Top 16 Fraud remote Jobs in Manhattan Ny

Manager, Special Investigative Unit-NY (remote)
Molina Healthcare —New York, NY
- $73,102 - $171,058 a year
- Full-time
- Remote
- Analysis skills
- 1 year
- Senior level
- Health insurance
13d
SIU Investigator
Centene —New York, NY
- $56,200 - $101,000 a year
- Full-time
- Remote
- 5 years
- Fair chance
- Senior level
- Paid holidays
- Health insurance
Claims Investigator
Gallagher Bassett —Fairfield, NJ
- $40,000 - $78,000 a year
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Computer skills
- Benefits from day one
6d
Senior Fraud Analyst – Fraud Investigations & Financial Crimes Monitoring
Alpaca —New York, NY
- Remote
- 5 years
- Writing skills
- Analysis skills
Quick Apply
1d
Fraud AI / Data Healthcare Senior Consultant (remote)
Guidehouse —New York, NY
- $113,000 - $188,000 a year
- Full-time
- Remote
- Master's degree
- Bachelor's degree
- Travel
- Health savings account
- Paid holidays
Corporate Ethics & Compliance Investigator
Centene —New York, NY
- $107,700 - $199,300 a year
- Full-time
- Remote
- 7 years
- Management
- HIPAA
- Paid holidays
- Health insurance
Federal Litigation Attorney — Civil RICO / Fraud Defense — Hybrid — New York, NY
Confidential —Brooklyn, NY
- $150,000 - $250,000 a year
- Full-time
- Remote
- Writing skills
- 3 years
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
1d
Manager, Machine Learning Engineering (Fraud)
Affirm —New York, NY
- $204,000 - $290,000 a year
- Remote
- Management
- 8 years
- Bachelor's degree
- Employee stock purchase plan
- Health insurance
Head of Fraud & Risk Management Operations
Raisin —New York, NY
- $200,000 - $230,000 a year
- Remote
- Continuous improvement
- Senior level
- Communication skills
- Commuter assistance
- Health insurance
Quick Apply
Trade Surveillance Analyst 1 — Financial Crimes Department
Alpaca —New York, NY
- Remote
- 5 years
- Mid-level
- Analysis skills
- Health insurance
Quick Apply
1d
Senior Compliance Investigator
Centene —New York, NY
- $70,100 - $126,200 a year
- Full-time
- Remote
- Writing skills
- High school diploma or GED
- Fair chance
- Paid holidays
- Health insurance
Senior Fraud Strategy and Analytics Manager
Raisin —New York, NY
- $120,000 - $160,000 a year
- Remote
- 8 years
- SQL
- Senior level
- Commuter assistance
- Health insurance
Quick Apply
Senior Data Analyst - Fraud Strategy & Operations
Raisin —New York, NY
- $120,000 - $140,000 a year
- Remote
- 8 years
- SQL
- Senior level
- Commuter assistance
- Health insurance
Quick Apply
Paralegal - Hybrid
Goldberg Miller & Rubin —Newark, NJ
- Remote
- Mid-level
- Organizational skills
- 2 years
- Health savings account
- Paid holidays
Quick Apply
8d
Risk & Compliance Senior Director Consulting Practice
NTT Ltd —Newark, NJ
- $216,405 - $480,900 a year
- Full-time
- Remote
- 6 years
- Bachelor's degree
- Senior level
- Health savings account
- AD&D insurance

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BCB COMMUNITY BANK —Edison, NJ
5–7+ years of fraud, risk management, or financial crime experience within a bank or credit union. Delivers board-level metrics, updates fraud policies, and…
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Compliance Manager
Mission Lane —Columbus, OH
You can hold your own in a conversation about AI-driven collections models or evolving contacting strategies. Professional certification: CRCM and/or CAMS.
$129,000 - $140,000 a year

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fraud remote jobs near manhattan ny

Manager, Special Investigative Unit-NY (remote)

Molina Healthcare -
New York, NY

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Job Details

Full-time
$73,102 - $171,058 a year
13 days ago

Benefits

Health insurance

Qualifications

Team leadership
Productivity software

Full Job Description

JOB DESCRIPTION

Leads and manages team responsible for special investigation unit (SIU) activities, specifically the prevention and detection of violation of applicable laws and regulations. Responsible to protect the business from liability of fraudulent or abusive practices, and ensure the business understands and complies with applicable laws and regulations pertaining to the health care environment. Accountable for oversight, follow-up and resolution of investigations.

Essential Job Duties

Provides oversight and review of the special investigation until (SIU) referral intake and investigation process, and provides guidance and direction to team on case investigation steps/actions.
Collaborates with leadership to maintain and revise policies and procedures, fraud, waste, and abuse (FWA) plans, annual audit work plans - including department guidance memos, and educational materials.
Identifies opportunities for improvement through the audit process and provides recommendations for system enhancements in order to augment investigative outcomes and performance.
Accurately tracks, reports, and follows-up on overpayments and recoveries.
Leads business requirement process and reporting to ensure proper and timely notification of case activity to the appropriate regulatory and/or law enforcement agency.

Job Requirements

At least 7 years of experience in special investigations, law enforcement, and/or experience in a regulatory environment, or equivalent combination of relevant education and experience.
At least 1 year of management/leadership experience.
Strong interpersonal skills.
Strong analytical and critical-thinking abilities.
Organizational and time-management skills.
Experience with investigative case management system.
Strong verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications
Health Care Anti-Fraud Associate (HCAFA), Accredited Health Care Fraud Investigator (AHFI) and/or Certified Fraud Examiner (CFE).

To all current Molina employees. If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $73,102 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

fraud remote jobs in manhattan ny

Manager, Special Investigative Unit-NY (remote)

SIU Investigator

Claims Investigator

Senior Fraud Analyst – Fraud Investigations & Financial Crimes Monitoring

Fraud AI / Data Healthcare Senior Consultant (remote)

Corporate Ethics & Compliance Investigator

Federal Litigation Attorney — Civil RICO / Fraud Defense — Hybrid — New York, NY

Manager, Machine Learning Engineering (Fraud)

Head of Fraud & Risk Management Operations

Trade Surveillance Analyst 1 — Financial Crimes Department

Senior Compliance Investigator

Senior Fraud Strategy and Analytics Manager

Senior Data Analyst - Fraud Strategy & Operations

Paralegal - Hybrid

Risk & Compliance Senior Director Consulting Practice

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