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Payments Risk Analyst Jobs in Wyoming (NOW HIRING)

Shell

Tax Associate Intern

Shell, WY · On-site

Pay or effect payment of all tax liabilities on time and in the right amount, as shown on the tax ... Conduct variance analysis, reasonableness checks and reconciliations. * Collate information for ...

Gardiner & Theobald

... payments. * Negotiate and prepare final accounts. Cost Planning, Estimating and Benchmarking ... plans to analyse and to bridge gaps resulting from a benchmarking exercise. Risk Management:

All JobsPayments Risk Analyst JobsPayments Risk Analyst Jobs in Wyoming

Payments Risk Analyst information

What is a payments risk analyst?

Payments Risk Analysts are professionals responsible for identifying, assessing, and mitigating risks associated with payment processing systems and transactions. They analyze transaction data to detect fraudulent activities, ensure compliance with regulations, and develop strategies to minimize financial losses for organizations. Their work often involves using advanced analytics and risk management tools to monitor trends, investigate suspicious activities, and recommend improvements to payment processes.

What skills and qualifications are needed to be a payments risk analyst?

To thrive as a Payments Risk Analyst, you need strong analytical skills, knowledge of financial regulations, and experience in risk assessment, typically supported by a degree in finance, economics, or a related field. Familiarity with transaction monitoring systems, data analysis tools like SQL or Excel, and certifications such as CAMS or CFE are commonly required. Attention to detail, critical thinking, and effective communication are vital soft skills to excel in this role. These competencies are crucial for identifying and mitigating payment fraud, ensuring regulatory compliance, and maintaining the integrity of financial operations.

What challenges do payments risk analysts face in monitoring and mitigating transaction fraud?

Payments Risk Analysts often encounter the challenge of quickly identifying and responding to evolving fraud patterns while maintaining a seamless customer experience. The role requires balancing proactive risk detection with minimizing false positives, which can inadvertently affect legitimate transactions. Analysts must collaborate closely with data scientists, compliance teams, and customer service to continuously refine fraud detection models and stay updated on emerging threats. Staying adaptable and leveraging advanced analytics tools are key to success in this fast-paced environment.

Do payments risk analysts make good money?

Payments risk analysts typically earn a competitive salary that varies based on experience, location, and industry. Entry-level positions may start around $50,000 annually, while experienced analysts can earn over $100,000, especially with specialized skills in fraud detection and data analysis. Certifications such as Certified Fraud Examiner (CFE) can also enhance earning potential.

How much do payments risk analysts get paid?

Payments risk analysts typically earn a median annual salary of around $60,000 to $80,000, depending on experience, location, and industry. Entry-level positions may start lower, while experienced analysts with certifications can earn higher salaries, especially in financial services or technology sectors.

Is a payments risk analyst a good job?

A payments risk analyst is a role focused on identifying and mitigating fraud and financial risks in payment systems. It typically requires analytical skills, knowledge of financial regulations, and familiarity with risk management tools. The job offers opportunities for career growth in finance and technology sectors but can involve high-pressure situations and the need for continuous learning.

What are popular job titles related to Payments Risk Analyst jobs in Wyoming?

For Payments Risk Analyst jobs in Wyoming, the most frequently searched job titles are:

What cities in Wyoming are hiring for Payments Risk Analyst jobs?

Cities in Wyoming with the most Payments Risk Analyst job openings:

Payments Risk Analyst jobs near you

BI Analyst

Blue Cross and Blue Shield of North Carolina

Cheyenne, WY • On-site

$89K - $142K/yr

Other

Medical, Retirement, PTO

Posted 16 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

196th of 315 rated insurance

Job description

Job Description

Serves as a strategic analytics partner to the Special Investigations Unit (SIU) and Payment Integrity teams by delivering actionable business intelligence, financial reporting, operational insights, and statistically sound audit support. This role combines advanced data analysis, dashboard development, healthcare claims expertise, and stakeholder engagement to identify fraud, waste, abuse, payment accuracy opportunities, and operational improvement initiatives.
The analyst develops reporting and analytical solutions that support provider investigations, overpayment recovery efforts, prepayment and post-payment audit programs, and executive decision-making. This role is responsible for translating complex healthcare data into meaningful insights, measuring program effectiveness, supporting statistically valid sampling methodologies, and driving measurable savings and operational efficiencies across the organization.
  • Partner with Special Investigations Unit (SIU), Payment Integrity, Clinical, Finance, and operational stakeholders to identify business needs and develop analytical solutions that support fraud, waste, abuse detection, payment accuracy, and operational performance management.
  • Design, develop, and maintain dashboards, scorecards, reports, and self-service analytics solutions that provide actionable insights into investigation outcomes, provider risk, savings, recoveries, cost avoidance, inventory management, and key performance indicators.
  • Analyze healthcare claims, provider, member, audit, and investigation data to identify trends, anomalies, emerging risks, and opportunities for financial and operational improvement.
  • Develop recurring and ad hoc financial and operational reporting used by leadership to measure program effectiveness, resource utilization, productivity, return on investment, and strategic objectives.
  • Design, execute, validate, and document statistically valid random sampling methodologies to support provider audits, overpayment identification, error rate measurement, and extrapolation activities.
  • Collaborate with business partners, BI Analysts, Data Scientists, and others to define data requirements, improve data quality, and operationalize advanced analytical solutions.
  • Facilitate requirements gathering, solution design, and stakeholder review sessions to ensure reporting and analytical solutions meet business objectives and deliver measurable value.
  • Validate data accuracy, reconcile reporting outputs, and ensure consistency of financial, operational, and analytical metrics across multiple systems and audiences.
  • Communicate analytical findings, insights, risks, and recommendations to business partners and leadership through effective visualizations, presentations, and written summaries.
  • Establish and maintain reporting standards, documentation, governance practices, and development methodologies to ensure scalable, reliable, and sustainable analytical solutions.
  • Manage multiple projects and priorities simultaneously while proactively communicating status, risks, dependencies, and opportunities to stakeholders and leadership.

What You Bring

Required

  • Bachelor's degree or advanced degree (where required)
  • 3+ years of experience in healthcare analytics, SIU, Payment Integrity, or a related field
  • In lieu of degree, 5+ years of experience in related field.
  • Strong analytical, problem-solving, and communication skills.

Preferred

  • Experience supporting Special Investigations Unit (SIU), Fraud, Waste & Abuse (FWA), Payment Integrity, claims auditing, or provider payment review functions.
  • Knowledge of healthcare claims processing, reimbursement methodologies, CPT, HCPCS, ICD-10, DRG, and provider billing practices.
  • Experience with statistical sampling methodologies, confidence intervals, extrapolation, and audit-related analytics.
  • Experience measuring healthcare savings, recoveries, cost avoidance, and operational performance metrics.
  • Experience with Snowflake
  • Experience building AI agents

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.

$89,174.00 - $142,679.00

Skills

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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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