Fraud & Payment Integrity Analytics Lead
Blue Cross and Blue Shield of North Carolina
Blue Cross and Blue Shield of North Carolina is seeking a strategic analytics partner for the Special Investigations Unit and Payment Integrity teams. You will deliver business intelligence, financial reporting, and operational insights, combining data analysis with stakeholder engagement to identify fraud, waste, abuse, and payment accuracy opportunities. The role involves developing reporting solutions to support provider investigations, overpayment recovery, and audit programs, translating #J-18808-Ljbffr Blue Cross and Blue Shield of North Carolina
- CVS Health is seeking a Program Integrity Manager to lead Medicaid, Payment Integrity and SIU activities, ensuring compliance with state and federal requirements and promoting fraud, waste and abuse prevention. You will partner with health plan leadership, compliance, and...Fraud
- ...a dedicated team and lead key activities across... ...uplift initiatives as a payments SME. Job responsibilitiesDirects... ...teams, including integration, testing strategy... ...cycle, design, and data analytics.Experience with ISO 20... ...with screening/fraud controls, investigations...Fraud
- Capital One in McLean, VA is seeking a Sr. Business Manager in EP Strategy & Analytics to shape strategic initiatives across payments. You will lead a team of analysts, partner with IT, Sales, Operations, and Finance to test strategies, build business cases, and drive profitability...Suggested
- ...is seeking an individual to ensure the integrity and accuracy of claims processes in the... ...customer claims, focusing on identifying fraud, waste, and discrepancies while adhering... ...Examiner designation preferred. Strong analytical skills and attention to detail are essential...Fraud
- Join our Fraud Strategy team to detect emerging fraud patterns and... ...senior levels. As a Quant Analytics Associate on the Consumer & Community... ...- Data mining, ensuring data integrity, synthesizing and... ...years’ experience in fraud/risk/payments or related field Proven track...FraudFull timeWork experience placement
- OU Medicine in Oklahoma is seeking a Revenue Integrity Liaison - Education/Auditing to lead complex revenue integrity initiatives and act as an internal consultant. You will analyze professional billing workflows, monitor performance metrics, and support departments and...
$140k - $225k
Collectors is the leading creator of innovative technology... ...-on Sr HR Reporting & Analytics Manager to join our... ...like Claude and MCP integrations with Workday and... ...business units. This type of fraud can be carried out... ...do we send or request payments for the purchase of business...FraudFull timeWork at officeImmediate startRemote workWorldwideFlexible hoursShift work$185k - $215k
Lead, Data Analytics & Business Intelligence — Pearson Higher EducationDescription: This role aligns to Industry Level Titles such as Product... ...analytics for Pearson's Higher Education (HE) courseware, integrations, and content authoring portfolio — products used by...Full time- ...Lead Client Services Program Manager NiCE Actimize is currently... ...is to deliver managed analytics services to NICE Actimize customers... ...services, including fraud detection, transaction monitoring... ...stakeholders. High level of integrity and discretion, handling confidential...FraudWork at officeRemote workFlexible hours
- Merchant Services is the global payment processing business for JPMorgan Chase &... ...transaction volume. Merchant Services is a leading provider of payment, fraud, and data security for companies of... ...point of coordination.Execute an integrated coverage strategy with the...Fraud
- ...meaningful change, we want to hear from you. As an Applied AI ML Lead in the Chief Data & Analytics Office, you will lead the development and deployment of... ...both proof-of-concept and production-ready solutions. Integrate generative AI within the ML platform using state-of-the-...Work at office
$41 - $54 per hour
...operations. ABOUT THE JOB The R&D Lead Technician orchestrates the... ...the engineering team Build, integrate, and test complex electro-mechanical... ...often attempt to extract payment or sensitive personal information... .... What to Do If You Suspect Fraud: Should you encounter any...FraudHourly payFull timeWork experience placementImmediate startFlexible hours$87.2k - $130.8k
...Senior Clinical Reporting & Analytics Analyst leads reporting, analytics, and... ...develops Power BI dashboards, integrates data across clinical and... ...perspectivas únicos.**Recruitment Fraud Alert**We are aware of... ...will never ask for payment or sensitive personal information...FraudH1bLocal areaImmediate startFlexible hours$200k - $235k
The Senior Director, Payments will lead Caesars Digital’s end-to-end payments business, owning the... ...experience, payment economics, risk, fraud, AML, and regulatory requirements while... ...mentalityDeeply data-driven, with strong analytical and decision-making rigorCustomer...FraudContract workTemporary workFlexible hours$126k - $198k
...**FICO (NYSE: FICO)** is a leading global analytics software company, helping businesses... ...Platform and Enterprise Fraud Solutions (EFS). This role... ...other members of FICO’s Integrated Learning Organization (ILO)... ...and Security — 4 billion payment cards globally are protected...FraudRemote workWork from homeWorldwide$250k
...Description As a Desk Property Lead Consultant, you will be... ...repair, including structural integrity and home systems and evolving... ...skills Determines subrogation or fraud potential and how to handle... ...to comply. #LI-AS2 Skills Analytical Thinking, Claims Resolution,...FraudWork at officeWork from homeVisa sponsorshipWork visaRelocation package- Boldly, lead architecture for Merchant Services (MS) Platform—build... ...Services is the global payment processing business for JPMorgan... ...leading provider of payment, fraud, and data security for companies... ...cycle, technical design, and data analytics; Extensive experience and...Fraud
- University of Georgia seeks a Senior Director of Competitive Analytics & Decision Science to lead embedded analytics for athletics. You will own the vision and roadmap for unified information systems, integrating data across recruiting, NIL, revenue, and finance to...
- Dayton Children's is looking for a Revenue Integrity Analyst to work in a hybrid model from home, focusing on ensuring accurate billing... ...a Bachelor’s degree in a related field and possess strong analytical skills, particularly with EPIC and coding systems. The position...Remote jobFull time
- ...the support of our outstanding leaders and teammates. The Lead, Data Analytics plays a critical role within FOCUS' Group's Data & Technology... ...data engineering to resolve root causes and improve data integrity. Synthesize findings into clear, compelling narratives for...Temporary workWork experience placementImmediate startRemote workMonday to FridayFlexible hours
- ...seeking a Partner Development Manager to shape and manage Link's payments partnerships with networks, issuers, and crypto providers. You... ...’s capabilities. The role emphasizes negotiation, technical integration, and building alignment with executive partners to position...
- ...Developer Relations Manager for Data Processing and Databases to advance GPU-accelerated analytics across engines and platforms. You will work with ecosystem partners to demonstrate, integrate, and validate NVIDIA's data processing stack in real-world query engines and OLAP...Remote job
- ...store tax and increasing LTV. Leading game studios run their direct... ...role As our first dedicated Payments PM, you'll own payments end to... ...or declined transactions, fraud-vs-conversion tradeoffs, and... ...conversion into checkout, and partner integration experience are owned by our...FraudRemote work
- ...supporting a culture that encourages integrity, respect, excellence, and innovationStay... ..., or CIAKnowledge of coding, data analytics, cybersecurity controls, cloud design... ...distributed technologiesExperience with the payments industry or fraud risk is strongly...FraudVisa sponsorship
- Payment Operations Specialist - US Customer Support & Operations • Remote - US About LumiMeds... .... Monitor payment activity to identify fraud trends or recurring operational issues.... ...or recurring billing models. Strong analytical and problem-solving skills. Excellent...FraudRemote work
$46.99k - $122.4k
...at a time. Position Summary The Program Integrity Auditor is responsible for the review of... ...referral to state regulators for any suspected fraud, waste, or abuse (FWA). The Auditor must... ...experience with QuickBase. Strong analytical and critical thinking skills. Strong...FraudHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours$209.5k - $239.1k
Director, Assistant General Counsel - Global Payment Network, Network Participant Risk The... ...participant risk space, including fraud, high brand risk, and network participant... ...have the following: Top tier smarts and analytical skills Ability to understand complex topics...FraudFull timePart timeLocal area3 days per week- Panelmatic, Inc. in Houston seeks an Integration Supervisor to lead the day-to-day operations of the integration team. You will supervise personnel, coordinate production activities, and ensure high-quality control panels and automation systems. The ideal candidate will...
- ...digital wallet, and DeFi integrations. Beyond our consumer... ...from KYC and payment processing to liquidity... ...We're big enough to lead the charge in decentralized... ...disputes defensible, and fraud controls sharp as we scale... ...platforms and analytics tooling; you answer your...FraudPermanent employment
- Stash LLC is seeking its first dedicated Payments Product Manager to own payments end to end across Stash Pay, Webshop, and beyond. You’ll optimize authorization rate, routing, retry, and fraud controls, while ensuring MoR obligations and regional tax compliance. This...Fraud
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Fraud & Payment Integrity Analytics Lead. Be the first to apply!

