Top 91 Fraud prevention Jobs in Bothell Wa

Investigator III
Premera Blue Cross —Mountlake Terrace, WA
- $80,200 - $118,300 a year
- Online Application
- Hybrid work
- Background check
- Nursing
- Office
- Free parking
- Wellness program
4d
FRAML Specialist
Salal Credit Union —Seattle, WA
- $26.43 - $32.00 an hour
- Full-time
- Remote
- Research
- Mid-level
- High school diploma or GED
- Health savings account
- AD&D insurance
Quick Apply
Analyst, Content Safety
Google —Kirkland, WA
- $116,000 - $167,000 a year
- Full-time
- Computer Science
- Mid-level
- Java
- Paid holidays
- Disability insurance
Manager Field Loss Prevention-Seattle,WA
Staples, Inc. —Seattle, WA
- $80,000 - $113,000 a year
- Up to 50% travel
- Supervising experience
- Bachelor's degree
- Store discount
- Paid holidays
Fraud Abuse Specialist, Digital Fraud & Abuse
GEICO —Seattle, WA
- $100,000 - $215,000 a year
- Full-time
- Computer science
- Computer Science
- 5 years
Senior Product Manager - Fraud & Risk
Expedia —Seattle, WA
- $173,000 - $277,000 a year
- Full-time
- Master's degree
- 8 years
- Bachelor's degree
- Health insurance
- Dental insurance
Security and Loss Prevention Expert, NA
Amazon.com Services LLC —Tukwila, WA
- $80,200 - $86,700 a year
- Full-time
- Up to 50% travel
- Inventory management
- Military
- AD&D insurance
- Health insurance
12d
AI Copywriter
Socure —Seattle, WA
- $100,000 - $125,000 a year
- Full-time
- Hybrid work
- English
- 1 year
- Entry level
Senior Product Manager - Tech, AWS Payments and Fraud Prevention
Amazon.com Services LLC —Seattle, WA
- $151,200 - $204,600 a year
- Full-time
- 5 years
- Business development
- Bachelor's degree
- AD&D insurance
- Health insurance
Manager III, Risk Management, REs-Q - Risk Mitigation, Escalation Reduction, and Quality Assurance
Amazon.com Services LLC —Seattle, WA
- $133,300 - $180,300 a year
- Full-time
- 7 years
- CPA
- Master's degree
- AD&D insurance
- Health insurance
Special Agent: Military/Law Enforcement Expertise
Federal Bureau of Investigation —Seattle, WA
- $103,326 - $133,200 a year
- Full-time
- Military
- Mid-level
- Bachelor's degree
Office Manager/Administrative Assistant
nextSource Connect —Seattle, WA
- $30 - $34 an hour
- Temporary
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
3d
Senior Product Manager - Tech, External Services, AWS Payments & Fraud Prevention
Amazon Development Center U.S., Inc. —Seattle, WA
- $152,200 - $205,900 a year
- Full-time
- Computer science
- Computer Science
- 5 years
- AD&D insurance
- Health insurance
Integrations Program Manager, Twitch
Twitch Interactive, Inc. - D48 —Seattle, WA
- $81,600 - $142,800 a year
- Full-time
- Office
- 3 years
- Fair chance
- AD&D insurance
- Disability insurance
Accounting Operations Program Manager
Alaska Airlines —SeaTac, WA
- $122,800 - $184,200 a year
- Full-time
- 18 years or older
- System design
- Office
- Paid holidays
- Health insurance
Sr Product Managers, Technical
T-Mobile USA, Inc. —Bothell, WA
- $286,270 - $291,270 a year
- Online Application
- 18 years or older
- 5 years
- Office
- Paid parental leave
- AD&D insurance
Accounts Payable Manager
Whatnot —Seattle, WA
- $140,000 - $180,000 a year
- Full-time
- Remote
- CPA
- 5 years
- Finance
- Paid parental leave
- Health insurance
Applied Scientist II, Identity Security & Abuse Prevention
Amazon.com Services LLC —Seattle, WA
- $142,800 - $193,200 a year
- Full-time
- Java
- Master's degree
- C++
- AD&D insurance
- Health insurance
Principal PMT-ES, AWS Payments and Fraud Prevention
Amazon Development Center U.S., Inc. —Seattle, WA
- $181,100 - $245,000 a year
- Full-time
- Computer Science
- 5 years
- Finance
- AD&D insurance
- Health insurance
Senior Business Analyst, Relay Trust
Amazon.com Services LLC —Bellevue, WA
- $118,200 - $160,000 a year
- Full-time
- 5 years
- Analysis skills
- Bachelor's degree
- AD&D insurance
- Health insurance

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Investigator III

Premera Blue Cross -
Mountlake Terrace, WA

Apply Now

Job Details

Full-time
$80,200 - $118,300 a year
4 days ago

Benefits

Free parking
Wellness program
Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Pension plan
Vision insurance
401(k) matching
Pet insurance

Qualifications

Optimizing workflow processes
Criminal procedure
Healthcare financial misconduct investigations
Nursing
Confidential information handling
Database systems
Data mining
Investigative interviewing techniques
Bachelor's degree in finance
Spreadsheets
Healthcare Administration
Health insurance policy knowledge
Regulatory compliance
Court testimony
Certified Fraud Examiner
Surveillance investigations
Process improvement
Technical report writing
Bachelor's degree in business administration
Finance
Criminal Justice
Medical claims processing software
Certified Professional Coder
ICD-10
HCPCS
Insurance investigation report preparation
Conflict resolution for legal services
Collaborating with law enforcement agencies
Healthcare billing investigations
Bachelor's degree in healthcare administration

Full Job Description

Workforce Classification:

Hybrid

Join Our Team: Do Meaningful Work and Improve People’s Lives

Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare.

Premera is committed to being a workplace where people feel empowered to grow, innovate, and lead with purpose. By investing in our employees and fostering a culture of collaboration and continuous development, we’re able to better serve our customers. It’s this commitment that has earned us recognition as one of the best companies to work for. Learn more about our recent awards and recognitions as a greatest workplace.

Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com/ .

As a member of Premera’s Special Investigations Unit (SIU), the Investigator III leads complex investigations into allegations of external fraud, waste, and abuse (FWA). This role manages medium to ‑high complexity cases from initiation through resolution, producing thorough, ‑well documented investigative reports that may be subject to legal discovery. The Investigator III conducts detailed analysis, collaborates closely with SIU colleagues, and balances multiple investigations simultaneously. In this role, you will also work to identify and recover improper payments resulting from fraudulent or misrepresentative billing, while ensuring all investigative activities comply with‑ company policies, regulatory requirements, and applicable laws. As a not-for-profit‑ organization, Premera offers the opportunity to do this work with a genuine focus on doing what’s right for our members—supported by leaders who believe in the impact this team makes, not just the metrics.

This hybrid role can be based in Anchorage, Mountlake Terrace, or Spokane.

What you’ll do:

Analyze healthcare claim data and vet referrals to detect fraudulent activity and independently determine the most effective and efficient method of investigation for each individual case.
Perform investigative field work to include on-site office visits, record collection, and surveillance.
Interview suspects and witnesses.
Prepare cases, testify and give depositions to law enforcement and regulatory agencies for potential criminal prosecution.
Participate in settlement negotiations with attorneys and other responsible parties.
Perform root cause analysis of identified issues and prepare post-investigative reports directed towards the prevention of fraud.
Make recommendations for creating SIU policies, procedures, workflows and process improvements.
Develop and maintain collaborative and liaison relationships with Blue Cross Blue Shield Association (BCBSA), Blue Cross Blue Shield (BCBS) Plans, HHS OIG, other carriers' anti-fraud professionals, law enforcement and regulatory agencies.
May attend webinars and conferences like BCBSA, National Health Care Anti-Fraud Association (NHCAA), and Association of Certified Fraud Examiners (ACFE) to keep apprised of developments in health care fraud.

What you’ll bring:

Bachelor’s degree in business administration, health care administration, finance, accounting, nursing or criminal justice or (4) years of work experience in field of study. (Required)
(3) years of experience in fraud investigation, special investigation unit, or a related field. (Required)
Certified Professional Coder (CPC), Certified Fraud Examiner (CFE), or Accredited Health Care Fraud Investigator (AHFI). (Preferred)
(2) years of active experience in auditing and investigating in the healthcare industry. (Preferred)
Significant experience with relevant technology, such as background check systems, claims processing platforms, data mining, and fraud detection software.
Demonstrated knowledge of institutional and/or professional payment methodologies.
Strong understanding of health insurance reimbursement methodologies, including familiarity with International Classification of Diseases (ICD-10 CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS).
Strong computer aptitude and experience with spreadsheet and database software, e.g., Excel, Access, Focus.
Demonstrated strong technical writing skills - ability to write reports and business correspondence and to prepare case files.
Ability to exercise a very high level of discretion when handling sensitive information.

Premera total rewards

Our comprehensive total rewards package provides support, resources, and opportunities to help employees thrive and grow. Our total rewards are more than a collection of perks, they're a reflection of our commitment to your health and well-being. We offer a broad array of rewards including physical, financial, emotional, and community benefits, including:

Medical, vision, and dental coverage with low employee premiums.
Voluntary benefit offerings, including pet insurance for paw parents.
Life and disability insurance.
Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is vested after 3 years of service.
Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs, just to name a few.
Generous paid time off to reenergize.
Looking for continuing education? We have tuition assistance for both undergraduate and graduate degrees.
Employee recognition program to celebrate anniversaries, team accomplishments, and more.

For our hybrid employees, our on-campus model provides flexibility to create your own routine with access to on-site resources, networking opportunities, and team engagement.

Commuter perks make your trip to work less impactful on the environment and your wallet.
Free convenient on-site parking.
Subsidized on-campus cafes make lunchtime connections with colleagues fun and affordable.
Participate in engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs and more.
Our complementary fitness & well-being center offers both in-person and virtual workouts and nutritional counseling.
Need a brain break? Challenge someone to a game of shuffleboard or ping pong while on campus.

Equal employment opportunity/affirmative action:

Premera is an equal opportunity/affirmative action employer. Premera seeks to attract and retain the most qualified individuals without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, gender or gender identity, sexual orientation, genetic information or any other protected characteristic under applicable law.

If you need an accommodation to apply online for positions at Premera, please contact Premera Human Resources via email at [email protected] or via phone at 425-918-4785.

The pay for this role will vary based on a range of factors including, but not limited to, a candidate’s geographic location, market conditions, and specific skills and experience.

The salary range for this role is posted below; we generally target up to and around the midpoint of the range.

National Plus Salary Range:

$80,200.00 - $118,300.00

*National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska .

We’re happy to discuss compensation further during the interview because we believe that open communication leads to better outcomes for all. We’re committed to creating an environment where all employees are celebrated for their unique skills and contributions.

Apply Now

Refine Your Search

fraud prevention jobs in bothell wa

Investigator III

FRAML Specialist

Analyst, Content Safety

Manager Field Loss Prevention-Seattle,WA

Fraud Abuse Specialist, Digital Fraud & Abuse

Senior Product Manager - Fraud & Risk

Security and Loss Prevention Expert, NA

AI Copywriter

Senior Product Manager - Tech, AWS Payments and Fraud Prevention

Manager III, Risk Management, REs-Q - Risk Mitigation, Escalation Reduction, and Quality Assurance

Special Agent: Military/Law Enforcement Expertise

Office Manager/Administrative Assistant

Senior Product Manager - Tech, External Services, AWS Payments & Fraud Prevention

Integrations Program Manager, Twitch

Accounting Operations Program Manager

Sr Product Managers, Technical

Accounts Payable Manager

Applied Scientist II, Identity Security & Abuse Prevention

Principal PMT-ES, AWS Payments and Fraud Prevention

Senior Business Analyst, Relay Trust

I want to receive the latest job alert for fraud prevention in bothell wa

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This hybrid role can be based in Anchorage, Mountlake Terrace, or Spokane.

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