with various business units to raise awareness of potential concerns.
Must have excellent communication and interpersonal skills, along with strong analytical and problem-solving abilities. Ability to work on complex projects with general direction and minimal guidance.
**Qualifications**
Bachelor's degree in health related field or equivalent education is required.
Minimum 3 years' experience in health insurance investigation/audit.
Master's Degree preferred
Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud Examiner (CFE) preferred
Nursing or other clinical experience highly preferred
**Benefits**
Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit .
Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call or send an email to .
Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.
**Req Number:** R-
**Job Function:** Legal and Compliance
**Featured:** No
**Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.**
**Facility:** GSS National Campus
**Location:** Sioux Falls, SD
**Address:** 4800 W 57th St, Sioux Falls, SD 57108, USA
**Shift:** 8 Hours - Day Shifts
**Job Schedule:** Full time
**Weekly Hours:** 40.00
**Salary Range:** $29.00 - $46.50
**Department Details**
- Bachelor's degree in health related field or equivalent education is required.
- Minimum 3 years' experience in health insurance investigation/audit.
- Master's Degree preferred
- Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud Examiner (CFE) preferred
- Nursing or other clinical experience highly preferred
**Job Summary**
Responsible for conducting audits and investigations of potentially fraudulent claim activity. Will plan, develop, and implement investigative processes and procedures. Conduct preliminary investigations, involving internal and external research, detailed data analyses, review of medical records, and interviews of members, providers, and other third parties. Analyzes information gathered by the investigation/audit and report findings, preparing written summaries and recommendations. Conducts investigative interviews of patients and providers as necessary.
Prepare evidence package for referral to third parties including contract holders, state insurance fraud bureaus and law enforcement agencies. Respond to subpoenas and requests for information from law enforcement agencies and State Departments of Insurance. May represent company as a witness in judicial proceedings when appropriate.
Performs special projects requiring expertise in fraud detection, data analytics, investigation, claim auditing and other areas related to Special Investigations. Completes reports of investigative findings and recommends investigative next steps. Identifies root causes of fraud, proposing internal and external corrective actions to address these root causes. Advises on investigative priorities, strategies, and techniques.
Apply laws, regulations, plan policies and guidelines, contract provisions, coding rules, coverage rules, and industry standards to information gathered during the investigation. Share expertise and promoting investigative best practices among management and staff. Educate and collaborate with various business units to raise awareness of potential concerns.
Must have excellent communication and interpersonal skills, along with strong analytical and problem-solving abilities. Ability to work on complex projects with general direction and minimal guidance.
**Qualifications**
Bachelor's degree in health related field or equivalent education is required.
Minimum 3 years' experience in health insurance investigation/audit.
Master's Degree preferred
Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud Examiner (CFE) preferred
Nursing or other clinical experience highly preferred
**Benefits**
Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit .
Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call or send an email to .
Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.
**Req Number:** R-
**Job Function:** Legal and Compliance
**Featured:** No
View Now
2
Fraud Analyst
72903 Fort Smith, Arkansas
Bank OZK
Posted 2 days ago
Job Viewed
Job Description
Job Purpose & Scope
Performs complex reviews of high-risk activity leveraging internal and external data sources to detect and mitigate fraud loss for stakeholders.
Essential Job Functions
+ Performs proactive fraud reviews derived from various alert and non-alert based sources to minimize fraud impacts.
+ Responds to fraud incidents as described within the Bank's Fraud Risk Management Program.
+ Researches and forms initial determinations for moderately complex situations to mitigate potential losses to the Bank and stakeholders while providing detailed documentation.
+ Analyzes and investigates unusual activity and transactional patterns through account surveillance, review of client background information, monetary transactions, and branch escalations while responding quickly to high-risk incidents.
+ Utilizes various systems to accurately document fraud attempts, trends, and loss events.
+ Conducts due diligence research within various third party and internal databases to make fraud determinations.
+ Reviews various reporting and provides approvals and guidance to front-line employees.
+ Engages management on fraud-related incidents and emerging trends and makes recommendations for process improvement.
Knowledge, Skills & Abilities
+ Knowledge of banking laws and regulations.
+ Ability to communicate effectively and efficiently both verbally and in writing with all levels of management and staff.
+ Ability to handle moderately complex situations requiring analysis or research while using independent judgement.
+ Ability to work under general supervision.
+ Ability to exercise discretion and sound judgment in decision making and maintain confidentiality.
+ Ability to demonstrate initiative to accomplish work objectives.
+ Ability to apply logic, interpret documents, and demonstrate ability to comply with procedures.
+ Ability to work effectively in a fast paced and team environment.
+ Ability to multi-task with excellent organizational skills.
+ Ability to read and analyze data for suspicious behavior.
+ Ability to maintain attention to detail.
+ Ability to demonstrate effective time management skills and meet deadlines in a timely manner.
+ Ability to work effectively and demonstrate flexibility in a continually changing environment.
+ Ability to work extended hours.
+ Skill in using a computer and Microsoft Office, including Outlook, Word, Excel, and PowerPoint.
Basic Qualifications
+ Bachelor's degree or commensurate work experience, required.
+ One (1) or more years of work experience in fraud detection and/or Bank Secrecy Act reporting, required.
+ One (1) or more years of prior financial institution work experience required.
Job Expectations
Job Expectations: O perate customary equipment and technology used in a business environment, with or without accommodation.
Note: This description is not an exhaustive list of all job functions, duties, skills, and job standards required. Other job functions, duties, skills, and standards may be added. Management reserves the right to add or change the job requirements at any time.
EEO Statement
Bank OZK is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by federal, state, and local law. Member FDIC.
Performs complex reviews of high-risk activity leveraging internal and external data sources to detect and mitigate fraud loss for stakeholders.
Essential Job Functions
+ Performs proactive fraud reviews derived from various alert and non-alert based sources to minimize fraud impacts.
+ Responds to fraud incidents as described within the Bank's Fraud Risk Management Program.
+ Researches and forms initial determinations for moderately complex situations to mitigate potential losses to the Bank and stakeholders while providing detailed documentation.
+ Analyzes and investigates unusual activity and transactional patterns through account surveillance, review of client background information, monetary transactions, and branch escalations while responding quickly to high-risk incidents.
+ Utilizes various systems to accurately document fraud attempts, trends, and loss events.
+ Conducts due diligence research within various third party and internal databases to make fraud determinations.
+ Reviews various reporting and provides approvals and guidance to front-line employees.
+ Engages management on fraud-related incidents and emerging trends and makes recommendations for process improvement.
Knowledge, Skills & Abilities
+ Knowledge of banking laws and regulations.
+ Ability to communicate effectively and efficiently both verbally and in writing with all levels of management and staff.
+ Ability to handle moderately complex situations requiring analysis or research while using independent judgement.
+ Ability to work under general supervision.
+ Ability to exercise discretion and sound judgment in decision making and maintain confidentiality.
+ Ability to demonstrate initiative to accomplish work objectives.
+ Ability to apply logic, interpret documents, and demonstrate ability to comply with procedures.
+ Ability to work effectively in a fast paced and team environment.
+ Ability to multi-task with excellent organizational skills.
+ Ability to read and analyze data for suspicious behavior.
+ Ability to maintain attention to detail.
+ Ability to demonstrate effective time management skills and meet deadlines in a timely manner.
+ Ability to work effectively and demonstrate flexibility in a continually changing environment.
+ Ability to work extended hours.
+ Skill in using a computer and Microsoft Office, including Outlook, Word, Excel, and PowerPoint.
Basic Qualifications
+ Bachelor's degree or commensurate work experience, required.
+ One (1) or more years of work experience in fraud detection and/or Bank Secrecy Act reporting, required.
+ One (1) or more years of prior financial institution work experience required.
Job Expectations
Job Expectations: O perate customary equipment and technology used in a business environment, with or without accommodation.
Note: This description is not an exhaustive list of all job functions, duties, skills, and job standards required. Other job functions, duties, skills, and standards may be added. Management reserves the right to add or change the job requirements at any time.
EEO Statement
Bank OZK is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by federal, state, and local law. Member FDIC.
View Now
3
Fraud Analyst
72949 Ozark, Arkansas
Bank OZK
Posted 2 days ago
Job Viewed
Job Description
Job Purpose & Scope
Performs complex reviews of high-risk activity leveraging internal and external data sources to detect and mitigate fraud loss for stakeholders.
Essential Job Functions
+ Performs proactive fraud reviews derived from various alert and non-alert based sources to minimize fraud impacts.
+ Responds to fraud incidents as described within the Bank's Fraud Risk Management Program.
+ Researches and forms initial determinations for moderately complex situations to mitigate potential losses to the Bank and stakeholders while providing detailed documentation.
+ Analyzes and investigates unusual activity and transactional patterns through account surveillance, review of client background information, monetary transactions, and branch escalations while responding quickly to high-risk incidents.
+ Utilizes various systems to accurately document fraud attempts, trends, and loss events.
+ Conducts due diligence research within various third party and internal databases to make fraud determinations.
+ Reviews various reporting and provides approvals and guidance to front-line employees.
+ Engages management on fraud-related incidents and emerging trends and makes recommendations for process improvement.
Knowledge, Skills & Abilities
+ Knowledge of banking laws and regulations.
+ Ability to communicate effectively and efficiently both verbally and in writing with all levels of management and staff.
+ Ability to handle moderately complex situations requiring analysis or research while using independent judgement.
+ Ability to work under general supervision.
+ Ability to exercise discretion and sound judgment in decision making and maintain confidentiality.
+ Ability to demonstrate initiative to accomplish work objectives.
+ Ability to apply logic, interpret documents, and demonstrate ability to comply with procedures.
+ Ability to work effectively in a fast paced and team environment.
+ Ability to multi-task with excellent organizational skills.
+ Ability to read and analyze data for suspicious behavior.
+ Ability to maintain attention to detail.
+ Ability to demonstrate effective time management skills and meet deadlines in a timely manner.
+ Ability to work effectively and demonstrate flexibility in a continually changing environment.
+ Ability to work extended hours.
+ Skill in using a computer and Microsoft Office, including Outlook, Word, Excel, and PowerPoint.
Basic Qualifications
+ Bachelor's degree or commensurate work experience, required.
+ One (1) or more years of work experience in fraud detection and/or Bank Secrecy Act reporting, required.
+ One (1) or more years of prior financial institution work experience required.
Job Expectations
Job Expectations: O perate customary equipment and technology used in a business environment, with or without accommodation.
Note: This description is not an exhaustive list of all job functions, duties, skills, and job standards required. Other job functions, duties, skills, and standards may be added. Management reserves the right to add or change the job requirements at any time.
EEO Statement
Bank OZK is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by federal, state, and local law. Member FDIC.
Performs complex reviews of high-risk activity leveraging internal and external data sources to detect and mitigate fraud loss for stakeholders.
Essential Job Functions
+ Performs proactive fraud reviews derived from various alert and non-alert based sources to minimize fraud impacts.
+ Responds to fraud incidents as described within the Bank's Fraud Risk Management Program.
+ Researches and forms initial determinations for moderately complex situations to mitigate potential losses to the Bank and stakeholders while providing detailed documentation.
+ Analyzes and investigates unusual activity and transactional patterns through account surveillance, review of client background information, monetary transactions, and branch escalations while responding quickly to high-risk incidents.
+ Utilizes various systems to accurately document fraud attempts, trends, and loss events.
+ Conducts due diligence research within various third party and internal databases to make fraud determinations.
+ Reviews various reporting and provides approvals and guidance to front-line employees.
+ Engages management on fraud-related incidents and emerging trends and makes recommendations for process improvement.
Knowledge, Skills & Abilities
+ Knowledge of banking laws and regulations.
+ Ability to communicate effectively and efficiently both verbally and in writing with all levels of management and staff.
+ Ability to handle moderately complex situations requiring analysis or research while using independent judgement.
+ Ability to work under general supervision.
+ Ability to exercise discretion and sound judgment in decision making and maintain confidentiality.
+ Ability to demonstrate initiative to accomplish work objectives.
+ Ability to apply logic, interpret documents, and demonstrate ability to comply with procedures.
+ Ability to work effectively in a fast paced and team environment.
+ Ability to multi-task with excellent organizational skills.
+ Ability to read and analyze data for suspicious behavior.
+ Ability to maintain attention to detail.
+ Ability to demonstrate effective time management skills and meet deadlines in a timely manner.
+ Ability to work effectively and demonstrate flexibility in a continually changing environment.
+ Ability to work extended hours.
+ Skill in using a computer and Microsoft Office, including Outlook, Word, Excel, and PowerPoint.
Basic Qualifications
+ Bachelor's degree or commensurate work experience, required.
+ One (1) or more years of work experience in fraud detection and/or Bank Secrecy Act reporting, required.
+ One (1) or more years of prior financial institution work experience required.
Job Expectations
Job Expectations: O perate customary equipment and technology used in a business environment, with or without accommodation.
Note: This description is not an exhaustive list of all job functions, duties, skills, and job standards required. Other job functions, duties, skills, and standards may be added. Management reserves the right to add or change the job requirements at any time.
EEO Statement
Bank OZK is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by federal, state, and local law. Member FDIC.
View Now
4
Fraud Analyst
72205 Little Rock, Arkansas
Bank OZK
Posted 2 days ago
Job Viewed
Job Description
Job Purpose & Scope
Performs complex reviews of high-risk activity leveraging internal and external data sources to detect and mitigate fraud loss for stakeholders.
Essential Job Functions
+ Performs proactive fraud reviews derived from various alert and non-alert based sources to minimize fraud impacts.
+ Responds to fraud incidents as described within the Bank's Fraud Risk Management Program.
+ Researches and forms initial determinations for moderately complex situations to mitigate potential losses to the Bank and stakeholders while providing detailed documentation.
+ Analyzes and investigates unusual activity and transactional patterns through account surveillance, review of client background information, monetary transactions, and branch escalations while responding quickly to high-risk incidents.
+ Utilizes various systems to accurately document fraud attempts, trends, and loss events.
+ Conducts due diligence research within various third party and internal databases to make fraud determinations.
+ Reviews various reporting and provides approvals and guidance to front-line employees.
+ Engages management on fraud-related incidents and emerging trends and makes recommendations for process improvement.
Knowledge, Skills & Abilities
+ Knowledge of banking laws and regulations.
+ Ability to communicate effectively and efficiently both verbally and in writing with all levels of management and staff.
+ Ability to handle moderately complex situations requiring analysis or research while using independent judgement.
+ Ability to work under general supervision.
+ Ability to exercise discretion and sound judgment in decision making and maintain confidentiality.
+ Ability to demonstrate initiative to accomplish work objectives.
+ Ability to apply logic, interpret documents, and demonstrate ability to comply with procedures.
+ Ability to work effectively in a fast paced and team environment.
+ Ability to multi-task with excellent organizational skills.
+ Ability to read and analyze data for suspicious behavior.
+ Ability to maintain attention to detail.
+ Ability to demonstrate effective time management skills and meet deadlines in a timely manner.
+ Ability to work effectively and demonstrate flexibility in a continually changing environment.
+ Ability to work extended hours.
+ Skill in using a computer and Microsoft Office, including Outlook, Word, Excel, and PowerPoint.
Basic Qualifications
+ Bachelor's degree or commensurate work experience, required.
+ One (1) or more years of work experience in fraud detection and/or Bank Secrecy Act reporting, required.
+ One (1) or more years of prior financial institution work experience required.
Job Expectations
Job Expectations: O perate customary equipment and technology used in a business environment, with or without accommodation.
Note: This description is not an exhaustive list of all job functions, duties, skills, and job standards required. Other job functions, duties, skills, and standards may be added. Management reserves the right to add or change the job requirements at any time.
EEO Statement
Bank OZK is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by federal, state, and local law. Member FDIC.
Performs complex reviews of high-risk activity leveraging internal and external data sources to detect and mitigate fraud loss for stakeholders.
Essential Job Functions
+ Performs proactive fraud reviews derived from various alert and non-alert based sources to minimize fraud impacts.
+ Responds to fraud incidents as described within the Bank's Fraud Risk Management Program.
+ Researches and forms initial determinations for moderately complex situations to mitigate potential losses to the Bank and stakeholders while providing detailed documentation.
+ Analyzes and investigates unusual activity and transactional patterns through account surveillance, review of client background information, monetary transactions, and branch escalations while responding quickly to high-risk incidents.
+ Utilizes various systems to accurately document fraud attempts, trends, and loss events.
+ Conducts due diligence research within various third party and internal databases to make fraud determinations.
+ Reviews various reporting and provides approvals and guidance to front-line employees.
+ Engages management on fraud-related incidents and emerging trends and makes recommendations for process improvement.
Knowledge, Skills & Abilities
+ Knowledge of banking laws and regulations.
+ Ability to communicate effectively and efficiently both verbally and in writing with all levels of management and staff.
+ Ability to handle moderately complex situations requiring analysis or research while using independent judgement.
+ Ability to work under general supervision.
+ Ability to exercise discretion and sound judgment in decision making and maintain confidentiality.
+ Ability to demonstrate initiative to accomplish work objectives.
+ Ability to apply logic, interpret documents, and demonstrate ability to comply with procedures.
+ Ability to work effectively in a fast paced and team environment.
+ Ability to multi-task with excellent organizational skills.
+ Ability to read and analyze data for suspicious behavior.
+ Ability to maintain attention to detail.
+ Ability to demonstrate effective time management skills and meet deadlines in a timely manner.
+ Ability to work effectively and demonstrate flexibility in a continually changing environment.
+ Ability to work extended hours.
+ Skill in using a computer and Microsoft Office, including Outlook, Word, Excel, and PowerPoint.
Basic Qualifications
+ Bachelor's degree or commensurate work experience, required.
+ One (1) or more years of work experience in fraud detection and/or Bank Secrecy Act reporting, required.
+ One (1) or more years of prior financial institution work experience required.
Job Expectations
Job Expectations: O perate customary equipment and technology used in a business environment, with or without accommodation.
Note: This description is not an exhaustive list of all job functions, duties, skills, and job standards required. Other job functions, duties, skills, and standards may be added. Management reserves the right to add or change the job requirements at any time.
EEO Statement
Bank OZK is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by federal, state, and local law. Member FDIC.
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5
Fraud Analyst
33765 Clearwater, Florida
Bank OZK
Posted 2 days ago
Job Viewed
Job Description
Job Purpose & Scope
Performs complex reviews of high-risk activity leveraging internal and external data sources to detect and mitigate fraud loss for stakeholders.
Essential Job Functions
+ Performs proactive fraud reviews derived from various alert and non-alert based sources to minimize fraud impacts.
+ Responds to fraud incidents as described within the Bank's Fraud Risk Management Program.
+ Researches and forms initial determinations for moderately complex situations to mitigate potential losses to the Bank and stakeholders while providing detailed documentation.
+ Analyzes and investigates unusual activity and transactional patterns through account surveillance, review of client background information, monetary transactions, and branch escalations while responding quickly to high-risk incidents.
+ Utilizes various systems to accurately document fraud attempts, trends, and loss events.
+ Conducts due diligence research within various third party and internal databases to make fraud determinations.
+ Reviews various reporting and provides approvals and guidance to front-line employees.
+ Engages management on fraud-related incidents and emerging trends and makes recommendations for process improvement.
Knowledge, Skills & Abilities
+ Knowledge of banking laws and regulations.
+ Ability to communicate effectively and efficiently both verbally and in writing with all levels of management and staff.
+ Ability to handle moderately complex situations requiring analysis or research while using independent judgement.
+ Ability to work under general supervision.
+ Ability to exercise discretion and sound judgment in decision making and maintain confidentiality.
+ Ability to demonstrate initiative to accomplish work objectives.
+ Ability to apply logic, interpret documents, and demonstrate ability to comply with procedures.
+ Ability to work effectively in a fast paced and team environment.
+ Ability to multi-task with excellent organizational skills.
+ Ability to read and analyze data for suspicious behavior.
+ Ability to maintain attention to detail.
+ Ability to demonstrate effective time management skills and meet deadlines in a timely manner.
+ Ability to work effectively and demonstrate flexibility in a continually changing environment.
+ Ability to work extended hours.
+ Skill in using a computer and Microsoft Office, including Outlook, Word, Excel, and PowerPoint.
Basic Qualifications
+ Bachelor's degree or commensurate work experience, required.
+ One (1) or more years of work experience in fraud detection and/or Bank Secrecy Act reporting, required.
+ One (1) or more years of prior financial institution work experience required.
Job Expectations
Job Expectations: O perate customary equipment and technology used in a business environment, with or without accommodation.
Note: This description is not an exhaustive list of all job functions, duties, skills, and job standards required. Other job functions, duties, skills, and standards may be added. Management reserves the right to add or change the job requirements at any time.
EEO Statement
Bank OZK is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by federal, state, and local law. Member FDIC.
Performs complex reviews of high-risk activity leveraging internal and external data sources to detect and mitigate fraud loss for stakeholders.
Essential Job Functions
+ Performs proactive fraud reviews derived from various alert and non-alert based sources to minimize fraud impacts.
+ Responds to fraud incidents as described within the Bank's Fraud Risk Management Program.
+ Researches and forms initial determinations for moderately complex situations to mitigate potential losses to the Bank and stakeholders while providing detailed documentation.
+ Analyzes and investigates unusual activity and transactional patterns through account surveillance, review of client background information, monetary transactions, and branch escalations while responding quickly to high-risk incidents.
+ Utilizes various systems to accurately document fraud attempts, trends, and loss events.
+ Conducts due diligence research within various third party and internal databases to make fraud determinations.
+ Reviews various reporting and provides approvals and guidance to front-line employees.
+ Engages management on fraud-related incidents and emerging trends and makes recommendations for process improvement.
Knowledge, Skills & Abilities
+ Knowledge of banking laws and regulations.
+ Ability to communicate effectively and efficiently both verbally and in writing with all levels of management and staff.
+ Ability to handle moderately complex situations requiring analysis or research while using independent judgement.
+ Ability to work under general supervision.
+ Ability to exercise discretion and sound judgment in decision making and maintain confidentiality.
+ Ability to demonstrate initiative to accomplish work objectives.
+ Ability to apply logic, interpret documents, and demonstrate ability to comply with procedures.
+ Ability to work effectively in a fast paced and team environment.
+ Ability to multi-task with excellent organizational skills.
+ Ability to read and analyze data for suspicious behavior.
+ Ability to maintain attention to detail.
+ Ability to demonstrate effective time management skills and meet deadlines in a timely manner.
+ Ability to work effectively and demonstrate flexibility in a continually changing environment.
+ Ability to work extended hours.
+ Skill in using a computer and Microsoft Office, including Outlook, Word, Excel, and PowerPoint.
Basic Qualifications
+ Bachelor's degree or commensurate work experience, required.
+ One (1) or more years of work experience in fraud detection and/or Bank Secrecy Act reporting, required.
+ One (1) or more years of prior financial institution work experience required.
Job Expectations
Job Expectations: O perate customary equipment and technology used in a business environment, with or without accommodation.
Note: This description is not an exhaustive list of all job functions, duties, skills, and job standards required. Other job functions, duties, skills, and standards may be added. Management reserves the right to add or change the job requirements at any time.
EEO Statement
Bank OZK is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by federal, state, and local law. Member FDIC.
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6
Fraud Analyst
33765 Clearwater, Florida
Bank OZK
Posted 2 days ago
Job Viewed
Job Description
Job Purpose & Scope
Performs complex reviews of high-risk activity leveraging internal and external data sources to detect and mitigate fraud loss for stakeholders.
Essential Job Functions
+ Performs proactive fraud reviews derived from various alert and non-alert based sources to minimize fraud impacts.
+ Responds to fraud incidents as described within the Bank's Fraud Risk Management Program.
+ Researches and forms initial determinations for moderately complex situations to mitigate potential losses to the Bank and stakeholders while providing detailed documentation.
+ Analyzes and investigates unusual activity and transactional patterns through account surveillance, review of client background information, monetary transactions, and branch escalations while responding quickly to high-risk incidents.
+ Utilizes various systems to accurately document fraud attempts, trends, and loss events.
+ Conducts due diligence research within various third party and internal databases to make fraud determinations.
+ Reviews various reporting and provides approvals and guidance to front-line employees.
+ Engages management on fraud-related incidents and emerging trends and makes recommendations for process improvement.
Knowledge, Skills & Abilities
+ Knowledge of banking laws and regulations.
+ Ability to communicate effectively and efficiently both verbally and in writing with all levels of management and staff.
+ Ability to handle moderately complex situations requiring analysis or research while using independent judgement.
+ Ability to work under general supervision.
+ Ability to exercise discretion and sound judgment in decision making and maintain confidentiality.
+ Ability to demonstrate initiative to accomplish work objectives.
+ Ability to apply logic, interpret documents, and demonstrate ability to comply with procedures.
+ Ability to work effectively in a fast paced and team environment.
+ Ability to multi-task with excellent organizational skills.
+ Ability to read and analyze data for suspicious behavior.
+ Ability to maintain attention to detail.
+ Ability to demonstrate effective time management skills and meet deadlines in a timely manner.
+ Ability to work effectively and demonstrate flexibility in a continually changing environment.
+ Ability to work extended hours.
+ Skill in using a computer and Microsoft Office, including Outlook, Word, Excel, and PowerPoint.
Basic Qualifications
+ Bachelor's degree or commensurate work experience, required.
+ One (1) or more years of work experience in fraud detection and/or Bank Secrecy Act reporting, required.
+ One (1) or more years of prior financial institution work experience required.
Job Expectations
Job Expectations: O perate customary equipment and technology used in a business environment, with or without accommodation.
Note: This description is not an exhaustive list of all job functions, duties, skills, and job standards required. Other job functions, duties, skills, and standards may be added. Management reserves the right to add or change the job requirements at any time.
EEO Statement
Bank OZK is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by federal, state, and local law. Member FDIC.
Performs complex reviews of high-risk activity leveraging internal and external data sources to detect and mitigate fraud loss for stakeholders.
Essential Job Functions
+ Performs proactive fraud reviews derived from various alert and non-alert based sources to minimize fraud impacts.
+ Responds to fraud incidents as described within the Bank's Fraud Risk Management Program.
+ Researches and forms initial determinations for moderately complex situations to mitigate potential losses to the Bank and stakeholders while providing detailed documentation.
+ Analyzes and investigates unusual activity and transactional patterns through account surveillance, review of client background information, monetary transactions, and branch escalations while responding quickly to high-risk incidents.
+ Utilizes various systems to accurately document fraud attempts, trends, and loss events.
+ Conducts due diligence research within various third party and internal databases to make fraud determinations.
+ Reviews various reporting and provides approvals and guidance to front-line employees.
+ Engages management on fraud-related incidents and emerging trends and makes recommendations for process improvement.
Knowledge, Skills & Abilities
+ Knowledge of banking laws and regulations.
+ Ability to communicate effectively and efficiently both verbally and in writing with all levels of management and staff.
+ Ability to handle moderately complex situations requiring analysis or research while using independent judgement.
+ Ability to work under general supervision.
+ Ability to exercise discretion and sound judgment in decision making and maintain confidentiality.
+ Ability to demonstrate initiative to accomplish work objectives.
+ Ability to apply logic, interpret documents, and demonstrate ability to comply with procedures.
+ Ability to work effectively in a fast paced and team environment.
+ Ability to multi-task with excellent organizational skills.
+ Ability to read and analyze data for suspicious behavior.
+ Ability to maintain attention to detail.
+ Ability to demonstrate effective time management skills and meet deadlines in a timely manner.
+ Ability to work effectively and demonstrate flexibility in a continually changing environment.
+ Ability to work extended hours.
+ Skill in using a computer and Microsoft Office, including Outlook, Word, Excel, and PowerPoint.
Basic Qualifications
+ Bachelor's degree or commensurate work experience, required.
+ One (1) or more years of work experience in fraud detection and/or Bank Secrecy Act reporting, required.
+ One (1) or more years of prior financial institution work experience required.
Job Expectations
Job Expectations: O perate customary equipment and technology used in a business environment, with or without accommodation.
Note: This description is not an exhaustive list of all job functions, duties, skills, and job standards required. Other job functions, duties, skills, and standards may be added. Management reserves the right to add or change the job requirements at any time.
EEO Statement
Bank OZK is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by federal, state, and local law. Member FDIC.
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7
Fraud Analyst
94103, California
Robert Half
Posted 2 days ago
Job Viewed
Job Description
Description
We are looking for an experienced Business Analyst to join our team in San Francisco, California. In this long-term contract role, you will play a critical part in identifying and mitigating fraud risks while ensuring a seamless customer experience. If you are skilled in fraud analytics, data analysis, and cross-functional collaboration, this opportunity will allow you to make a meaningful impact in a dynamic and fast-paced environment. This position is hybrid with 2 days onsite required.
Responsibilities:
- Monitor and analyze fraud metrics to identify trends and emerging risks.
- Conduct in-depth investigations on flagged accounts and transactions to validate legitimate customers and reduce friction.
- Develop and maintain dashboards and reports to track fraud KPIs using tools like Snowflake and Tableau.
- Collaborate with cross-functional teams to identify gaps in payment and sign-up processes.
- Provide actionable recommendations to reduce fraud losses and enhance detection accuracy.
- Partner with stakeholders to refine fraud detection policies and workflows.
- Translate data insights into strategic recommendations for business leaders.
- Contribute to the development of scalable fraud prevention strategies while addressing immediate challenges.
- Work closely with engineering and product teams to implement fraud solutions.
- Stay informed about evolving fraud trends to proactively address potential vulnerabilities.
Requirements
- Minimum of 5 years of experience in fraud and risk analysis within SaaS, eCommerce, or FinTech industries.
- Strong expertise in digital fraud prevention, payments risk, chargebacks, and account abuse.
- Advanced proficiency in querying and analyzing large datasets using tools like Snowflake and Tableau.
- Demonstrated ability to conduct detailed investigations and provide strategic insights.
- Excellent communication skills, with a talent for presenting data-driven findings to senior leadership.
- Familiarity with SQL and Snowflake is a plus.
- Understanding of machine learning in the context and appllication of fraud.
- Self-starter with the ability to manage workflows and deliver results independently.
- Proven experience in collaborating with cross-functional teams to implement fraud prevention strategies.
Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app ( and get 1-tap apply, notifications of AI-matched jobs, and much more.
Robert Half will consider qualified applicants with criminal histories in a manner consistent with the requirements of the San Francisco Fair Chance Ordinance. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use ( .
We are looking for an experienced Business Analyst to join our team in San Francisco, California. In this long-term contract role, you will play a critical part in identifying and mitigating fraud risks while ensuring a seamless customer experience. If you are skilled in fraud analytics, data analysis, and cross-functional collaboration, this opportunity will allow you to make a meaningful impact in a dynamic and fast-paced environment. This position is hybrid with 2 days onsite required.
Responsibilities:
- Monitor and analyze fraud metrics to identify trends and emerging risks.
- Conduct in-depth investigations on flagged accounts and transactions to validate legitimate customers and reduce friction.
- Develop and maintain dashboards and reports to track fraud KPIs using tools like Snowflake and Tableau.
- Collaborate with cross-functional teams to identify gaps in payment and sign-up processes.
- Provide actionable recommendations to reduce fraud losses and enhance detection accuracy.
- Partner with stakeholders to refine fraud detection policies and workflows.
- Translate data insights into strategic recommendations for business leaders.
- Contribute to the development of scalable fraud prevention strategies while addressing immediate challenges.
- Work closely with engineering and product teams to implement fraud solutions.
- Stay informed about evolving fraud trends to proactively address potential vulnerabilities.
Requirements
- Minimum of 5 years of experience in fraud and risk analysis within SaaS, eCommerce, or FinTech industries.
- Strong expertise in digital fraud prevention, payments risk, chargebacks, and account abuse.
- Advanced proficiency in querying and analyzing large datasets using tools like Snowflake and Tableau.
- Demonstrated ability to conduct detailed investigations and provide strategic insights.
- Excellent communication skills, with a talent for presenting data-driven findings to senior leadership.
- Familiarity with SQL and Snowflake is a plus.
- Understanding of machine learning in the context and appllication of fraud.
- Self-starter with the ability to manage workflows and deliver results independently.
- Proven experience in collaborating with cross-functional teams to implement fraud prevention strategies.
Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app ( and get 1-tap apply, notifications of AI-matched jobs, and much more.
Robert Half will consider qualified applicants with criminal histories in a manner consistent with the requirements of the San Francisco Fair Chance Ordinance. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use ( .
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8
Fraud Analyst
21217 Baltimore, Maryland
Amentum
Posted 2 days ago
Job Viewed
Job Description
+ Review data from vendors who provide health care services paid by the federal government to identify anomalies that might be indicative of improper billing or other types of fraud.
+ Initiate contacts with federal, state, and local officials, and other organizations, including Medicare and Medicaid contractors, related to the subject of the investigation for the purpose of gathering facts, obtaining records, learning sequences of events, obtaining explanations, and otherwise advancing investigative objectives.
+ Examine records, correspondence, audits, or reviews pertaining to the transactions, events, or allegations under investigation.
+ Establish and verify relationships among all facts and evidence obtained and presented to confirm authenticity of documents, corroborate witness statements, and otherwise build proof necessary to successful case resolution.
+ Travel with USAO MD personnel to conduct interviews.
+ Work with independent experts/consultants.
**Required Qualifications:**
+ Must be able to obtain and maintain MRPT facility credentials/authorization. Note: US Citizenship is required for MRPT facility credentials/authorization at this work location.
+ Experience in document analysis, particularly in relation to fraud cases.
+ Two years' experience in performing on-line database research and telephone research.
+ Working knowledge of various public repositories of information.
+ Familiarity with specific subject matter helpful.
+ Medicare and Medicaid claims, student loan programs, DoD contracting, etc.
+ Excellent oral and written communication skills.
+ Undergraduate degree preferred; familiarity with automated litigation support helpful.
Location: Baltimore, MD
Compensation & Benefits
HIRING HOURLY RANGE: $29.01 (Hourly rate to be determined by the education, experience, knowledge, skills, and abilities of the applicant internal equity, and alignment with market data.)
This position includes a competitive benefits package. For more detailed information on our Benefits and what it is like to work for Amentum: please visit our careers site: is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, sex, sexual orientation, pregnancy (including pregnancy, childbirth, breastfeeding, or medical conditions related to pregnancy, childbirth, or breastfeeding), age, ancestry, United States military or veteran status, color, religion, creed, marital or domestic partner status, medical condition, genetic information, national origin, citizenship status, low-income status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any other protected category under federal, state, or local law. Learn more about your rights under Federal laws and supplemental language at Labor Laws Posters ( .
+ Initiate contacts with federal, state, and local officials, and other organizations, including Medicare and Medicaid contractors, related to the subject of the investigation for the purpose of gathering facts, obtaining records, learning sequences of events, obtaining explanations, and otherwise advancing investigative objectives.
+ Examine records, correspondence, audits, or reviews pertaining to the transactions, events, or allegations under investigation.
+ Establish and verify relationships among all facts and evidence obtained and presented to confirm authenticity of documents, corroborate witness statements, and otherwise build proof necessary to successful case resolution.
+ Travel with USAO MD personnel to conduct interviews.
+ Work with independent experts/consultants.
**Required Qualifications:**
+ Must be able to obtain and maintain MRPT facility credentials/authorization. Note: US Citizenship is required for MRPT facility credentials/authorization at this work location.
+ Experience in document analysis, particularly in relation to fraud cases.
+ Two years' experience in performing on-line database research and telephone research.
+ Working knowledge of various public repositories of information.
+ Familiarity with specific subject matter helpful.
+ Medicare and Medicaid claims, student loan programs, DoD contracting, etc.
+ Excellent oral and written communication skills.
+ Undergraduate degree preferred; familiarity with automated litigation support helpful.
Location: Baltimore, MD
Compensation & Benefits
HIRING HOURLY RANGE: $29.01 (Hourly rate to be determined by the education, experience, knowledge, skills, and abilities of the applicant internal equity, and alignment with market data.)
This position includes a competitive benefits package. For more detailed information on our Benefits and what it is like to work for Amentum: please visit our careers site: is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, sex, sexual orientation, pregnancy (including pregnancy, childbirth, breastfeeding, or medical conditions related to pregnancy, childbirth, or breastfeeding), age, ancestry, United States military or veteran status, color, religion, creed, marital or domestic partner status, medical condition, genetic information, national origin, citizenship status, low-income status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any other protected category under federal, state, or local law. Learn more about your rights under Federal laws and supplemental language at Labor Laws Posters ( .
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9