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Fraud Strategy Full Time Jobs (NOW HIRING)

Humana

Fraud and Waste Investigator

Begins to influence department's strategy. Makes decisions on issues regarding technical approach ... full time (40 hours per week) employment at the time of posting. The pay range may be higher or ...

Humana

Fraud and Waste Investigator

Begins to influence department's strategy. Makes decisions on issues regarding technical approach ... full time (40 hours per week) employment at the time of posting. The pay range may be higher or ...

Humana

Fraud and Waste Investigator

Begins to influence department's strategy. Makes decisions on issues regarding technical approach ... full time (40 hours per week) employment at the time of posting. The pay range may be higher or ...

Humana

Fraud and Waste Investigator

Understands department, segment, and organizational strategy and operating objectives, including ... full time (40 hours per week) employment at the time of posting. The pay range may be higher or ...

Winston Staffing Services

Be Seen First

Fraud Manager

Hauppauge, NY · On-site

$95K - $115K/yr

Hauppauge, NY Employment Type: Full-Time- Direct Hire About the Opportunity Winston Staffing has ... strategies, update transaction controls, and mitigate institutional risk across an evolving ...

New

Humana

Fraud and Waste Investigator

Understands department, segment, and organizational strategy and operating objectives, including ... full time (40 hours per week) employment at the time of posting. The pay range may be higher or ...

Hanover Bank

Fraud Manager

Hauppauge, NY · On-site

$94K/yr

Job Type Full-time Description Location: Hauppauge, NY About Us: Hanover Bank- When you love your ... strategies for fraud prevention. • Willing to raise issues when needed and keep management ...

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Fraud Strategy Full Time information

See salary details

$55.5K

$124.7K

$217.5K

How much do fraud strategy full time jobs pay per year?

As of Sep 5, 2026, the average yearly pay for fraud strategy full time in the United States is $124,659.00, according to ZipRecruiter salary data. Most workers in this role earn between $90,000.00 and $157,500.00 per year, depending on experience, location, and employer.

What is a fraud strategy full time?

A Fraud Strategy Full Time position involves developing, implementing, and managing strategies to detect, prevent, and mitigate fraudulent activities within an organization. Professionals in this role analyze data, assess risk factors, and work closely with other departments to create effective anti-fraud policies and procedures. They may also utilize technology and analytics tools to monitor transactions, identify suspicious patterns, and investigate incidents of fraud. The goal is to protect the organization's assets and reputation while ensuring compliance with relevant laws and regulations.

What are the key skills and qualifications needed to thrive as a fraud strategy analyst?

To thrive as a Fraud Strategy Analyst, you need strong analytical skills, knowledge of fraud detection methodologies, and a background in finance, statistics, or a related field. Familiarity with data analysis tools (such as SQL, Python, or SAS), fraud management systems, and relevant certifications like Certified Fraud Examiner (CFE) are typically required. Attention to detail, problem-solving abilities, and effective communication help professionals excel by interpreting trends and collaborating across teams. These skills are crucial for proactively identifying, preventing, and mitigating fraudulent activities to protect organizational assets and customer trust.

What are some common challenges faced by professionals in a fraud strategy role, and how can they be addressed?

Professionals in Fraud Strategy often encounter challenges such as rapidly evolving fraud techniques, balancing risk mitigation with customer experience, and analyzing large volumes of transactional data. Staying ahead requires continuous learning, collaboration with data scientists and IT teams, and leveraging advanced analytical tools. Effective communication across departments and regular training help ensure that strategies remain adaptive and impactful in minimizing losses while maintaining seamless customer service.

What is the difference between Fraud Strategy Full Time vs Fraud Analyst?

AspectFraud Strategy Full TimeFraud Analyst
Primary FocusDeveloping and implementing fraud prevention strategiesDetecting and investigating fraudulent activities
Required SkillsStrategic thinking, policy development, data analysisData analysis, investigation skills, attention to detail
Work EnvironmentCross-functional teams, strategic planning sessionsOperational, investigative, and reporting tasks
Common CertificationsCertified Fraud Examiner (CFE), AML certificationsNone specifically required, but CFE is beneficial

While Fraud Strategy Full Time roles focus on creating proactive fraud prevention plans, Fraud Analysts primarily investigate and respond to fraud incidents. Both roles require analytical skills and industry knowledge, but differ in scope and strategic versus operational focus.

What are the most commonly searched types of Fraud Strategy jobs?

The most popular types of Fraud Strategy jobs are:

Fraud Strategy Full Time jobs near you
Infographic showing various Fraud Strategy Full Time job openings in the United States as of August 2026, with employment types broken down into 92% Full Time, 6% Part Time, and 2% Contract. Highlights an 78% Physical, 6% Hybrid, and 16% Remote job distribution, with an average salary of $124,659 per year, or $59.9 per hour.

Fraud and Waste Investigator

Humana

Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago

Humana rating

8.0

Company rating: 8.0 out of 10

Based on 267 frontline employees who took The Breakroom Quiz

172nd of 315 rated insurance

Job description

Become a part of our caring community
Humana is looking for an experienced Healthcare Investigator to join its industry leading Special Investigations Unit. Do you enjoy speaking with members, providers, and other industry colleagues? Do you thrive on solving problems and thinking outside the box? Are you self-driven and enjoy being proactive? But, most of all do you have a passion for combating Fraud, Waste, and Abuse in the Health Care Industry? If this resonates with you, then you should strongly consider this amazing opportunity to join Humana's SIU.
The Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The Fraud and Waste Investigator collaborates in investigations with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares investigative and audit reports. Begins to influence department's strategy. Makes decisions on issues regarding technical approach for project components. Exercises good judgment with considerable latitude in determining objectives and approaches to assignments.

In order to thrive in this role, the following attributes and experience would be helpful:

  • Self-starter and organized
  • Interview skills and able to conduct a thorough investigation to maintain compliance with Humana and governmental requirements
  • Able to collaborate with internal and external partners (Law Enforcement, Legal, Compliance).
  • Comfort with data analysis (Excel, Access, PowerBI), report writing, and creating/presenting via PPT or other platform
  • Performing Investigative research and medical record reviews
  • CPT code experience
  • Experience with testifying in Court

This role will regularly engage with all of the following:

  • o Local, State and Federal Law Enforcement
  • o Humana Legal and Outside Counsel
  • o Internal Compliance
  • o Market Areas
  • o Clinical Teams
  • o Business areas for all product lines (Medicare, Medicaid, Commercial)
  • o Industry Trend areas

Use your skills to make an impact

Required Qualifications

  • Bachelor's degree or equivalent experience
  • Strong clinical experience to include multiple practice areas
  • At least 2 years of healthcare fraud investigations and auditing experience
  • Knowledge of healthcare payment methodologies
  • Strong organizational, interpersonal, and communication skills
  • Inquisitive nature with ability to analyze data to metrics
  • Computer literate (MS, Word, Excel, Access)
  • Strong personal and professional ethics

Preferred Qualifications

  • Graduate degree and/or certifications (MBA, J.D., MSN, Clinical Certifications, CPC, CCS, CFE, AHFI).
  • Understanding of healthcare industry, claims processing and investigative process development.
  • Experience in a corporate environment and understanding of business operations
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


$65,000 - $88,600 per year


This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
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.

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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

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