Top 53 Fraud prevention Jobs in South Carolina

Business Fraud Analyst
RedSail Technologies, LLC —Spartanburg, SC
- $95,000 - $115,000 a year
- Hybrid work
- Research
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
16h
Executive Team Leader Assets Protection (Assistant Manager Loss Prevention) - Charleston, SC
Target —Charleston, SC
- $64,000 - $128,000 a year
- Weekends as needed
- Sales
- Mid-level
- Analysis skills
- Paid holidays
- Disability insurance
LPN- $5,000 Sign On Bonus
Union Post Acute —Union, SC
- $25.00 - $27.75 an hour
- 12 hour shift
- CPR Certification
- Nursing
- Skilled nursing facility
- Health insurance
- 401(k) matching
Quick Apply
7d
RN- $5,000 Sign On Bonus
Union Post Acute —Union, SC
- $30.00 - $33.29 an hour
- 12 hour shift
- CPR Certification
- Nursing
- Skilled nursing facility
- Health insurance
- 401(k) matching
Quick Apply
7d
Business Services Manager
Greenville County Schools —Greenville, SC
- $69,531 - $121,624 a year
- Full-time
- 5 years
- ERP systems
- Office
- Health savings account
- Health insurance
Quick Apply
9d
Special Agent: Military/Law Enforcement Expertise
Federal Bureau of Investigation —Columbia, SC
- $103,326 - $133,200 a year
- Full-time
- Military
- Mid-level
- Bachelor's degree
Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Columbia, SC
- $43,888 - $93,574 a year
- Full-time
- Microsoft Word
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
Senior Investigator, Special Investigative Unit
Molina Healthcare —South Carolina
- $52,176.00 - $107,098.87 a year
- Full-time
- Anatomy knowledge
- Microsoft Excel
- Microsoft Outlook
- Health insurance
14d
Fraud Investigator I
United Community Bank —Greenville, SC
- $38,769 - $93,302 a year
- Weekends as needed
- 3 years
- High school diploma or GED
- Analysis skills
12d
Director, Product Management — Payments & Fraud Management
Gap Inc. —Columbia, SC
- $197,600 - $256,900 a year
- Full-time
- Computer Science
- 8 years
- Bachelor's degree
- Store discount
- Employee stock purchase plan
(USA) Asset Protection Operations Coach
Walmart —North Charleston, SC
- $65,000 - $100,000 a year
- High school
- Bachelor of Science
- Merchandising
- Paid jury duty
- Disability insurance
9d
CIP - Fraud Specialist
FIRST COMMUNITY BANK (SC) —Lexington, SC
- Full-time
- Mid-level
- Analysis skills
- Organizational skills
Quick Apply
2d
Medicare Cost Reporting Auditor II
BlueCross BlueShield of South Carolina —Columbia, SC
- $51,107 - $97,729 a year
- Full-time
- Remote
- CPA
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Fraud Analyst
American Credit Acceptance —Spartanburg, SC
- Full-time
- Microsoft Excel
- Mid-level
- Office
Quick Apply
Fraud Data & Technology Analyst
United Community Bank —Greenville, SC
- $49,972 - $127,989 a year
- Weekends as needed
- Mid-level
- Office
- 3 years
1d
Surveillance Investigator
VRC Investigations —Columbia, SC
- Clean driving record
- Military
- Computer literacy
- Profit sharing
- Paid training
Quick Apply
Part-Time Surveillance Investigator
VRC Investigations —Columbia, SC
- $25 - $30 an hour
- Part-time
- Clean driving record
- Military
- Computer literacy
- Profit sharing
- Paid training
Quick Apply
Store Loss Prevention Manager
DICK'S Sporting Goods —Myrtle Beach, SC
- Weekends as needed
- Background check
- Customer service
- Mid-level
Fraud Agent II
United Community Bank —Greenville, SC
- $38,769 - $93,302 a year
- Weekends as needed
- Mid-level
- 3 years
- High school diploma or GED
8d
Teller
PNC Financial Services Group —Greenville, SC
- Full-time
- No experience needed
- Office
- No degree
- Wellness program
- Health savings account
1d

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fraud prevention jobs near south carolina

Business Fraud Analyst

RedSail Technologies, LLC -
Spartanburg, SC

Quick Apply

Job Details

$95,000 - $115,000 a year
16 hours ago

Benefits

Health insurance
Dental insurance
Paid time off
401(k) 5% Match
Vision insurance
401(k) matching

Qualifications

Healthcare financial misconduct investigations
Pharmacy Information Systems (PIS)
Confidential information handling
Investigative financial records analysis
Healthcare billing investigations
Risk assessment
Productivity software
Data accuracy checks
Technical Proficiency
Cross-functional communication

Full Job Description

Business/Fraud Analyst (RAS)

Job Summary

The Business/Fraud Analyst (RAS) is responsible for identifying, investigating, and detecting and preventing potential fraud involving customer accounts and pharmacy activity. This role conducts reviews when fraud is suspected and proactively audits selected customers to help ensure fraudulent activity is not occurring. The analyst works with data from the RAS/PowerLine environment and, when needed, reviews information directly within the PMS for specific customers to validate findings, identify patterns, and inform business decisions through investigative findings and recommendations. This position operates under general supervision with latitude for independent judgment and is expected to manage sensitive information with a high degree of discretion and accuracy.

Key Duties

Investigate customer accounts and related activity when fraud is suspected, including researching anomalies, reviewing transactional patterns, and documenting findings.
Perform proactive audits of randomly selected customers to help ensure fraudulent activity is not taking place and to identify emerging risks.
Analyze and compare data from RAS/PowerLine and other internal systems to identify inconsistencies, suspicious behaviors, and fraud indicators.
Review customer data directly within the PMS for specific cases to validate activity, confirm details, and support investigations.
Document investigations, audit outcomes, trends, and recommendations clearly and accurately for leadership and cross-functional partners.
Collaborate with internal teams to escalate findings, recommend corrective actions, and drive fraud prevention efforts through investigation outcomes and policy recommendations.
Lead assigned reviews and projects and ensure timely completion of routine and complex investigative assignments.

Education/Training

Bachelor’s degree in business, finance, healthcare administration, criminal justice, data analytics, or a related discipline is required.
Requires 3-5 years of experience in the pharmacy industry.

Required Work Experience/Skills

Working knowledge of pharmacy workflows, customer account activity, and pharmacy management systems.
Ability to review and interpret data across RAS/PowerLine and PMS environments to identify suspicious activity, inconsistencies, and trends.
Strong analytical, investigative, and problem-solving skills with exceptional attention to detail.
Effective and professional communication skills with the ability to document findings and present information clearly to technical and non-technical audiences.
Excellent interpersonal and organizational skills, with the ability to self-manage and work in a cooperative team environment.
Ability to manage multiple assignments, maintain confidentiality, and exercise sound judgment when handling sensitive information.
Proficiency in Microsoft Office Suite and comfort working with system-generated reports, data extracts, and audit documentation.

Preferred Work Experience/Skills

Experience with fraud detection, audit review, compliance monitoring, or risk analysis in a pharmacy, healthcare, or related business environment.
Experience working with RAS, PowerLine, PMS platforms, or similar pharmacy-related systems is preferred.

Discretionary Judgment

Uses independent judgment and discretion based upon the employee’s experience in the position and knowledge of the products, equipment, and services, including determining the scope and direction of fraud investigations, evaluating whether account activity constitutes potential fraud, recommending corrective actions and account restrictions, and deciding how to prioritize and allocate investigative resources across competing assignments.
Uses good judgment and possesses ethical work values.

Physical Demands, Working Conditions, and General Employment Guidelines

Moderate levels of stress may be experienced in the performance of the job.
Position is performed in a general office environment, home office, or approved remote workspace where physical work includes, but is not limited to, sitting, standing, reaching, kneeling, bending, and lifting to 25 lbs.
Travel may be required at times.

Equipment

Daily use of Microsoft Teams (messaging, calling, video), computer, and other routine office equipment.
Must have internet access.

Safety to Self and Others

Little responsibility for the safety of others. The job is performed in an office setting where there are no hazardous materials or equipment.

Working Conditions/Hazards

Position is performed in an open office environment or approved remote work location.

Compensation & Total Rewards

The anticipated base salary range for this position is $95,000-$115,000 annually. This position is also eligible for an annual target bonus of 4%. Actual compensation will be determined based on factors including relevant experience, skills, qualifications, and geographic location.
Benefits include paid time off, medical, dental, and vision insurance, a 401(k) with a 5% company match, a fitness bonus, professional development opportunities, and programs that support overall well-being.

Work Location

Hybrid at a RedSail Office
- Spartanburg, SC
- Irving, TX
- Shreveport, LA
- Oak Brook, IL
- Cranberry Township, PA
- Long Island, NY

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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fraud prevention jobs in south carolina