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Remote Fraud Analytics Jobs in Georgia (NOW HIRING)

... analyzing provider performance and negotiating reimbursement rates, often involving complex ... This is a remote position, open to candidates who reside in: Atlanta, Georgia. You will be fully ...

Manager, Optimization

Atlanta, GA · Remote

$105K - $138K/yr

This role involves cross-functional collaboration, data-driven analysis, and strategic thinking to ... This is a remote position, open to candidates who reside in: Atlanta, Georgia. You will be fully ...

Associate Director, Tax

Atlanta, GA · Remote

$162K - $213K/yr

This is a remote position, open to candidates who reside in: Atlanta, GA. You will be fully remote ... Lead the preparation of financial data and analysis to support tax forecasting and projects.

Senior Tax Accountant

Atlanta, GA · Remote

$87K - $114K/yr

This is a remote position, open to candidates who reside in: Atlanta, GA. You will be fully remote ... Prepare financial data, analysis and modeling to support tax projects. * Prepare audit and notice ...

Participate in financial analysis to evaluate business opportunities. * Responsible for field ... Bachelor's in Engineering #LI-BM1 #LI-REMOTE Work Arrangement : Hybrid Salary: 65,000- 75,000K ...

Participate in financial analysis to evaluate business opportunities. * Responsible for field ... Bachelor's in Engineering #LI-BM1 #LI-REMOTE Work Arrangement : Hybrid Salary: 65,000- 75,000K ...

... Fraud and Credit Risk mitigation and Customer Data Management. You can learn more about LexisNexis ... If not, this role is fully remote. We do not restrict applicants based on job site or posting ...

... Fraud and Credit Risk mitigation and Customer Data Management. You can learn more about LexisNexis ... If not, this role is fully remote. We do not restrict applicants based on job site or posting ...

Senior Site Reliability Engineer II

Buford, GA · On-site +1

$125K - $209K/yr

... Fraud and Credit Risk mitigation and Customer Data Management. You can learn more about LexisNexis ... If not, this role is fully remote. We do not restrict applicants based on job site or posting ...

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Remote Fraud Analytics information

What is the difference between Remote Fraud Analytics vs Remote Fraud Prevention Specialist?

AspectRemote Fraud AnalyticsRemote Fraud Prevention Specialist
Primary FocusAnalyzing data to detect and investigate fraud patternsImplementing strategies and actions to prevent fraud
Required SkillsData analysis, statistical tools, fraud detection techniquesRisk assessment, policy enforcement, customer communication
Work EnvironmentData teams, analytics platforms, remote data analysisCustomer service, compliance teams, remote monitoring
Common CertificationsCertified Fraud Examiner (CFE), data analysis certificationsCertified Fraud Examiner (CFE), security certifications

Remote Fraud Analytics focuses on analyzing data to identify potential fraud activities, while Remote Fraud Prevention Specialist works proactively to prevent fraud through policy enforcement and customer engagement. Both roles often collaborate but serve different stages of fraud management.

What are the most commonly searched types of Fraud Analytics jobs in Georgia? The most popular types of Fraud Analytics jobs in Georgia are:
What job categories do people searching Remote Fraud Analytics jobs in Georgia look for? The top searched job categories for Remote Fraud Analytics jobs in Georgia are:
What cities in Georgia are hiring for Remote Fraud Analytics jobs? Cities in Georgia with the most Remote Fraud Analytics job openings:
Process Management Associate, Provider Operations

Process Management Associate, Provider Operations

Oscar Health

Atlanta, GA • Remote

$87K - $114K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 24 days ago


Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

239th of 281 rated insurance


Job description

Hi, we're Oscar. We're hiring a Process Management Associate to join our Network Operations 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:

We are seeking a detail-oriented and analytical Process Management Associate to join our Network Operations Team. The primary responsibility of this role is to create, analyze and evaluate existing business processes, identify areas for improvement, and develop and implement effective process improvement strategies. The Process Management Analyst will work closely with cross-functional teams to ensure process optimization, efficiency, and effectiveness.

You will report into the Director, Process Improvement.

Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia. 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: $87,188 - $114,434 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Conduct comprehensive analysis of existing business processes, including process mapping, data collection, and identifying areas for improvement.
  • Collaborate with stakeholders to gather requirements and determine process improvement objectives.
  • Develop and implement process improvement strategies, including the creation of process documentation, standard operating procedures, and workflow diagrams.
  • Utilize process management methodologies, such as Lean Six Sigma, to identify bottlenecks, inefficiencies, and areas of waste within existing processes.
  • Facilitate process improvement workshops and meetings, providing guidance and support to cross-functional teams.
  • Lead or participate in process improvement projects, ensuring successful implementation and achievement of desired outcomes.
  • Monitor and track process performance using appropriate metrics and tools, identifying trends and areas requiring further attention.
  • Prepare and present reports and recommendations to management, summarizing findings, progress, and outcomes of process improvement initiatives.
  • Collaborate with Technology, Product, and Engineering teams to identify and implement process automation opportunities.
  • Stay updated on industry best practices and emerging trends in process management, continually seeking opportunities to enhance processes and drive efficiencies.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • A bachelor's degree or 3+ years commensurate experience
  • 3+ years of work experience in process management, process improvement or similar.
  • 2+ years of experience using process management methodologies, such as Lean Six Sigma, BPMN, or similar frameworks.
  • 2+ years of experience with end to end process management and mapping

Bonus points:

  • 2+ years of experience using data software such as Excel, SQL, Python or other data analytics tools
  • Bachelor's degree in Engineering, Business Administration, or other related field
  • Lean Six Sigma Green Belt certification or higher

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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