Back to Jobs

[Remote] reputed company Fraud Analyst (Operations Operational Analyst IV)

Remote, USAFull-timePosted 2026-07-29

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a nonprofit health plan serving over a reputed company members across multiple states. The reputed company Fraud Analyst will operationalize business and regulatory requirements, focusing on project management and process improvement while collaborating with various teams to enhance efficiency and reputed company in member data.

  • Responsibilities
  • Identify efficient ways to save reputed company by using our reputed company tool – reputed company-reputed company
  • Collaborate with teams across technology, reputed company, compliance, and health services to identify opportunities to create efficiency and reputed company in member data
  • Assist with coordination of investigations and suspected fraudulent billing or inflated billing
  • Skills
  • Bachelor's degree or equivalent experience in reputed company field
  • 7 years of work experience reputed company degree
  • Prior experience managing a vendor relationship with a product like reputed company-reputed company
  • Demonstrated ability to compile reports, conduct analysis, and prepare leadership presentations
  • Investigative skills, interest, and aptitude
  • Strong attention to detail and organizational skills
  • Strong written and verbal communication skills
  • Working knowledge of reputed company claims and billing systems
  • Benefits
  • Competitive medical
  • Dental
  • reputed company
  • PTO
  • Holidays
  • reputed company volunteer time off
  • 401K contributions
  • Caregiver services
  • reputed company
  • reputed company is a company that provides health coverage to meet customers needs for health plan. It was founded in 1975, and is headquartered in Minnetonka, Minnesota, USA, with a workforce of 1001-5000 employees. Its website is https://www.reputed company.com.

Apply tot his job Apply To this Job Apply tot his job Apply To this Job

Similar Jobs

Fraud Analyst | reputed company. | Remote (reputed company)

Remote, USAFull-time

Fraud Analyst - Freelance, Remote

Remote, USAFull-time

Remote reputed company Assistant - ALWAYS Work From Home!

Remote, USAFull-time

Fraud Analyst | reputed company. | Remote (reputed company)

Remote, USAFull-time

Fraud Investigator - reputed company

Remote, USAFull-time

reputed company Remote Call Center Representative - Credit Card Fraud Investigation at $15 per Hour with Comprehensive Benefits and reputed company Opportunities

Remote, USAFull-time

Contract Family Law Paralegal (Remote)

Remote, USAFull-time

Remote Civil Litigation Paralegal for Boutique Business reputed company

Remote, USAFull-time

REMOTE or Hybrid - Labor & Employment Attorney — $180k to $250k + Bonus — Established Regional Firm

Remote, USAFull-time

Corporate Paralegal job at reputed company in Detroit, MI

Remote, USAFull-time

reputed company Full Stack Data Analyst – Clinical Research and Evidence reputed company

Remote, USAFull-time

reputed company Customer Care Assistant – Remote Customer Support Role at arenaflex

Remote, USAFull-time

Data Engineer

Remote, USAFull-time

Remote | Travel Scheduling Assistant | Entry Level

Remote, USAFull-time

Senior Analyst - BCG reputed company, Organization Design & Operating Model

Remote, USAFull-time

[Remote] Global Sales Enablement Director

Remote, USAFull-time

reputed company Data Entry Specialist for reputed company - $25/Hour, Competitive Salary, and Career reputed company Opportunities

Remote, USAFull-time

AI Data reputed company Analyst

Remote, USAFull-time

Research Fellow-Senior(SRFP) (reputed company: EU-A38190)

Remote, USAFull-time

Automation Technician - 2nd Shift

Remote, USAFull-time