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Remote Bsa Fraud Analyst Jobs in Kentucky (NOW HIRING)

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Remote Bsa Fraud Analyst information

What is a remote BSA fraud analyst?

A Remote BSA Fraud Analyst is a financial professional who works from a remote location to monitor, detect, and investigate suspicious financial activities that may indicate fraud, money laundering, or other financial crimes. BSA stands for Bank Secrecy Act, which sets regulatory requirements for financial institutions to help prevent and detect money laundering and fraud. These analysts review transaction data, analyze patterns, and ensure compliance with federal regulations by preparing and filing reports such as Suspicious Activity Reports (SARs). Their work helps protect financial institutions from legal and financial risks associated with fraudulent activities.

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

To thrive as a Remote BSA Fraud Analyst, you need expertise in anti-money laundering (AML) regulations, financial crime detection, and a background in finance or criminal justice, often supported by a CAMS certification. Familiarity with fraud detection software, case management systems, and data analytics tools is typically required. Strong analytical thinking, attention to detail, and effective written communication are crucial soft skills for success in this role. These skills ensure accurate identification and reporting of suspicious activities, helping organizations comply with regulations and minimize financial risks.

What are some common challenges faced by remote BSA fraud analysts, and how can they be addressed?

Remote BSA Fraud Analysts often face challenges related to communication and collaboration, as they must work closely with compliance teams and investigators across different locations. Managing sensitive data securely while working from home also requires strict adherence to company protocols. To address these challenges, it's important to leverage secure digital tools for real-time communication, maintain regular check-ins with team members, and follow best practices for data security. Building strong virtual relationships and staying updated on evolving fraud trends can further enhance your effectiveness in the role.

What is the difference between Remote Bsa Fraud Analyst vs Remote Bsa Compliance Analyst?

AspectRemote Bsa Fraud AnalystRemote Bsa Compliance Analyst
CertificationsFinCEN, ACAMS, or equivalentBA in finance, compliance certifications often preferred
Work EnvironmentFinancial institutions, banks, credit unionsFinancial institutions, banks, credit unions
Primary FocusDetecting and preventing fraud activitiesEnsuring compliance with regulations
Common Search IntentFraud detection, risk analysisRegulatory compliance, audit

While both roles operate within financial institutions and require knowledge of banking regulations, the Remote Bsa Fraud Analyst primarily focuses on identifying and preventing fraud, whereas the Remote Bsa Compliance Analyst concentrates on ensuring adherence to compliance standards. Both roles often share similar certifications and work environments, but their core responsibilities differ significantly.

What are popular job titles related to Remote Bsa Fraud Analyst jobs in Kentucky?

For Remote Bsa Fraud Analyst jobs in Kentucky, the most frequently searched job titles are:

What job categories do people searching Remote Bsa Fraud Analyst jobs in Kentucky look for?

The top searched job categories for Remote Bsa Fraud Analyst jobs in Kentucky are:

What cities in Kentucky are hiring for Remote Bsa Fraud Analyst jobs?

Cities in Kentucky with the most Remote Bsa Fraud Analyst job openings:

Remote Bsa Fraud Analyst jobs near you
Infographic showing various Remote Bsa Fraud Analyst job openings in Kentucky as of August 2026, with employment types broken down into 85% Full Time, 7% Part Time, 1% Temporary, and 7% Contract. Highlights an 81% Physical, 7% Hybrid, and 12% Remote job distribution.

Senior Analyst, Payment Integrity Disputes

Oscar Health

Louisville, KY • Remote

$64K - $85K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

262nd of 315 rated insurance

Job description

Hi, we're Oscar. We're hiring a Senior Analyst, Payment Integrity Disputes to join our Disputes team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

You will be responsible for supporting payment integrity disputes and issue resolution in the Oscar claim environment for both the Oscar Insurance business. You will scope, triage, investigate and execute on solutions and process improvements. You will leverage a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally and understand and translate friction from stakeholders into actionable opportunities for improvement.

You will report into the Manager, Payment Integrity (Pre-Pay).

Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; Philadelphia, Pennsylvania; Salt Lake City, Utah. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote

Pay Transparency: The base pay for this role is: $64,832 - $85,092 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Contribute as a subject matter expert for Oscar reimbursement policies, payment integrity disputes, internal claims processing edits and external vendor edits.
  • Respond to internal and external inquiries and disputes regarding policies and edits.
  • Research industry standard coding rules, summarize and provide input into reimbursement policy language and scope.
  • Use knowledge gained through research and claims review to ideate payment integrity opportunities. Translate into business requirements; submit to and collaborate with internal partners to effectuate change.
  • Ingest information from internal and external partners regarding adverse claim outcomes; collaborate with partners to scope, size, prioritize items and deliver solutions.
  • Use insights from partner submissions, data mining, process monitoring, etc., work with the team to proactively identify thematic areas of opportunity to solve problems.
  • Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate.
  • Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever leadership escalates and assigns issues.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • Experience in Payment Integrity focused on Disputes and/or appeals
  • 4+ years of experience in claims processing, coding, auditing or health care operations
  • 3+ years experience in medical coding
  • Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA)
  • Experience with reimbursement methodologies, provider contract concepts and common claims processing/resolution practices.
  • 2+ years experience deriving business insights from datasets and solving problems
  • 1+ years experience improving business workflows and processes
  • 1+ years experience collaborating with internal and external stakeholders

Bonus points:

  • 2+ years experience in a technical role (QA analyst, PM, operations analyst, finance, consulting, industrial engineering) or a process improvement role (Six Sigma or similar)
  • 2+ years of experience working with large data sets using excel or a database language
  • Experience in a professional healthcare claims organization
  • Knowledge management, training, or content development in operational settings
  • Process Improvement or Lean Six Sigma training
  • Experience using SQL

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. 

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency:  Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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