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Fraud Risk Manager Jobs in Mount Pleasant, SC (NOW HIRING)

Blackbaud

Director of Product Management, YourCause

SC · Remote

$150.40K - $204.10K/yr

Director of Product Management, YourCause The Director of Product Management, YourCause is ... Embed trust end-to-end through security, risk/fraud controls, compliance, and transparent customer ...

Hibbett Retail, Inc.

Assistant Manager

Charleston, SC

$12 - $15/hr

... fraud risk. SUPERVISORY RESPONSIBILITIES Supervises employees in the absence of the Store Manager. Carries out supervisory responsibilities in accordance with the organization's policies and ...

Hibbett Retail, Inc.

Sales Associate

Charleston, SC

$9 - $11.25/hr

... management and/or appropriate officials of potential fraud risk. SUPERVISORY RESPONSIBILITIES There are no supervisory responsibilities for this role. QUALIFICATIONS * 0-2 years of customer service ...

Hibbett Retail, Inc.

Sales Associate

Moncks Corner, SC

$8 - $10/hr

... management and/or appropriate officials of potential fraud risk. SUPERVISORY RESPONSIBILITIES There are no supervisory responsibilities for this role. QUALIFICATIONS * 0-2 years of customer service ...

North American Risk Services, Inc. (NARS)

Be Seen First

Homeowners Property Claims Adjuster

Charleston, SC · Remote

$60K - $80K/yr

... management, damage assessment, settlement negotiations. · Identify potential fraud. · Mange the ... Company Description North American Risk Services (NARS) is a premier third-party claims ...

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Fraud Risk Manager information

See Mount Pleasant, SC salary details

$49.2K

$106.6K

$162.5K

How much do fraud risk manager jobs pay per year?

As of Jun 1, 2026, the average yearly pay for fraud risk manager in Mount Pleasant, SC is $106,627.00, according to ZipRecruiter salary data. Most workers in this role earn between $86,000.00 and $123,300.00 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 near Mount Pleasant, SC are hiring for Fraud Risk Manager jobs? Cities near Mount Pleasant, SC with the most Fraud Risk Manager job openings:
Fraud Risk Manager jobs near you
Senior Fraud Investigations Analyst

Senior Fraud Investigations Analyst

Blue Cross and Blue Shield of North Carolina

Charleston, SC

$81.07K - $129.71K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 2 days ago

Blue Cross and Blue Shield of North Carolina rating

7.8

Company rating: 7.8 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

162nd of 259 rated insurance

Job description

Job Description

We are seeking a Special Investigations Unit (SIU) Investigator to conduct timely and thorough health care fraud investigations on behalf of our Company. Responsibilities include maintaining confidentiality, adhering to SIU Policies and Procedures, meeting contractual obligations, and ensuring compliance with state and federal regulations.

What You'll Do

  • Conducts investigations in accordance with investigative action plan and documents all findings in standard with SIU Policies and Procedures

  • Identifies errors and control deficiencies. Understands and communicates the downstream impact of process weaknesses and gaps on the business/organization.

  • In the course of investigation, may be required to provide deposition and/or testimony May also be required to conduct interviews of victims, subjects and/or other related persons

  • In accordance with SIU Policies and Procedures, maintains timely and factual documentation in designated case tracking, from inception to case closure

  • Prepares and conducts presentations and/or provides content for health care fraud and abuse education and awareness.

What You Bring

  • Bachelor's degree or advanced degree (where required)

  • 5+ years of experience in related field.

  • In lieu of degree, 7+ years of experience in related field.

Bonus Points

  • Working knowledge of Medicare programs and reimbursement principles, including general billing requirements and documentation expectations

  • Professional certifications such as AHFI (Accredited Healthcare Fraud Investigator), CFE (Certified Fraud Examiner), or similar healthcare fraud or compliance credentials

  • Experience reviewing and vetting investigative leads and determining appropriate next steps

  • Experience communicating investigative findings, summaries, and overpayment determinations clearly to internal stakeholders and/or providers

  • Familiarity with common fraud, waste, and abuse (FWA) schemes and red flags

  • Strong Excel skills for organizing, tracking, and reviewing case data (e.g., filtering, sorting, basic formulas, pivot tables)

  • Strong written and verbal communication skills, particularly in provider-facing interactions

  • Ability to manage multiple cases and deadlines in a fast-paced investigative environment

What You'll Get

  • The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community.

  • Work-life balance, flexibility, and the autonomy to do great work.

  • Medical, dental, and vision coverage along with numerous health and wellness programs.

  • Parental leave and support plus adoption and surrogacy assistance.

  • Career development programs and tuition reimbursement for continued education.

  • 401k match including an annual company contribution

  • Learn more

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs.Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

*Based on annual corporate goal achievement and individual performance.

$81,068.00 - $129,708.00

Skills

Depositions, Evidence Collection, Forensic Accounting, Fraud Investigations, Investigation Techniques, Investigative Analysis, Job Interviews, Regulatory Analysis, Risk Assessments, Testifying in Court

_____________________________________________________________________
JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina 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 our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.

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