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Remote Fraud Manager Jobs in Nebraska (NOW HIRING)

Manulife

$93K - $110K/yr

This is a remote role open to any location in continental US Manulife is a leading international ... Manage underwriting fraud referrals for appropriateness and assist management with book of business ...

Topstep

Manager Chargeback Recovery

Omaha, NE · On-site +1

$100K - $107K/yr

Required Qualifications and Key Competencies * 4 + years in payments, fraud, dispute, or chargeback ... Topstep is an engaging working environment which ranges from fully remote to hybrid. We foster a ...

Booz Allen Hamilton, Inc.

CUOPS Planner

Omaha, NE · On-site +1

$86K - $198K/yr

Remote Work: No Job Number: R0245244 Location: Omaha,NE,US Share job via: Share CUOPS Planner The ... We're tasked with managing the byproducts of change through project implementation. Each project we ...

Booz Allen Hamilton, Inc.

Space Targeter

Omaha, NE · On-site +1

$86K - $198K/yr

Remote Work: No Job Number: R0245242 Location: Omaha,NE,US Share job via: Share Space Targeter The ... We're tasked with managing the byproducts of change through project implementation. Each project we ...

Mutual of Omaha

VP & Medical Director

Omaha, NE · On-site +1

$201K - $320K/yr

Remote Categories: Underwriting, Leadership As our VP & Medical Director, you'll shape medical ... review, fraud detection, and risk management initiatives. * Partner with business leaders to ...

First American

$85K - $113K/yr

... fraud mitigation. * CBAP (Certified Business Analysis Professional) certification preferred * Excellent organizational and project management skills. * Considers the business implications of the ...

WoodmenLife

Advanced Underwriter

Omaha, NE · On-site +1

$60K - $90K/yr

This position has a fully remote work schedule. Job Title: Advanced Underwriter WoodmenLife is ... Identifies potential fraud/misrepresentations. Advises appropriate individual/areas on these cases ...

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Remote Fraud Manager information

What does a remote fraud manager do?

A Remote Fraud Manager is responsible for overseeing and implementing strategies to detect, prevent, and respond to fraudulent activities within a company, all while working remotely. They analyze transaction data, monitor suspicious activities, and lead a team of fraud analysts to mitigate risks. Additionally, they develop policies, train staff on identifying fraud, and collaborate with law enforcement or financial institutions when necessary. This role requires strong analytical skills, attention to detail, and up-to-date knowledge of fraud trends and prevention technologies.

What is the difference between Remote Fraud Manager vs Remote Fraud Analyst?

AspectRemote Fraud ManagerRemote Fraud Analyst
Required CredentialsTypically requires a bachelor’s degree in finance, criminal justice, or related field; certifications like CFE or CFCS are commonSimilar credentials; often holds a bachelor’s degree and may pursue certifications like CFE
Work EnvironmentLeads fraud prevention teams, manages strategies, and collaborates with other departments remotelyPerforms data analysis, investigates suspicious activity, and reports findings remotely
Employer & Industry UsageUsed by financial institutions, e-commerce, and insurance companies to oversee fraud preventionEmployed in similar industries to analyze fraud patterns and support fraud prevention efforts

The main difference is that a Remote Fraud Manager oversees fraud prevention strategies and manages teams, while a Remote Fraud Analyst focuses on investigating and analyzing suspicious activities. Both roles require similar credentials and are vital in fraud prevention, but the manager has a leadership and strategic role, whereas the analyst is more hands-on with data analysis.

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

To thrive as a Remote Fraud Manager, you need strong analytical skills, expertise in fraud detection, and a background in finance, risk management, or a related field, often supported by a bachelor's degree. Familiarity with fraud management software, data analytics tools, and knowledge of industry regulations and certifications such as CFE (Certified Fraud Examiner) are highly valued. Excellent communication, problem-solving abilities, and attention to detail are crucial soft skills for collaborating with teams and making sound judgment calls remotely. These skills and qualities are vital to effectively identifying and mitigating fraud risks, ensuring organizational security, and maintaining trust with customers and stakeholders.

How does a remote fraud manager typically collaborate with cross-functional teams to prevent and address fraudulent activities?

As a Remote Fraud Manager, you'll frequently work with teams such as risk management, compliance, IT, and customer service to monitor, investigate, and resolve fraud cases. Collaboration often occurs through virtual meetings, shared digital platforms, and regular reporting to ensure everyone is aligned on protocols and emerging threats. Building strong communication channels is essential to quickly address incidents and implement new fraud prevention strategies. You'll also help train team members on best practices and coordinate multi-department responses to complex fraud schemes.
What are popular job titles related to Remote Fraud Manager jobs in Nebraska? For Remote Fraud Manager jobs in Nebraska, the most frequently searched job titles are:
What job categories do people searching Remote Fraud Manager jobs in Nebraska look for? The top searched job categories for Remote Fraud Manager jobs in Nebraska are:
What cities in Nebraska are hiring for Remote Fraud Manager jobs? Cities in Nebraska with the most Remote Fraud Manager job openings:
Remote Fraud Manager jobs near you

Investigator- Remote in Nebraska

UnitedHealth Group

Omaha, NE • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 19 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

189th of 887 rated healthcare providers

Job description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts on the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Investigator is responsible for identifying, investigating, and preventing healthcare fraud, waste, and abuse (FWA). This role leverages claims data analysis, regulatory guidelines, and investigative methodologies to detect suspicious billing patterns and activities. The Investigator conducts thorough investigations, which may include fieldwork such as interviews and evidence collection, and ensures compliance with applicable regulatory requirements.
Schedule: Monday - Friday 8:00am - 4:30pm
If you reside in the state of Nebraska, you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
  • Assess and triage allegations of misconduct received within the organization
  • Conduct investigations of low- to moderately complex fraud, waste, and abuse cases involving members, providers, employees, and third parties
  • Identify potential fraudulent activities through data analysis, trend identification, and investigative techniques
  • Develop and execute efficient, case-specific investigative strategies
  • Maintain accurate, complete, and timely case documentation within the SIU case management system
  • Gather, preserve, and analyze evidence; prepare clear and concise investigative summaries and reports
  • Support settlement negotiations and provide documentation for legal or recovery actions
  • Analyze referral data to identify patterns, trends, and emerging risks
  • Ensure adherence to all applicable federal and state regulations, contractual obligations, and company policies
  • Report suspected fraud, waste, and abuse to appropriate regulatory agencies as required
  • Collaborate with internal teams and external partners, including state and federal agencies, as directed by SIU leadership
  • Participate in regulatory meetings, workgroups, and cross-functional initiatives
  • Communicate findings effectively through written reports and verbal presentations
  • Establish and manage investigation goals, monitor progress, and adjust priorities as needed
  • Participate in legal proceedings, including depositions, arbitration, and court testimony, as required

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account
  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
  • 401(k) Savings Plan, Employee Stock Purchase Plan
  • Education Reimbursement
  • Employee Discounts
  • Employee Assistance Program
  • Employee Referral Bonus Program
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
  • More information can be downloaded at: http://uhg.hr/uhgbenefits

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • Bachelor's degree or Associate's Degree with 2+ years of equivalent work experience
  • Ability to travel up to 25% as required
  • Intermediate level of proficiency in Microsoft Excel and Word

Preferred Qualifications:
  • Experience in healthcare fraud, waste, and abuse investigations or auditing
  • Knowledge of federal and state healthcare regulations related to FWA
  • Experience with data analysis and trend identification in healthcare claims
  • Formal training in healthcare fraud investigations
  • National Health Care Anti-Fraud Association (NHCAA) affiliation
  • Accredited Health Care Fraud Investigator (AHFI)
  • Certified Fraud Examiner (CFE)
  • Certified Professional Coder (CPC)
  • Medical Laboratory Technician (MLT)
  • Knowledge of investigative techniques and evidence handling practices

Soft Skills:
  • Strong analytical and problem-solving skills
  • Ability to interpret complex data and identify irregular patterns
  • Effective written and verbal communication skills
  • Strong organizational skills with the ability to manage multiple investigations simultaneously

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $49,700 to $88,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #GREEN

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