Conduct fraud, waste, and abuse investigations and audits.
Prepare reports and correspondence of a confidential nature.
Assist in developing FWA program documentation and training.
CareOregon is a nonprofit, mission-driven health plan focused on providing care to low-income Oregonians. They offer a comprehensive benefits package and emphasize equity, diversity, and inclusion.
Investigate known or suspected fraud, waste, and abuse with high autonomy.
Develop documentation and reports to substantiate findings and support recoupments.
Analyze prior cases to improve preventive identification and meet savings targets.
Oscar is a health insurance company built around a full-stack technology platform and focused on serving members. The company fosters an inclusive culture where employees can be their authentic selves, with a mission to change health care.
Analyze fraud trends and risk signals to identify emerging threats and control gaps.
Design, tune, and evaluate fraud rules and detection strategies.
Partner with cross-functional teams to implement controls and improve outcomes.
Wave helps small businesses thrive so the heart of our communities beats stronger. They work in an environment buzzing with creative energy and inspiration, valuing diversity and inclusion.
Conduct clinical audits for suspected fraud, waste, and abuse with high autonomy.
Document findings in formal reports, graphs, and audit logs, aligning with unit goals.
Develop and present FWA-related education to Oscar teams, ensuring compliance with regulations.
Oscar is a health insurance company built on a full stack technology platform, focused on serving members like a doctor in the family. Founded in 2012, it is a forward-thinking company that values diversity and innovation, with a culture of fostering belonging and support.
Investigate and resolve fraud cases, communicating with other banks, law enforcement, and CIFAS to protect customers and prevent losses.
Provide empathetic after-care to fraud victims, offering advice and securing accounts while making independent decisions on claims.
Work proactively to prevent active fraud attempts by reviewing flagged transactions and collaborating with the team to block suspicious activity.
Monzo is a digital bank on a mission to make money work for everyone, offering a range of banking products from personal accounts to credit cards. With over 10 years in the UK, they have a growing team and a culture focused on innovation, customer service, and financial education.
Review and triage fraud alerts and monitoring reports to detect unusual activity across multiple product types.
Conduct end-to-end fraud case investigations, analyzing account, transaction, and relationship data.
Execute card actions and document findings for regulatory, audit, and quality-assurance review.
Pathward is a financial empowerment company that works with innovators to increase financial availability, choice, and opportunity for all. We are a team of problem solvers and innovators who celebrate our differences and know that our unique perspectives make us stronger.
Develop and optimize fraud prevention strategies using advanced analytics and machine learning.
Monitor fraud trends and client portfolios to identify emerging threats and recommend mitigation measures.
Serve as a fraud risk expert, providing analytical findings and recommendations to stakeholders.
The partner company specializes in fraud prevention and risk analytics for financial institutions, operating in a fast-paced payments environment. They are a remote-first organization with a focus on collaboration and work-life balance.
Own and execute company reviews, payroll monitoring, and related processes with precision and clear communication.
Analyze data to spot and act on emerging risk signals for companies and payrolls.
Mitigate fraud incidents, document insights, and drive resolutions with cross-functional teams.
Check is rebuilding payroll infrastructure by powering businesses that offer payroll services. The company is a distributed team across the US that values creative problem-solving, simplicity, and breaking conventional role boundaries.
Manage and oversee fraud alert review, triage, and disposition (Level 1) and fraud case investigation, escalation, and resolution (Level 2).
Support the development, implementation, and maintenance of comprehensive fraud detection, alert management, and investigation procedures and controls.
Partner with cross-functional teams to enhance fraud detection strategies, rules, and controls.
Pathward is a financial empowerment company that works with innovators to increase financial availability, choice, and opportunity for all. We are a team of problem solvers and innovators who celebrate our differences and know that our unique perspectives make us stronger and well-positioned for success.
Leads the Fraud Investigations department, developing policies to prevent fraud and recover losses.
Collaborates with law enforcement, business partners, and regulatory agencies to ensure compliance.
Stays updated on emerging fraud trends and implements mitigation strategies to protect members.
Peak Credit Union is a financial institution dedicated to serving its members with a range of banking products and services. The company fosters a supportive culture with comprehensive benefits and opportunities for professional growth.
Perform independent research using AI tools to identify novel emerging fraud trends.
Analyze large-scale messaging and voice traffic to detect fraudulent activity patterns.
Collaborate with data science and engineering teams to refine detection models and reduce false positives.
Twilio is shaping the future of communications, delivering innovative solutions to hundreds of thousands of businesses and empowering millions of developers worldwide. With a remote-first culture and a strong emphasis on connection and global inclusion, Twilio fosters a vibrant team of diverse experiences making a global impact each day.
Communicating with other banks, law enforcement, and CIFAS to prevent and investigate fraud.
Investigating fraud claims, making decisions to uphold or decline claims, and taking necessary actions like account closure.
Providing support and advice to fraud victims to help them protect themselves and resume safe account usage.
Our mission is to earn and keep customers' trust, support safe growth, and contribute to building a safer society. We are a digital bank with a diverse and collaborative culture focused on fighting financial crime and protecting our customers.
Lead and develop a team of 13–15 Fraud Associates through coaching, feedback, and performance reviews.
Monitor operational dashboards, identify gaps, and turn data into targeted coaching and process improvements.
Serve as an escalation point for complex fraud cases and collaborate with cross-functional partners to support customers.
A financial services company dedicated to protecting cardholders and reducing fraudulent activity through a specialized fraud operations team. It maintains a remote-first environment with a growing team of 13–15 Fraud Associates, emphasizing leadership, coaching, and operational excellence.
Investigate and close fraud cases across card fraud, application fraud, and travel marketplace disputes.
Triage Early Fraud Warning alerts and manage card disputes and chargebacks through full lifecycle.
Document cases to SAR filing standard and identify cross-case patterns.
Engine is the all-in-one travel and spend management platform trusted by 38K+ businesses and 1.8M+ travelers. The fastest-growing company in travel tech, Engine has been recognized as a top workplace for innovators and best places to work.
Lead and develop a team of Fraud Analysts, setting investigation standards and performance expectations.
Establish fraud classification and labeling infrastructure and build investigation playbooks.
Own fraud intelligence reporting and partner with cross-functional teams on detection controls.
Engine is the all-in-one travel and spend management platform trusted by 38K+ businesses and 1.8M+ travelers. They are recognized as one of Fast Company's Best Workplaces for Innovators and Built In's Best Places to Work, with a culture of exponential growth and high-caliber colleagues.
Provides end-to-end operational leadership for the fraud lifecycle, integrating alert operations, investigations, and intelligence.
Owns the management rhythm for alert volumes, queue health, SLA performance, and operational risk response.
Directs a management team of fraud alert operations and investigations managers, ensuring clear ownership and effective handoffs.
Pathward is a financial empowerment company that partners with innovators to increase financial availability and promote economic mobility. They are a team of problem solvers and innovators who celebrate diversity and embrace a humble, hungry, and smart approach to success.
Execute operational risk and fraud review workflows across financial products, including identity verification and account risk handling.
Perform manual investigations into suspicious behavior, application fraud, and account misuse.
Monitor fraud, KYC, and operational dashboards to identify trends and emerging threats.
Super.com is a fintech company that helps maximize lives by offering financial products and travel services. It is a fast-paced, high-growth tech company that values career progression and employee well-being.
Own and evolve detection models that flag wash trading, collusion, and fraud across trading data.
Own partner-facing surveillance reporting end to end, evolving toward real-time monitoring.
Work directly with partners to validate true positives, calibrate detection quality, and tune thresholds.
NinjaTrader is an industry-leading trading platform and futures broker that empowers traders with cutting-edge tools. Since 2003, the company has grown to over 2 million users and fosters a dynamic culture focused on social connection, professional development, and employee recognition.
Review and analyze Medicare claims sampled by the Department of Justice to determine correct coding and payment based on coverage and utilization.
Conduct in-depth claims analysis to detect fraudulent or abusive billing practices using ICD-10, CPT-4, and CMS guidelines.
Complete summary reports and communicate findings internally while maintaining confidentiality and compliance with DOJ and CMS regulations.
Empower AI provides AI-powered solutions for federal government agencies, helping them transform their workforce and operations. Headquartered in Reston, Va., the company has three decades of experience in Health, Defense, and Civilian missions and is recognized as a 2024 Military Friendly Employer.
Conduct complex compliance, operational, privacy, and risk management investigations across multiple healthcare settings.
Perform root cause analyses to identify systemic vulnerabilities and recommend corrective actions.
Collaborate with operational leaders, HR, Legal, and Revenue Cycle to develop risk mitigation strategies.
PT Solutions is a rehabilitation provider dedicated to expanding access to quality care across multiple therapy disciplines. The company fosters a tight-knit community and provides industry-leading professional development opportunities, including an APTA-accredited residency program.