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Gaming Fraud Risk Analyst Jobs in Michigan (NOW HIRING)

orsa credit union

dealer experience manager

Plymouth, MI · On-site

$82K/yr

Proactively analyze this data to strategize growth opportunities while mitigating industry risk, addressing structural dealer fraud, and ensuring overall portfolio quality. * Ensure all interactions ...

Ocean Casino Resort

$21/hr

Participate in investigations related to payments fraud and game play disputes * Detect and advise customers at risk of potential responsible gaming issues * Follow procedures to identify and report ...

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Gaming Fraud Risk Analyst information

What does a gaming fraud risk analyst do?

A Gaming Fraud Risk Analyst is responsible for identifying, investigating, and preventing fraudulent activities within online or offline gaming platforms. They analyze player behavior, monitor transactions, and use various tools and data analytics to detect suspicious activities such as account takeovers, payment fraud, or cheating. Their role helps gaming companies maintain fair play, protect user accounts, and comply with legal regulations. They also collaborate with other teams to improve fraud prevention strategies and minimize financial losses.

What are some common challenges faced by gaming fraud risk analysts in the gaming industry?

Gaming Fraud Risk Analysts often encounter challenges such as staying ahead of rapidly evolving fraud techniques and distinguishing between legitimate user behavior and suspicious activity. They must analyze large volumes of transactional and behavioral data, which requires attention to detail and proficiency with analytical tools. Collaboration with engineering, customer support, and compliance teams is essential to implement effective anti-fraud measures and respond quickly to emerging threats. Continuous learning and adaptability are key, as fraud methods and gaming technologies frequently change.

What are the key skills and qualifications needed to thrive as a gaming fraud risk analyst, and why are they important?

To thrive as a Gaming Fraud Risk Analyst, you need strong analytical skills, attention to detail, and a solid understanding of gaming industry regulations, often supported by a degree in finance, business, or a related field. Familiarity with fraud detection software, data analysis tools like SQL or Python, and knowledge of anti-money laundering (AML) systems are typically required. Critical thinking, problem-solving, and effective communication are valuable soft skills for investigating suspicious activity and collaborating with other departments. These skills are essential to accurately identify fraudulent behavior, minimize risks, and protect both the company and its players.

What are popular job titles related to Gaming Fraud Risk Analyst jobs in Michigan?

For Gaming Fraud Risk Analyst jobs in Michigan, the most frequently searched job titles are:

What job categories do people searching Gaming Fraud Risk Analyst jobs in Michigan look for?

The top searched job categories for Gaming Fraud Risk Analyst jobs in Michigan are:

What cities in Michigan are hiring for Gaming Fraud Risk Analyst jobs?

Cities in Michigan with the most Gaming Fraud Risk Analyst job openings:

Gaming Fraud Risk Analyst jobs near you

Financial Compliance Analyst

Corewell Health

Grand Rapids, MI • On-site

Full-time

Medical, Vision, Retirement

Re-posted 10 days ago

Corewell Health rating

6.9

Company rating: 6.9 out of 10

Based on 782 frontline employees who took The Breakroom Quiz

454th of 898 rated healthcare providers

Job description

Are you passionate about uncovering risks, solving complex compliance challenges, and driving meaningful improvements across healthcare operations? Join our Revenue Cycle Compliance Audit team as a Financial Compliance Analyst and play a key role in protecting the integrity of healthcare billing, coding, auditing, and reimbursement practices. In this highly collaborative and analytical role, you'll work alongside compliance leaders, operational teams, and stakeholders across the organization to conduct audits and investigations, analyze trends, and help ensure compliance with regulatory and industry standards. Whether you bring experience in coding, auditing, health plan operations, compliance, or data analysis, you'll have the opportunity to make a measurable impact while growing your expertise in a dynamic and evolving healthcare environment.
Job Summary
Assists with completion of audits related to work plans for designated revenue cycle compliance programs. Supports the resolution of compliance investigations and follows up with various parties to ensure its complete resolution. Supports the management of compliance standards, laws, rules and regulations. Provides guidance and recommendations to minimize risk. Identifies root causes, trends/themes and assures plans and standards are in place including development, education and implementation of related procedures and policies. Maintains thorough knowledge in program focus area(s), including compliance policies, procedures, risk areas, and industry trends. May support delegated investigations, inquiries, research and projects.
Essential Functions
  • Supports audits and investigations of compliance help line calls, employee complaints, or other compliance contacts or reports; performs necessary research, documents findings, and follows up with applicable parties through complete resolution. Collects, collates, monitors and audits data and activities to assure accuracy and to prevent, detect and correct non-compliance, illegal activities, and potential or actual fraud, waste or abuse. Works with outside consultants or external regulatory agencies in performing audits as necessary at the direction of management. From time to time, performs investigations at the direction of legal counsel and works with legal counsel in the course of such investigation to provide guidance, recommendations and other assistance as requested by legal counsel. In such cases, the employee will report directly to legal counsel as opposed to employee's up-line leadership, and such work with legal counsel shall be confidential and protected from disclosure by the attorney client privilege and work product protection.
  • Assists in the risk assessment and annual work plan activities. Assists in the implementation of the work plans, ensuring achievement of measurable goals, objectives and corrective action plans for assigned program area. Assists the manager and program lead in the development of standard work for auditing, investigations and corrective action and other departmental policies and procedures specific to assigned program area. Provides guidance to all compliance professionals and other key stakeholders on these processes. Uses risk-based methodologies, tools (CRA), and historical/current trends to assist in risk assessment processes.
  • Exercises administrative judgment and assumes responsibility for decisions, consequences and results having an impact on people, costs, and quality of service. Assists with the development, implementation and maintenance of process improvement including departmental and/or organizational policies, procedures and methodologies - assuring compliance with laws and regulations while using accumulated data. Reviews and monitors adherence to documented plans and programs including the Code of Excellence.
  • Collaborates with Compliance Relationship Management Teams, operational and other areas in investigations (such as HR) and to implement ongoing risk identification and mitigation measures. Proactively consults with Compliance Relationship Management Teams, operational areas and leadership through both formal (meetings, education) and informal means. Plans, coordinates and executes effective monitoring and auditing plans to reduce non-compliance.
  • Maintains knowledge of laws and regulations impacting health care and health insurance delivery and reimbursement. Applies laws and regulations in daily situations while educating others through various means including formal training and annual compliance related education programs. Performs related assessments to assure compliance. Performs or supports the performance of related assessments to assure compliance to laws, regulations and policies and procedures.
  • Performs/leads/assists with complex, routine and for-cause financial compliance audits. Evaluates the accuracy of the regulatory standards, ICD/CPT/HCPCS and other party-payor requirements. Verifies adequacy of documentation in support of services billed, including medical necessity, and compliance with other documentation, coding and billing standards.
  • Creates clear and accurate audit findings and recommendations in written audit reports that will be used for advising and educating coders/revenue cycle operations, providers, operational leaders, and other key stakeholders throughout the system. Able to maintain productivity standards. Maintains electronic record of audits, issues and investigations utilizing department tools and systems.
  • Maintains, updates and distributes effective, accurate, timely reporting systems. Reports results of auditing activities to the Compliance Officer, Relationship Management Teams, operational areas, and appropriate compliance committee(s). Maintains electronic records of audits, issues and investigations per departmental standards. Assists in a variety of projects related to legal, regulatory, compliance, and/or privacy. Identifies best practices and research and evaluates its implementation within our organization. Develops recommendations and action plans. Maintains attention to detail, documents details appropriately, and effectively articulates recommendations and outcomes both verbally and in writing in both small and large group forums.

Qualifications
Required
  • Bachelor's Degree or equivalent in business, health care operations, nursing or other related area, or equivalent combination of education and experience
  • 2 years of skills, knowledge, abilities, experience; health care operations, coding, billing, auditing and/or compliance experience
  • At least one of the following Cert upon hire:
    • CRT-Professional Coder - AAPC American Academy of Professional Coders
    • CRT-Registered Health Information Technician (RHIT) - AHIMA American Health Information Management Association
    • CRT-Registered Health Information Administrator (RHIA) - AHIMA American Health Information Management Association
    • CRT-Coding Specialist, Certified-Physician Based (CCS-P) - AHIMA American Health Information Management Association
    • CRT-Coding Specialist (CCS) - AHIMA American Health Information Management Association

Preferred
  • 2 years of experience with the following:
    • Legal or regulatory field; health care focus desirable
    • Compliance auditor, nurse auditor, or other audit function
    • Project management/program development and implementation
    • ICD-9 or ICD-10 and CPT 4 coding or medical record audit and review (facility and/or professional)
    • Education of clinical and non-clinical staff including Medical Staff and mid-level providers
    • Conducting investigations, performing interviews and summarizing results and findings
  • CRT-Healthcare Research Compliance, Certified (CHRC) - CCB Compliance Certified Board Or
  • CRT-Healthcare Research Compliance, Certified (CHRC) - HCCA Health Care Compliance Association

About Corewell Health
As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.
How Corewell Health cares for you
  • Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
  • On-demand pay program powered by Payactiv
  • Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
  • Optional identity theft protection, home and auto insurance
  • Traditional and Roth retirement options with service contribution and match savings
  • Eligibility for benefits is determined by employment type and status

Primary Location
SITE - Corewell Health Place - 100 Corewell Drive NW - Grand Rapids
Department Name
System Compliance - Corporate
Employment Type
Full time
Shift
Weekly Scheduled Hours
40
Hours of Work
8 a.m. - 5 p.m.
Days Worked
Monday to Friday
Weekend Frequency
N/A
CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.

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