Fraud Operations Analyst

Job Summary

To support fraud prevention efforts, the temporary remote Fraud Operations Analyst will investigate fraud-related cases, analyze data for suspicious activity, and conduct verification calls with providers in a fast-paced healthcare environment.

Key responsibilities

• Review and investigate fraud-related cases involving provider enrollment and payment activity
• Analyze transactional and enrollment data to identify potential fraud indicators
• Document findings and manage assigned case inventory while meeting service-level expectations

Required qualifications

• 2+ years of experience in fraud operations, payment operations, or a similar investigative environment
• Experience conducting outbound verification calls and documenting findings
• Proficiency with Microsoft Office, particularly Excel
• Ability to work independently in a remote environment
• Experience with Salesforce or other case management systems is preferred