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Director Anti Fraud Jobs (NOW HIRING)

OneSpan

Director, Product Management

$238K - $249K/yr

At OneSpan, we specialize in digital identity and anti-fraud solutions that create exceptional and ... We are seeking a visionary and execution-oriented Director of Product Management to accelerate ...

OneSpan

Director, Product Management

Modesto, CA · Remote

$245K - $257K/yr

At OneSpan, we specialize in digital identity and anti-fraud solutions that create exceptional and ... We are seeking a visionary and execution-oriented Director of Product Management to accelerate ...

OneSpan

Director, Software Development

San Jose, CA

At OneSpan, we specialize in digital identity and anti-fraud solutions that create exceptional and ... We're looking for a Director of Software Development to join our team in San Jose, CA . You will ...

New

Taptap Send

Head of Fraud

New York, NY · On-site

Stay ahead of evolving fraud tactics and regulatory trends, working with industry partners to strengthen the company's anti-fraud capabilities * Develop and grow the fraud team as we scale to new ...

Serco USA

Sr. Manager Fraud Prevention

Herndon, VA · On-site

Reporting to the Director of Program Management, this role is responsible for oversight, monitoring ... Work with these individuals to establish and grow anti-fraud awareness, techniques, and tools ...

SpaceXAI

Fraud Analyst

New York, NY · On-site

$100K - $135K/yr

You will play a key part in ensuring XMoney remains compliant with Bank Secrecy Act (BSA), Anti ... Minimum of 2 years of direct experience in fraud investigation, fraud operations, or fraud risk ...

Berkley

SIU Manager

Urbandale, IA · On-site

Responsibilities The SIU Manager is responsible for assisting with leading our anti-fraud efforts ... Direct the investigation of complex, high-value, or sensitive cases involving potential fraud ...

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All JobsAnti Fraud JobsDirector Anti Fraud Jobs

Director Anti Fraud information

See salary details

$43K

$95.2K

$166K

How much do director anti fraud jobs pay per year?

As of Aug 12, 2026, the average yearly pay for director anti fraud in the United States is $95,228.00, according to ZipRecruiter salary data. Most workers in this role earn between $70,000.00 and $112,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a director of anti-fraud, and why are they important?

To thrive as a Director of Anti-Fraud, you need expertise in fraud risk management, investigative techniques, and regulatory compliance, typically supported by a degree in finance, law, or a related field and relevant certifications such as CFE (Certified Fraud Examiner). Familiarity with anti-fraud analytics tools, case management software, and reporting systems is essential for monitoring and mitigating threats. Strong leadership, analytical thinking, and excellent communication skills are crucial for overseeing teams and collaborating with stakeholders. These competencies are vital for effectively preventing, detecting, and responding to fraud, thereby protecting organizational assets and reputation.

What does a director of anti-fraud do?

A Director of Anti-Fraud leads an organization’s efforts to detect, prevent, and respond to fraudulent activities. They develop anti-fraud strategies, oversee investigations, and ensure compliance with relevant laws and regulations. This role often involves managing a team, implementing fraud detection systems, and working closely with legal, compliance, and risk management departments. The Director also provides guidance on best practices and trains staff to recognize and report suspicious activities.

What are some common challenges faced by a director of anti-fraud, and how can they be addressed within an organization?

A Director of Anti-Fraud often faces challenges such as evolving fraud tactics, ensuring cross-departmental cooperation, and maintaining compliance with regulations. Staying ahead of sophisticated fraud schemes requires ongoing investment in technology and training. Building a culture of transparency and collaboration across teams—such as IT, legal, and operations—is crucial for effective fraud prevention. Regular risk assessments and clear communication channels help address potential vulnerabilities and keep the organization secure.

What is the difference between Director Anti Fraud vs Fraud Analyst?

AspectDirector Anti FraudFraud Analyst
Required CredentialsBachelor's degree, often advanced certifications (CFE, CPA)Bachelor's degree, certifications like CFE or ACFE beneficial
Work EnvironmentStrategic leadership, management, cross-department collaborationData analysis, investigation, reporting
Employer & Industry UsageFinancial institutions, large corporations, government agenciesFinancial services, retail, insurance, e-commerce
Common Search & ComparisonHigh-level oversight, policy developmentInvestigative work, data analysis

The main difference between a Director Anti Fraud and a Fraud Analyst lies in their scope and responsibilities. The Director Anti Fraud oversees anti-fraud strategies, manages teams, and develops policies, while the Fraud Analyst focuses on investigating fraud cases and analyzing data. Both roles require similar credentials but differ in seniority and strategic versus operational focus.

More about Director Anti Fraud jobs
What cities are hiring for Director Anti Fraud jobs? Cities with the most Director Anti Fraud job openings:
What are the most commonly searched types of Anti Fraud jobs? The most popular types of Anti Fraud jobs are:
What states have the most Director Anti Fraud jobs? States with the most job openings for Director Anti Fraud jobs include:
What job categories do people searching Director Anti Fraud jobs look for? The top searched job categories for Director Anti Fraud jobs are:
Director Anti Fraud jobs near you
Infographic showing various Director Anti Fraud job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 12% Part Time, 1% Temporary, and 1% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $95,228 per year, or $45.8 per hour.

Fraud Investigator-Kansas City, MO area

Blue Cross and Blue Shield of Kansas City

Kansas City, MO • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 13 days ago

Job description

Guided by our core values and commitment to your success, we provide health, financial and lifestyle benefits to ensure a best-in-class employee experience. Some of our offerings include:
  • Highly competitive total rewards package, including comprehensive medical, dental and vision benefits as well as a 401(k) plan that both the employee and employer contribute
  • Annual incentive bonus plan based on company achievement of goals
  • Time away from work including paid holidays, paid time off and volunteer time off
  • Professional development courses, mentorship opportunities, and tuition reimbursement program
  • Paid parental leave and adoption leave with adoption financial assistance
  • Employee discount program

Job Description Summary:
As part of Blue KC's Special Investigations Unit (SIU), the Fraud Investigator conducts reviews to identify potential fraud, waste, and abuse (FWA) and claim overpayments. Assigned cases and projects are generally of moderate complexity and performed with limited oversight.
Job Description
  • Assist in performing ongoing FWA risk assessments, leveraging data analytics to identify trends, patterns, outliers relative to peers and clinical standards, etc. In conjunction with the Manager and/or Senior Investigator, evaluate FWA risks and prioritize for further review, based upon member health/safety and protection of plan assets.
  • Monitor hotlines, internal referrals, external fraud alerts (e.g., CMS, BCBSA), external healthcare anti-fraud workgroups, and other resources for potential FWA schemes.
  • Conduct investigations of fraud, waste and abuse in accordance with SIU policies and procedures. May work with Manager and/or Senior Investigator on larger, more complex, investigations.
  • Create and maintain detailed case files in accordance with SIU policies and procedures, where key investigative activities and outcomes are timely and accurately documented
  • Prepare detailed case reports summarizing investigative findings and recommendations. Present reports to key stakeholders (e.g., Provider Relations, Medical Management, Pharmacy, Claims, Legal)
  • Assist in coordinating responses to subpoenas and preparation of cases for referral to law enforcement and/or regulators.
  • Perform day-to-day activities for vendor-based claim overpayment recovery program (e.g., data file exchanges, proposing / reviewing new audit concepts, coordinating claim adjustments, invoices).
  • Assist in preparing reports for executive updates, Blue KC Audit Committee, BCBSA/FEP surveys, and other reports as needed.
  • Support the FWA training program for Blue KC employees and First Tier, Downstream and Related entities.

Minimum Qualifications
  • Bachelor's degree in criminal justice, finance, accounting, medical or other relevant academic discipline. 1 years investigative experience in the following areas (e.g., medical review, financial, medical analytics, behavioral health, research & adjustment, appeals) that provided the types and levels of knowledge, skills, and abilities required.
  • Strong communication skills with a broad range of individuals and groups (e.g., members, providers, operational areas, medical directors, provider relations, legal counsel, senior management)

Preferred Qualifications
  • Master's degree in criminal justice, finance, accounting, medical or other relevant academic discipline
  • 3 years' experience conducting healthcare FWA investigations at a health insurer; experience analyzing claims data to identify FWA trends and patterns using tools such as Excel and business intelligence platforms (e.g., Power BI, Business Objects).
  • Knowledge of major BCBSKC business systems (e.g., Facets, ITS Host and Home) and operational processes (e.g., Claims Processing, Pharmacy, Provider Contracting/Relations, Member Services, Customer Service)
  • Knowledge of BCBSKC provider contracts, medical policies and member benefits
  • Knowledge of medical terminology and ICD/CPT coding
  • Experience working with the regulators (e.g., CMS, State Department of Insurance) and law enforcement (e.g., FBI, DEA, HHS-OIG, OPM-OIG and/or Department of Justice)
  • Juris Doctorate
  • Coding Certification: AAPC, AHIMA
  • FWA Certification: Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI)
  • Medical License: Registered Nurse (RN), Licensed Practical Nurse (LPN), pharmacist, physician
  • Licensed Clinal Social Worker (LCSW)
  • Licensed Professional Counselor (LPC)

Blue Cross and Blue Shield of Kansas City is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, color, religion, sex, sexual orientation, gender identity, national origin, age, status as a protected veteran, or disability.

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