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Fraud Risk Manager Jobs in Georgia (NOW HIRING)

Visa

Sr Director - Card Risk Solutions

Atlanta, GA

... the fraud detection systems in the region. As Featurespace continues to grow worldwide, this ... Away from leading the team and managing customer delivery work, you'll guide new commercial ...

Visa

Sr Director - Card Risk Solutions

Atlanta, GA · On-site

... the fraud detection systems in the region. As Featurespace continues to grow worldwide, this ... Away from leading the team and managing customer delivery work, you'll guide new commercial ...

RELX

Sr. Fraud Data Analyst

Alpharetta, GA · On-site +1

$94.70K - $157.50K/yr

LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Government ... Manage and strengthen customer relationships through ongoing analysis and insights delivered ...

RELX Group plc

Sr. Fraud Data Analyst

Alpharetta, GA · On-site

$94.70K - $157.50K/yr

LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Government ... Manage and strengthen customer relationships through ongoing analysis and insights delivered ...

LexisNexis

Sr. Fraud Data Analyst

Alpharetta, GA · On-site

$94.70K - $157.50K/yr

LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Government ... Manage and strengthen customer relationships through ongoing analysis and insights delivered ...

Pacer Group

Risk Analyst I

Atlanta, GA · On-site

$31/hr

Stay up-to-date with industry trends and data knowledge to identify new fraud and risk pattern Required Skills * 2+ years of relevant experience in risk management and/or financial or related call ...

First Horizon Bank

Fraud Strategy Analyst

Woodstock, GA · On-site

As a result of bank's sophisticated risk rules, certain customer payments are outsorted and will ... This individual must demonstrate strong leadership, change management and interpersonal skills to ...

corpay

Technical Project Manager

Buckhead, GA

This includes close partnership with Risk & Fraud leaders, BRMS/decision systems teams, engineering ... How We Work As a Technical Project Manager, you will be expected to work in an onsite position out ...

corpay

Technical Project Manager

Atlanta, GA

This includes close partnership with Risk & Fraud leaders, BRMS/decision systems teams, engineering ... How We Work As a Technical Project Manager, you will be expected to work in an onsite position out ...

Corpay

Technical Project Manager

Atlanta, GA · On-site

This includes close partnership with Risk & Fraud leaders, BRMS/decision systems teams, engineering ... How We Work As a Technical Project Manager, you will be expected to work in an onsite position out ...

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Fraud Risk Manager information

See Georgia salary details

$43.5K

$94.2K

$143.5K

How much do fraud risk manager jobs pay per year?

As of May 31, 2026, the average yearly pay for fraud risk manager in Georgia is $94,196.00, according to ZipRecruiter salary data. Most workers in this role earn between $76,000.00 and $108,900.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Fraud Risk Manager, and why are they important?

To excel as a Fraud Risk Manager, you need expertise in fraud detection, risk assessment, and knowledge of financial regulations, often supported by a degree in finance, accounting, or a related field. Familiarity with data analytics tools, fraud management platforms, and certifications like CFE (Certified Fraud Examiner) are highly valuable. Strong analytical thinking, problem-solving, and effective communication skills help you collaborate across departments and respond swiftly to emerging threats. These skills and qualifications are vital for proactively identifying, mitigating, and preventing fraudulent activities that could harm an organization’s reputation and finances.

How does a Fraud Risk Manager typically collaborate with other departments to mitigate risks?

Fraud Risk Managers work closely with multiple departments such as compliance, IT, internal audit, and customer service to identify, assess, and address potential fraud risks. They frequently coordinate with data analysts to monitor transactions for suspicious activity and partner with legal teams to ensure regulatory compliance. Regular cross-functional meetings and training sessions are common, allowing them to share insights, update protocols, and respond quickly to emerging threats. Effective communication and teamwork are essential, as fraud prevention is a collaborative effort across the organization.

What does a Fraud Risk Manager do?

A Fraud Risk Manager is responsible for identifying, assessing, and mitigating the risk of fraud within an organization. They develop and implement policies, procedures, and controls to prevent and detect fraudulent activities. Their work often involves analyzing data for suspicious patterns, investigating incidents of fraud, and providing training to staff on fraud prevention. Ultimately, they help safeguard the organization's assets and reputation by minimizing the impact of fraudulent activities.

What is the difference between Fraud Risk Manager vs Fraud Analyst?

AspectFraud Risk ManagerFraud Analyst
CredentialsCertifications like CFE, CRCM; Bachelor's degree in finance, accounting, or related fieldSimilar certifications; Bachelor's degree often required
Work EnvironmentOversees fraud prevention strategies, manages teams, develops policiesConducts investigations, analyzes data, detects fraud patterns
Industry UsageUsed in banking, finance, insurance, and retail sectorsCommonly employed in similar industries for fraud detection

The Fraud Risk Manager focuses on developing and overseeing fraud prevention strategies, managing teams, and implementing policies. In contrast, the Fraud Analyst primarily conducts investigations, analyzes data, and detects fraudulent activities. Both roles require similar credentials and are vital in fraud prevention within financial and retail sectors, but they differ in scope and responsibilities.

What cities in Georgia are hiring for Fraud Risk Manager jobs? Cities in Georgia with the most Fraud Risk Manager job openings:
Fraud Risk Manager jobs near you
Infographic showing various Fraud Risk Manager job openings in Georgia as of May 2026, with employment types broken down into 91% Full Time, 2% Part Time, 1% Temporary, 5% Contract, and 1% Nights. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $94,196 per year, or $45.3 per hour.
VP, Clinical Policy & Risk Management

VP, Clinical Policy & Risk Management

Humana

Atlanta, GA • On-site

Full-time

Posted 20 days ago

Humana rating

8.0

Company rating: 8.0 out of 10

Based on 251 frontline employees who took The Breakroom Quiz

145th of 259 rated insurance

Job description

Become a part of our caring community
Humana maintains a robust clinical risk management function to ensure effective risk mitigation, control, and governance processes across Care Management and Utilization Management. The mission of the Medicare and Medicaid Operational Risk Management Department is to partner with CM/UM teams to drive operational compliance, member access to care, and efficiency, while proactively identifying and managing risks related to care and utilization management.
The Vice President, Clinical Policy and Risk Management will oversee a department comprising 5 direct reports that lead CM/UM Risk Management, UM and CM audit teams, policy governance and clinical learning. This role reports directly to the Senior Vice President - Clinical Operations.

Responsibilities

  • Identify, assess, and report operational and clinical risks within CM/UM processes to appropriate governance structures.
  • Monitor CM/UM compliance and operational metrics, ensuring escalation and resolution of any issues impacting member care or regulatory compliance.
  • Track, interpret, and implement CMS Federal and Medicaid State regulations impacting CM/UM, ensuring timely and complete adoption.
  • Support regulatory audits with emphasis on CM/UM compliance and facilitate remediation where necessary.
  • Lead risk mitigation efforts related to care management and utilization management, including maturity assessments and oversight of issues and opportunities.
  • Oversee CM/UM business continuity and work across leadership to resolve any IOPs administered.
  • Foster quality and continuous improvement within CM/UM control processes, ensuring alignment with policies, standards, and applicable laws.
  • Address legislative and regulatory issues with potential impact on CM/UM operations, including fraud risk identification and mitigation.
  • Lead the strategy, design, implementation, and continuous improvement of clinical learning programs that support onboarding, role readiness, compliance, and performance for Care Management and Utilization Management teams; oversee end-to-end learning solution development, including curriculum architecture, instructional design standards, learning technologies and systems administration, workflow integration, and new hire onboarding experiences
  • Partner closely with clinical, operational, compliance, and business leaders to ensure learning content is aligned to regulatory requirements, clinical processes, system functionality, and business priorities; establish scalable onboarding and learning pathways, optimize learner experience across platforms, and use performance data, audit findings, and operational insights to strengthen adoption, reduce risk, and improve readiness and effectiveness of the clinical workforce.

Use your skills to make an impact

Required Qualifications

  • Bachelor's degree
  • Extensive experience (10+ years) in CM/UM risk management, regulatory compliance, process improvement, or related fields, with several years in leadership roles.
  • Advanced knowledge of CM/UM operational controls, risk mitigation strategies, and regulatory requirements for Medicare and Medicaid.
  • Demonstrated expertise in internal controls, clinical and operational risk management, and IT technical controls within CM/UM environments.
  • Exceptional project management skills, integrity, and business ethics.
  • Ability to collaborate with stakeholders across the enterprise and influence outcomes in complex, matrixed environments.
  • Excellent communication skills and executive presence.

Preferred Qualifications

  • MBA
  • Relevant professional credentials (CPA, CIA, CISSP, JD, SOA, RN, CCM, or similar)

Scheduled Weekly Hours

40
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

What Humana employees say

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About Humana

Sourced by ZipRecruiter

Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1961

Social media

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