Top 24 Senior fraud Jobs in Pennsylvania

Senior Investigations Analyst
Highmark Health —Pennsylvania
- $68,400 - $105,900 a year
- Full-time
- Hybrid work
- 6 years
- CPA
- Writing skills
Senior Fraud Strategy Analyst - Rules Engine & Decisioning
Ascensus —Pennsylvania
- $100,000 - $150,000 a year
- Online Application
- 3 years
- Analysis skills
- Senior level
- Health insurance
- Dental insurance
Senior Audit Manager
S&T Bank —Pittsburgh, PA
- $95,000 - $283,500 a year
- Full-time
- Research
- Office
- GAAP
- On-the-job training
Compliance Program Manager Senior
PNC Financial Services Group —Pittsburgh, PA
- $100,100 - $223,080 a year
- Full-time
- 5 years
- Office
- Master's degree
- Wellness program
- Health savings account
2d
Senior Civil Health Care Fraud Investigator
Contact Government Services, LLC —Harrisburg, PA
- $100,000 - $200,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- CPA
- Health insurance
- Dental insurance
Quick Apply
Senior Specialist, SAR Investigations
The Bank of New York Mellon Corporation —Pittsburgh, PA
- Full-time
- Research
- Mid-level
- Bachelor's degree
Senior Compliance Investigator
Centene —Pennsylvania
- $70,100 - $126,200 a year
- Full-time
- Remote
- Writing skills
- High school diploma or GED
- Fair chance
- Paid holidays
- Health insurance
12d
Senior Consultant - Anti-Money Laundering - Financial Crime and Fraud
Deloitte —Philadelphia, PA
- $95,600 - $188,400 a year
- Full-time
- Mid-level
- Finance
- Analysis skills
Senior Specialist, Anti Money Laundering/Prevention/Know Your Client
The Bank of New York Mellon Corporation —Pittsburgh, PA
- Full-time
- Bachelor's degree
- Mentoring
- Experience equivalent to degree accepted
Senior Financial Investigator
Contact Government Services, LLC —Philadelphia, PA
- $74,156.16 - $107,114.45 a year
- Full-time
- Hybrid work
- Mid-level
- Driver's License
- Presentation skills
- Health insurance
- Dental insurance
Quick Apply
Senior Financial Analyst/Investigator
Contact Government Services, LLC —Harrisburg, PA
- $80,000 - $140,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- CPA
- Health insurance
- Dental insurance
Quick Apply
Senior Consultant - Digital Assets - AML/KYC/BSA Knowledge
Deloitte —Philadelphia, PA
- $116,200 - $229,100 a year
- Full-time
- Microsoft Excel
- 5 years
- Finance
URBN Senior Manager Fraud Strategy & Operations
URBN —Philadelphia, PA
- Full-time
- 3 years
- Analysis skills
- Senior level
- Health insurance
- Dental insurance
11d
Business Analytics Consultant Senior - Customer Data Forensics
PNC Financial Services Group —Pittsburgh, PA
- $75,000 - $137,500 a year
- Full-time
- Office
- 3 years
- Bachelor's degree
- Wellness program
- Health savings account
Senior Auditor
S&T Bank —Indiana, PA
- $48,000 - $115,500 a year
- Full-time
- Hybrid work
- CPA
- Office
- Bachelor's degree
- On-the-job training
Senior Manager - Internal Audit
DICK'S Sporting Goods —Coraopolis, PA
- Full-time
- Background check
- 7 years
- CPA
Senior Auditor
Contact Government Services, LLC —Philadelphia, PA
- $80,000 - $150,000 a year
- Full-time
- Hybrid work
- CPA
- 5 years
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Senior Auditor
UGI Corporation —King of Prussia, PA
- Hybrid work
- Background check
- Microsoft Excel
- CPA
- Paid parental leave
- Health savings account
Data Scientist Sr - Fraud Strategy & Portfolio Analytics
PNC Financial Services Group —Pittsburgh, PA
- $91,000 - $169,000 a year
- Full-time
- 5 years
- Office
- Master's degree
- Wellness program
- Health savings account
3d
Senior Auditor
Penske Truck Leasing and Logistics —Reading, PA
- Spanish
- Microsoft Excel
- Microsoft Access
- Free parking

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Senior Investigations Analyst

Highmark Health -
Pennsylvania

Apply Now

Job Details

Full-time
$68,400 - $105,900 a year

Qualifications

Master's degree in accounting
Contract documentation review
Certified Information Systems Auditor
Healthcare privacy breach investigations
Risk management compliance audits
Workplace incident investigation management
Contract review
Internal controls
6 years
CPA
Incident management
Finance
Audit engagement planning
Bachelor's degree in finance
Operations coordination
Writing skills
Security risk assessment investigation
IT security auditing implementation
Forensic investigation
Information Systems
Threat assessment
Bachelor's degree in business administration
Finance
Master's degree
Financial fraud investigation
Analysis skills
Bachelor's degree
Incident management operations support
Accounting
Data interpretation

Full Job Description

Company :

Highmark Health

Job Description :

JOB SUMMARY

This role serves a critical function within Enterprise Incident Management, leading the coordination and execution of enterprise-wide response activities for large-scale incidents that require engagement across multiple business and operational areas. The position also conducts and supports internal investigations related to employee misconduct, including fraud, theft, privacy and security violations, and other breaches of enterprise policies and the Code of Conduct. Responsibilities include ensuring investigations are performed consistently and in accordance with organizational standards, as well as conducting fraud-related audits and forensic reviews.

ESSENTIAL RESPONSIBILITIES

Reviews risk assessment results to perform investigations into potential and existing threats. Responsible for the investigation of reports of real or potential instances of non-compliance and/or fraud in accordance with established standards/policies. Reviews and interprets information provided and assist with performing qualitative and quantitative impact assessments.
Collaborates on engagement initiation and planning activities for fraud-related audits and monitoring activities within Highmark Health Enterprise; including approving audit programs to support the audit objectives of identified audits.
Facilitates collaboration efforts with Senior Risk Partners, Risk Operations and Internal Audit team members to facilitate the execution of internal investigations and fraud related audits based on reports or identified fraud risks.
Defines when additional information gathering and risk assessments is necessary to formulate conclusions; ensuring documentation to support investigative conclusions is sufficient and in accordance with department standards.
Uses appropriate fraud investigation tools, applications, and systems to continually enhance fraud detection strategies and to identify trends.
Analyzes assessment results against physical, technical, and administrative safeguards and company-specific contractual requirements in the evaluation of risk.
Provides consultation in development of assurance plans (e.g., on-site audit, contract review, financials assessment) to address relevant risk areas and to ensure proper controls are implemented.

EDUCATION

Required

Bachelor's Degree in Accounting, Finance, Business Administration, Information Systems or related field

Substitutions

6 years of related and progressive experience in lieu of Bachelor's degree

Preferred

Master's Degree in Fraud and Forensics

EXPERIENCE

Required

5 years in Accounting, Finance, Audit, Information Systems or related field

To Include:

3 years of conducting internal ethics, fraud, privacy and security investigations

Preferred

1 years in Operational and/or IT auditing OR Privacy/Information security

LICENSES or CERTIFICATIONS

Required

None

Preferred (any of the following)

Certified Public Accountant (CPA)
Certified Internal Auditor (CIA)
Certified Fraud Examiner (CFA)
Certified Information Systems Auditor (CISA)
Certified Information Privacy Professional (CIPP)

SKILLS

Excellent written and verbal communication skills. Ability to appropriate package information and tailor message to respective audiences.
Broad understanding of fraud/privacy/security risks, business issues, key metrics and organizational linkages.
Excellent analytical skills with a demonstrated ability to identify unusual trends/circumstances and solve problems.

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-based

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

$68,400.00

Pay Range Maximum:

$105,900.00

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

For accommodation requests, please contact HR Services Online at [email protected]

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Apply Now

Refine Your Search

senior fraud jobs in pennsylvania

Senior Investigations Analyst

Senior Fraud Strategy Analyst - Rules Engine & Decisioning

Senior Audit Manager

Compliance Program Manager Senior

Senior Civil Health Care Fraud Investigator

Senior Specialist, SAR Investigations

Senior Compliance Investigator

Senior Consultant - Anti-Money Laundering - Financial Crime and Fraud

Senior Specialist, Anti Money Laundering/Prevention/Know Your Client

Senior Financial Investigator

Senior Financial Analyst/Investigator

Senior Consultant - Digital Assets - AML/KYC/BSA Knowledge

URBN Senior Manager Fraud Strategy & Operations

Business Analytics Consultant Senior - Customer Data Forensics

Senior Auditor

Senior Manager - Internal Audit

Senior Auditor

Senior Auditor

Data Scientist Sr - Fraud Strategy & Portfolio Analytics

Senior Auditor

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