Be Seen First
Job Responsibilities * Review beneficiary, provider, and/or pharmacy cases for potential overpayment, fraud, waste, and abuse. * Conduct desk reviews in alignment with applicable contract ...
Quick apply
Be Seen First
Job Responsibilities * Review beneficiary, provider, and/or pharmacy cases for potential overpayment, fraud, waste, and abuse. * Conduct desk reviews in alignment with applicable contract ...
Quick apply
Be Seen First
Job Responsibilities * Review beneficiary, provider, and/or pharmacy cases for potential overpayment, fraud, waste, and abuse. * Conduct desk reviews in alignment with applicable contract ...
Owings Mills, MD · On-site
$87 - $148/hr
Preferred: 2+ years of relevant compliance experience in financial crimes, AML, fraud, or ... Demonstrated independence and accountability, with ability to manage complex investigative work ...
Owings Mills, MD · On-site
$87 - $148/hr
Preferred: 2+ years of relevant compliance experience in financial crimes, AML, fraud, or ... Demonstrated independence and accountability, with ability to manage complex investigative work ...
As a premier global asset management organization with more than 85 years of experience, we provide ... fraud detection and prevention. * Demonstrates a strong understanding of established rules ...
As a premier global asset management organization with more than 85 years of experience, we provide ... fraud detection and prevention. * Demonstrates a strong understanding of established rules ...
Annapolis Junction, MD · On-site
The Medical Review Manager, Program Integrity is the senior clinical operations leader for the ... This role requires deep experience in Medicare fraud-focused medical review, knowledge of CMS ...
Annapolis Junction, MD · On-site
The Medical Review Manager, Program Integrity is the senior clinical operations leader for the ... This role requires deep experience in Medicare fraud-focused medical review, knowledge of CMS ...
As a premier global asset management organization with more than 85 years of experience, we provide ... fraud detection and prevention. * Demonstrates a strong understanding of established rules ...
As a premier global asset management organization with more than 85 years of experience, we provide ... fraud detection and prevention. * Demonstrates a strong understanding of established rules ...
Bel Air, MD · On-site
$426K/yr
Case Management experience preferred. Skills & Abilities: Demonstrate skill in a) clinical case ... If you suspect fraud, please contact us at careers@umms.edu.
Bel Air, MD · On-site
$426K/yr
Case Management experience preferred. Skills & Abilities: Demonstrate skill in a) clinical case ... If you suspect fraud, please contact us at careers@umms.edu.
$42.64 - $64/hr
Case Management experience preferred. Skills & Abilities: Demonstrate skill in a) clinical case ... If you suspect fraud, please contact us at careers@umms.edu. Benefits All your information will be ...
$42.64 - $64/hr
Case Management experience preferred. Skills & Abilities: Demonstrate skill in a) clinical case ... If you suspect fraud, please contact us at careers@umms.edu. Benefits All your information will be ...
Olney, MD · On-site
$24 - $33.50/hr
Drives operational excellence in the Store, including but not limited to cash handling, vault management, control of negotiable items, preventing fraud, managing controllable expenses, promoting ...
Olney, MD · On-site
$24 - $33.50/hr
Drives operational excellence in the Store, including but not limited to cash handling, vault management, control of negotiable items, preventing fraud, managing controllable expenses, promoting ...
Olney, MD · On-site
$24 - $33.50/hr
Drives operational excellence in the Store, including but not limited to cash handling, vault management, control of negotiable items, preventing fraud, managing controllable expenses, promoting ...
Olney, MD · On-site
$24 - $33.50/hr
Drives operational excellence in the Store, including but not limited to cash handling, vault management, control of negotiable items, preventing fraud, managing controllable expenses, promoting ...
Baltimore, MD · On-site
$35 - $45/hr
Manage the job scheduling calendar in accordance with state staffing pattern requirements ... fraud laws. * Assist in recruiting and orienting new clients into the program. * Assist with ...
Quick apply
Baltimore, MD · On-site
$35 - $45/hr
Manage the job scheduling calendar in accordance with state staffing pattern requirements ... fraud laws. * Assist in recruiting and orienting new clients into the program. * Assist with ...
Baltimore, MD · On-site
$35 - $45/hr
Manage the job scheduling calendar in accordance with state staffing pattern requirements ... fraud laws. * Assist in recruiting and orienting new clients into the program. * Assist with ...
Quick apply
Baltimore, MD · On-site
$35 - $45/hr
Manage the job scheduling calendar in accordance with state staffing pattern requirements ... fraud laws. * Assist in recruiting and orienting new clients into the program. * Assist with ...
Baltimore, MD · On-site
$35 - $45/hr
Manage the job scheduling calendar in accordance with state staffing pattern requirements ... fraud laws. * Assist in recruiting and orienting new clients into the program. * Assist with ...
Quick apply
Baltimore, MD · On-site
$35 - $45/hr
Manage the job scheduling calendar in accordance with state staffing pattern requirements ... fraud laws. * Assist in recruiting and orienting new clients into the program. * Assist with ...
Annapolis Junction, MD · On-site
$77K - $176K/yr
Contracts Manager The Opportunity: As a contract manager, you use your sharp negotiation tactics ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Annapolis Junction, MD · On-site
$77K - $176K/yr
Contracts Manager The Opportunity: As a contract manager, you use your sharp negotiation tactics ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
$55K - $126K/yr
Contracts Manager The Opportunity: As a contract manager, you use your sharp negotiation tactics ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
$55K - $126K/yr
Contracts Manager The Opportunity: As a contract manager, you use your sharp negotiation tactics ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Annapolis, MD · On-site
$55K - $126K/yr
Contracts Manager The Opportunity: As a contract manager, you use your sharp negotiation tactics ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Annapolis, MD · On-site
$55K - $126K/yr
Contracts Manager The Opportunity: As a contract manager, you use your sharp negotiation tactics ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Annapolis, MD · On-site
$86.90 - $198/hr
R0242449Capture Manager**The Opportunity****:**Drive the capture of business development ... We reserve the right to take your picture to verify your identity and prevent fraud.**Candidate AI ...
Annapolis, MD · On-site
$86.90 - $198/hr
R0242449Capture Manager**The Opportunity****:**Drive the capture of business development ... We reserve the right to take your picture to verify your identity and prevent fraud.**Candidate AI ...
Liaises with the business units, AML/FIU Management, and Legal to provide consultative guidance regarding fraud prevention practices related to the businesses' various products and services.
Liaises with the business units, AML/FIU Management, and Legal to provide consultative guidance regarding fraud prevention practices related to the businesses' various products and services.
Collaborates with BSA/Fraud Department, Compliance and Risk Management offices, VPs, AVPs and Managers, that staff is trained to detect possible fraudulent activity, fair lending violations, and ...
Collaborates with BSA/Fraud Department, Compliance and Risk Management offices, VPs, AVPs and Managers, that staff is trained to detect possible fraudulent activity, fair lending violations, and ...
Collaborates with BSA/Fraud Department, Compliance and Risk Management offices, VPs, AVPs and Managers, that staff is trained to detect possible fraudulent activity, fair lending violations, and ...
Collaborates with BSA/Fraud Department, Compliance and Risk Management offices, VPs, AVPs and Managers, that staff is trained to detect possible fraudulent activity, fair lending violations, and ...
Laurel, MD · On-site
$99 - $123/hr
Collaborates with BSA/Fraud Department, Compliance and Risk Management offices, VPs, AVPs and Managers, that staff is trained to detect possible fraudulent activity, fair lending violations, and ...
New
Laurel, MD · On-site
$99 - $123/hr
Collaborates with BSA/Fraud Department, Compliance and Risk Management offices, VPs, AVPs and Managers, that staff is trained to detect possible fraudulent activity, fair lending violations, and ...
New
$50.7K - $63.9K
19% of jobs
$67.2K is the 25th percentile. Wages below this are outliers.
$63.9K - $77.1K
25% of jobs
The median wage is $80.8K / yr.
$77.1K - $90.4K
23% of jobs
$102.1K is the 75th percentile. Wages above this are outliers.
$90.4K - $103.6K
9% of jobs
$103.6K - $116.8K
0% of jobs
$116.8K - $130.1K
0% of jobs
$130.1K - $143.3K
3% of jobs
$143.3K - $156.5K
5% of jobs
$156.5K - $169.8K
5% of jobs
$169.8K - $183K
5% of jobs
$183K - $196.2K
5% of jobs
$50.7K
$101.4K
$196.2K
A Fraud Manager oversees fraud prevention, detection, and investigation efforts within an organization. They analyze transactions, implement fraud detection systems, and develop strategies to minimize financial losses. Additionally, they collaborate with law enforcement, regulatory bodies, and internal teams to ensure compliance and risk mitigation. Their role is crucial in protecting a company's assets and maintaining customer trust.
To thrive as a Fraud Manager, you need a strong background in data analysis, risk management, and knowledge of financial regulations, typically supported by a bachelor's degree in finance, business, or a related field. Familiarity with fraud detection software, data analytics tools, and certifications such as Certified Fraud Examiner (CFE) are highly valued. Strong problem-solving, leadership, and communication skills help in managing teams and coordinating investigations. These competencies are crucial to effectively detect, prevent, and respond to fraudulent activities within an organization.
Fraud Managers often encounter challenges such as adapting to evolving fraud tactics, balancing thorough investigations with timely responses, and managing large volumes of alerts or suspicious activity. Staying current with regulatory changes and emerging financial crime trends is essential, as is collaborating with cross-functional teams including IT, compliance, and legal departments. These demands require a proactive approach and continuous professional development to ensure ongoing protection of the organization’s assets. Overcoming these challenges is both demanding and rewarding, offering opportunities for career advancement and recognition.
The most popular types of Fraud jobs in Baltimore, MD are:
For Fraud Manager jobs in Baltimore, MD, the most frequently searched job titles are:
The top searched job categories for Fraud Manager jobs in Baltimore, MD are:
Cities near Baltimore, MD with the most Fraud Manager job openings:

Baltimore, MD • Remote
Full-time
Re-posted 1 hour ago
Job Responsibilities
Review beneficiary, provider, and/or pharmacy cases for potential overpayment, fraud, waste, and abuse.
Conduct desk reviews in alignment with applicable contract requirements to identify potential fraud or overpayment.
Prepare detailed case summaries and provide results to investigators to support the investigative process.
Perform case-specific or plan-specific data entry and reporting to ensure accuracy and compliance.
Required Qualifications
Active, non-restricted Registered Nurse (RN) license.
Strong computer proficiency with excellent written communication skills.
Demonstrated research and analytical skills.
Preferred Qualifications
Coding certification (e.g., CPC, CCS, or equivalent).
Familiarity with Medicaid and Medicare regulations.
Experience with medical chart review.
Broad clinical background; experience in Hospice, Home Health, or Skilled Nursing Facility (SNF) review highly beneficial.