Top 151 Fraud prevention Jobs in Carrollton Tx

Senior Investigator
UnitedHealthcare —Dallas, TX
- $60,200 - $107,400 a year
- Full-time
- Remote
- Microsoft Word
- Pass drug screening
- Driver's License
- AD&D insurance
- Employee stock purchase plan
Fraud Prevention Specialist
Stellantis Financial Services US —Dallas, TX
- Overtime
- Hybrid work
- Travel
- US work authorization
- 1 year
- Opportunities for advancement
Quick Apply
2d
IT Manager / Senior IT Manager (based on experience)
ARKRAY GROUP —Plano, TX
- Full-time
- Computer science
- Computer Science
- HIPAA
- Health savings account
- Health insurance
Quick Apply
Commercial Specialist - Metro
Extraco Banks, N.A. —Frisco, TX
- Monday to Friday
- Microsoft Excel
- Mid-level
- Office
Quick Apply
Treasury Cash Manager
Catalyst Brands —Plano, TX
- $81,000 - $135,000 a year
- Full-time
- 5 years
- Office
- Finance
- Paid holidays
- Health insurance
5d
Solution Architect Sr. - Fraud, Enterprise Technology
PNC Financial Services Group —Dallas, TX
- $112,000 - $249,600 a year
- Full-time
- Computer science
- Computer Science
- Master's degree
- Wellness program
- Health savings account
Controller
TopView Sightseeing —Dallas, TX
- $130,000 - $150,000 a year
- Full-time
- 7 years
- CPA
- Inventory management
- Paid holidays
- Health insurance
Quick Apply
3d
Licensed Plumber
CCS Construction Staffing —Dallas, TX
- $35 - $45 an hour
- Temporary
- 5 years
- In-person
- Senior level
- Paid holidays
- Health insurance
Quick Apply
4d
Solution Architect
PNC Financial Services Group —Farmers Branch, TX
- $100,100 - $185,900 a year
- Full-time
- 5 years
- Mid-level
- Office
- Wellness program
- Health savings account
12d
Special Agent: Military/Law Enforcement Expertise
Federal Bureau of Investigation —Dallas, TX
- $103,326 - $133,200 a year
- Full-time
- Military
- Mid-level
- Bachelor's degree
4d
Senior Credit Risk Analyst
VANTAGE CARD SERVICES INC —Plano, TX
- Full-time
- Microsoft Excel
- Office
- Residential
- Health savings account
- AD&D insurance
Quick Apply
Branch Operations Manager
PointBank —Corinth, TX
- From $24 an hour
- Full-time
- Background check
- Management
- Sales
- Health savings account
- Health insurance
Quick Apply
1d
Police Detective Dallas
Baylor Scott & White Health —Dallas, TX
- On call
- Hospital
- Mid-level
- 3 years
- Health insurance
- Tuition reimbursement
Assistant Store Manager
The Retail Network —Dallas, TX
- $60,000 a year
- Full-time
- Sales
- Customer service
- Merchandising
- Health insurance
- Dental insurance
Quick Apply
2d
Lead Investigator, Corporate Security & Global Investigations
Lennox International —Richardson, TX
- $90,000 - $118,650 a year
- Full-time
- Up to 50% travel
- Military
- Office
- Paid holidays
- Disability insurance
Director, Card Fraud
SoFi —Frisco, TX
- 5 years
- SQL
- Analysis skills
Insider Risk Specialist, Insider Threat Program
GEICO —Dallas, TX
- $75,000 - $160,000 a year
- Full-time
- Mid-level
- Analysis skills
- Organizational skills
- Health insurance
- Tuition reimbursement
Senior Manager, Fraud Detection and Analytics
Fidelity Investments —Westlake, TX
- Full-time
- SQL
- Continuous improvement
- In-person
Fraud Operations Sr Professional
Citizens Financial Group —Irving, TX
- Full-time
- Background check
- Mid-level
- 3 years
- Health insurance
- Dental insurance
9d
Surveillance Investigator
VRC Investigations —Dallas, TX
- $21 - $26 an hour
- Clean driving record
- Military
- Computer literacy
- Profit sharing
- Paid training
Quick Apply
5d

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Senior Investigator

UnitedHealthcare -
Dallas, TX

Apply Now

Job Details

Full-time
$60,200 - $107,400 a year

Benefits

AD&D insurance
Employee stock purchase plan
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
Employee discount
Referral program
Pet insurance

Qualifications

Microsoft Word
Healthcare financial misconduct investigations
Investigations regulatory compliance
Spreadsheets
State healthcare regulations
Driver's License
Data interpretation
Alternative dispute resolution

Full Job Description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Senior Investigator is responsible for identification, investigation and prevention of healthcare fraud, waste and abuse. The Senior Investigator will utilize claims data, applicable guidelines and other sources of information to identify aberrant billing practices and patterns. The Senior Investigator is responsible for conducting investigations which may include fieldwork to perform interviews and obtain records and/or other relevant documentation.

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges

Primary Responsibilities:

Assess complaints of alleged misconduct received within the Company
Investigate medium to highly complex cases of fraud, waste and abuse
Detect fraudulent activity by members, providers, employees and other parties against the Company
Develop and deploy the most effective and efficient investigative strategy for each investigation
Maintain accurate, current and thorough case information in the Special Investigations Unit's (SIU's) case tracking system
Collect and secure documentation or evidence and prepare summaries of the findings
Participate in settlement negotiations and/or produce investigative materials in support of the latter
Communicate effectively, including written and verbal forms of communication
Develop goals and objectives, track progress and adapt to changing priorities
Collect, collate, analyze and interpret data relating to fraud, waste and abuse referrals
Ensure compliance of applicable federal/state regulations or contractual obligations
Report suspected fraud, waste and abuse to appropriate federal or state government regulators
Comply with goals, policies, procedures and strategic plans as delegated by SIU leadership
Collaborate with state/federal partners, at the discretion of SIU leadership, to include attendance at workgroups or regulatory meetings

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Bachelor's degree OR Associate's degree plus two years of equivalent work experience with healthcare related employment
Intermediate level of knowledge in health care fraud, waste and abuse (FWA) OR 2+ years of experience
Intermediate level of knowledge in state or federal regulatory FWA requirements OR 2+ years of experience
Intermediate level of knowledge analyzing data to identify fraud, waste and abuse trends OR 2+ years of experience
Intermediate level of proficiency in Microsoft Excel and Word OR 2+ years of experience
Ability to travel up to 25% of the time
Must be willing and able to participate in legal proceedings, arbitration, and depositions at the direction of management
Access to reliable transportation and valid US driver's license

Preferred Qualifications:

Must reside in California, Texas, Georgia, New York, or Florida
Intermediate level of knowledge in health care policies, procedures, and documentation standards or 2-5 years of experience
Intermediate level of skills in developing investigative strategies or 2-5 years of experience
Specialized knowledge/training in healthcare FWA investigations
Active affiliations:
- National Health Care Anti-Fraud Association (NHCAA)
Accredited Health Care Fraud Investigator (AHFI)
Certified Fraud Examiner (CFE)
Certified Professional Coder (CPC)
Medical Laboratory Technician (MLT)
All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #GREEN

Apply Now

Refine Your Search

fraud prevention jobs in carrollton tx

Senior Investigator

Fraud Prevention Specialist

IT Manager / Senior IT Manager (based on experience)

Commercial Specialist - Metro

Treasury Cash Manager

Solution Architect Sr. - Fraud, Enterprise Technology

Controller

Licensed Plumber

Solution Architect

Special Agent: Military/Law Enforcement Expertise

Senior Credit Risk Analyst

Branch Operations Manager

Police Detective Dallas

Assistant Store Manager

Lead Investigator, Corporate Security & Global Investigations

Director, Card Fraud

Insider Risk Specialist, Insider Threat Program

Senior Manager, Fraud Detection and Analytics

Fraud Operations Sr Professional

Surveillance Investigator

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