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Fraud Data Scientist Jobs in Raleigh, NC (NOW HIRING)

IQVIA

Clinical Data Manager

Durham, NC · On-site

$68K - $171K/yr

... life sciences and healthcare industries. We create intelligent connections to accelerate the ... fraud. All information and credentials submitted in your application must be truthful and complete.

New

IQVIA

Clinical Data Manager

Durham, NC

$68K - $171K/yr

... life sciences and healthcare industries. We create intelligent connections to accelerate the ... fraud. All information and credentials submitted in your application must be truthful and complete.

New

IQVIA

Senior Clinical Data Coordinator

Durham, NC · On-site

$50K - $126K/yr

... life sciences and healthcare industries. We create intelligent connections to accelerate the ... fraud. All information and credentials submitted in your application must be truthful and complete.

New

IQVIA, Inc.

Senior Clinical Data Coordinator

Durham, NC · On-site

$50K - $126K/yr

... life sciences and healthcare industries. We create intelligent connections to accelerate the ... fraud. All information and credentials submitted in your application must be truthful and complete.

New

IQVIA

Senior Clinical Data Coordinator

Durham, NC

$50K - $126K/yr

... life sciences and healthcare industries. We create intelligent connections to accelerate the ... fraud. All information and credentials submitted in your application must be truthful and complete.

New

IQVIA

Information Advisor, Large Pharma

Durham, NC

$111K - $349K/yr

Bachelor's in Data Science, Health Informatics, Life Sciences, or relatedfield;Master's in Data ... fraud. All information and credentials submitted in your application must be truthful and complete.

IQVIA

Information Advisor, Large Pharma

Durham, NC · On-site

$111K - $349K/yr

Bachelor's in Data Science, Health Informatics, Life Sciences, or relatedfield;Master's in Data ... fraud. All information and credentials submitted in your application must be truthful and complete.

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Showing results 21-40

All JobsFraud Data Scientist JobsFraud Data Scientist Jobs in Raleigh, NC

Fraud Data Scientist information

See Raleigh, NC salary details

$44.7K

$160.4K

$236.7K

How much do fraud data scientist jobs pay per year?

As of Aug 16, 2026, the average yearly pay for fraud data scientist in Raleigh, NC is $160,411.00, according to ZipRecruiter salary data. Most workers in this role earn between $129,800.00 and $165,300.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the fraud data scientist position, and why are they important?

To thrive as a Fraud Data Scientist, you need strong analytical skills in statistics, machine learning, and data analysis, typically backed by a degree in data science, mathematics, or a related field. Familiarity with programming languages like Python or R, experience with SQL databases, and knowledge of fraud detection tools such as SAS, Hadoop, or relevant certifications like CFE are highly valued. Excellent problem-solving ability, communication skills, and the capacity to work collaboratively with cross-functional teams are important soft skills. These abilities are crucial for identifying and mitigating fraudulent activities while ensuring clear collaboration and actionable insights in a high-stakes financial environment.

What is a fraud data scientist?

A Fraud Data Scientist analyzes transactional and behavioral data to detect, prevent, and mitigate fraudulent activities. They use machine learning models, statistical analysis, and anomaly detection techniques to identify suspicious patterns in financial, e-commerce, or other data-heavy industries. Their role involves working with large datasets, collaborating with fraud investigators, and continuously improving fraud detection systems to minimize financial losses and risks.

What are the typical daily responsibilities of a fraud data scientist?

A Fraud Data Scientist's day often involves analyzing large datasets to detect suspicious patterns, developing and validating machine learning models to predict fraudulent activity, and collaborating with other teams such as compliance and risk management. Additionally, they may respond to real-time fraud alerts, participate in meetings to refine detection strategies, and prepare reports for stakeholders. The role combines technical analysis with ongoing learning about emerging fraud trends, making every day dynamic and intellectually challenging. Teamwork and adaptability are essential, as you'll frequently coordinate with engineers and business leaders to continually enhance fraud prevention efforts.

How much do fraud data scientists make?

Fraud data scientists typically earn between $80,000 and $130,000 annually, depending on experience, location, and industry. Senior roles or those with specialized skills in machine learning and fraud detection tools can earn higher salaries, often exceeding $150,000.

What are the most commonly searched types of Fraud Data Scientist jobs in Raleigh, NC?

The most popular types of Fraud Data Scientist jobs in Raleigh, NC are:

What are popular job titles related to Fraud Data Scientist jobs in Raleigh, NC?

For Fraud Data Scientist jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Fraud Data Scientist jobs in Raleigh, NC look for?

The top searched job categories for Fraud Data Scientist jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Fraud Data Scientist jobs?

Cities near Raleigh, NC with the most Fraud Data Scientist job openings:

Fraud Data Scientist jobs near you
Infographic showing various Fraud Data Scientist job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, and 4% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $160,411 per year, or $77.1 per hour.

Senior Data Analyst, Clinical Programs

Brighton Health Plan Solutions, LLC

Chapel Hill, NC • Remote

Full-time

Medical, Vision

Re-posted 25 days ago

Job description

About The Role
The Senior Data Analyst, Clinical Programs will be an analytically driven team player, responsible for understanding business needs and objectives, eliciting requirements from stakeholders, and analyzing data and processes to identify opportunities for improvement.  This role will support BHPS Clinical Programs, Utilization Management, Complex Case Management, and Population Health Management. In this role, you will be challenged to think creatively while developing actionable insights to inform client and program strategy.
*This is a Remote role.
Primary Responsibilities
  • Monitor Utilization Management and Case Management activities through the development of KPIs and benchmarks (i.e. member engagement rates, readmissions, preventable hospitalizations, ER utilization)  
  • Develop statistical models that deliver meaningful insights on cost, utilization and clinical outcomes based on various data sources.
  • Develop algorithms for stratifying populations and identifying high-risk members.
  • Leverage Predictive Analytics to measure the performance (ROI) of Disease Management and other Medical Management programs.
  • Conduct prospective savings analyses in support of clinical program initiatives.
  • Build and maintain client-facing reports, dashboards, and analyses.
  • Develop actionable data insights and advise on client strategy
  •  Participate in program performance review presentations with clinical program managers, client account managers, and external clients, as needed.
  • Manage internal and external client requests and timelines to ensure timely delivery.
  • Collaborate with Medical Management to provide ongoing support.
Essential Qualifications
  • Bachelors' degree required, preferably in Mathematics, Statistics, Finance, Actuarial Science, Data Science, or related field.
  • 5-7 years of experience in healthcare analytics, preferably in a managed care setting.
  • Proficiency in SQL and Microsoft SQL Server Suite of Products (SSMS) required.
  • Proficiency in MS Excel required.
  • Advanced data analysis, financial modeling, and predictive analytics skills.
  • Experience with clinical program evaluation and outcomes reporting. 
  • Experience with health plan performance reporting and cost and utilization analysis.
  • Experience with developing client-facing reports.
  • Experience with Business Intelligence applications and DAX functions (PowerPivot, Power BI, Tableau).
  • Ability to explain technical concepts to a non-technical audience .
  • Ability to effectively manage and prioritize several concurrent projects.
  • Excellent oral and written communications skills.
  • Experience with Payer Care Management platforms (i.e. ZeOmega) a plus.

About

At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all of your unique abilities.

Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today’s healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today’s challenges into tomorrow’s solutions.

Come be a part of the Brightest Ideas in Healthcare™.

Company Mission

Transform the health plan experience – how health care is accessed and delivered – by bringing outstanding products and services to our partners.

Company Vision

Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways.
JOB ALERT FRAUD:  We have become aware of scams from individuals, organizations, and internet sites claiming to represent Brighton Health Plan Solutions in recruitment activities in return for disclosing financial information.  Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All of our career opportunities are regularly published and updated brighonthps.com Careers section.  If you have already provided your personal information, please report it to your local authorities. Any fraudulent activity should be reported to: recruiting@brightonhps.com

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