ZipRecruiter

Log In

2

Remote Fraud Risk Management Jobs in Florida (NOW HIRING)

Payfirma Corporation

VP, ISO Channel Sales

Miami, FL · On-site +1

To empower businesses with top-notch capabilities in compliance, risk management, and payment ... LOCATION Remote within the United States WHAT YOU WILL BE DOING We are seeking an experienced ISO ...

Oscar Health

Auditor, Risk Adjustment

Miami, FL · Remote

$82K - $108K/yr

You will report into the Manager, Risk Adjustment. Work Location: This is a remote position, open ... Learn more about how you can safeguard yourself from recruitment fraud here. At Oscar, being an ...

Worth AI

Director of Compliance- GRC

Orlando, FL · On-site +1

Oversee third-party compliance and risk management processes for vendors, data providers, and ... All Remote Hires - will be required to travel to Orlando, Florida at least twice per year for Town ...

Worth AI

Director of Compliance- GRC

Tampa, FL · On-site +1

Oversee third-party compliance and risk management processes for vendors, data providers, and ... All Remote Hires - will be required to travel to Orlando, Florida at least twice per year for Town ...

Worth AI

Director of Compliance- GRC

Orlando, FL · On-site +1

Oversee third-party compliance and risk management processes for vendors, data providers, and ... All Remote Hires - will be required to travel to Orlando, Florida at least twice per year for Town ...

Worth AI

Director of Compliance- GRC

Miami, FL · On-site +1

Oversee third-party compliance and risk management processes for vendors, data providers, and ... All Remote Hires - will be required to travel to Orlando, Florida at least twice per year for Town ...

next page

Showing results 1-20

People also search for

All JobsRemote Fraud Risk Management JobsRemote Fraud Risk Management Jobs in Florida

Remote Fraud Risk Management information

How does a Remote Fraud Risk Management professional typically collaborate with cross-functional teams to mitigate risks?

Remote Fraud Risk Management professionals regularly work alongside departments such as IT, compliance, customer service, and legal to identify and address potential fraud threats. Collaboration often involves virtual meetings, sharing data insights, and developing joint strategies to detect suspicious activity. Effective communication and the ability to explain complex risk scenarios to non-specialists are crucial. This cross-functional teamwork ensures that fraud prevention measures are integrated throughout the organization and that responses to incidents are swift and coordinated.

What are the key skills and qualifications needed to thrive in Remote Fraud Risk Management, and why are they important?

To thrive in Remote Fraud Risk Management, you need strong analytical skills, attention to detail, and a background in finance, business, or a related field, often supported by relevant certifications such as CFE (Certified Fraud Examiner). Familiarity with fraud detection software, data analysis tools, and case management systems is typically required. Excellent communication, critical thinking, and problem-solving abilities set top performers apart in this role. These skills and qualities are essential for effectively identifying, preventing, and responding to fraudulent activities in a remote environment.

What is the difference between Remote Fraud Risk Management vs Remote Fraud Analyst?

AspectRemote Fraud Risk ManagementRemote Fraud Analyst
CredentialsCertifications in fraud prevention, risk management, or related fieldsBasic knowledge of fraud detection, often with certifications like ACFE or similar
Work EnvironmentStrategic, policy development, and oversight roles within organizationsOperational, investigative roles focused on analyzing transactions and detecting fraud
Employer & Industry UsageFinancial institutions, e-commerce, and fintech companiesBanking, online retail, and payment processing companies
Search & Comparison IntentUnderstanding strategic risk management roles in fraud preventionOperational roles focused on fraud detection and analysis

Remote Fraud Risk Management involves developing policies and overseeing fraud prevention strategies, while Remote Fraud Analysts focus on analyzing transactions to detect and investigate fraud. Both roles are essential in combating fraud but differ in scope and responsibilities.

What is Remote Fraud Risk Management?

Remote Fraud Risk Management refers to the processes and strategies used to detect, prevent, and respond to fraudulent activities in digital environments, especially when employees and operations are distributed or working remotely. This role involves monitoring transactions, analyzing data for suspicious patterns, and implementing security measures to minimize risks. Professionals in this field work closely with IT, compliance, and legal teams to ensure that systems and data remain secure despite the challenges of remote work. Effective remote fraud risk management is critical for protecting organizations from financial losses and reputational damage.
What are the most commonly searched types of Fraud Risk Management jobs in Florida? The most popular types of Fraud Risk Management jobs in Florida are:
What are popular job titles related to Remote Fraud Risk Management jobs in Florida? For Remote Fraud Risk Management jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Remote Fraud Risk Management jobs in Florida look for? The top searched job categories for Remote Fraud Risk Management jobs in Florida are:
What cities in Florida are hiring for Remote Fraud Risk Management jobs? Cities in Florida with the most Remote Fraud Risk Management job openings:
Remote Fraud Risk Management jobs near you
Infographic showing various Remote Fraud Risk Management job openings in Florida as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.
Manager Risk Adjustment Program

Manager Risk Adjustment Program

BayCare Health System

Tampa, FL • On-site, Remote

Full-time

Posted 14 hours ago

BayCare Health System rating

7.5

Company rating: 7.5 out of 10

Based on 384 frontline employees who took The Breakroom Quiz

227th of 873 rated healthcare providers

Job description

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence.
Position details:
Location: Tampa, FL (Remote - Must Reside in the State of Florida)
Status: Full Time, Salaried
Shift Hours: M-F, 8:00 am - 5:00 pm
The Manager Risk Adjustment Program:
  • Leads and implements risk adjustment strategies, operations and program development across BayCare PHSO and BayCare Plus consistent with BayCare goals and objectives.
  • Uses provider performance metrics and data to identify program/provider opportunities and gaps.
  • Works with physician/facility practices and key stakeholders to provide measurable and actionable solutions to meet and maintain best-practice documentation and HCC (Hierarchical Condition Category) and ICD-10 coding practices.
  • As a subject matter expert and preceptor, provides on-going supervision, education and training of risk adjustment team members related to coding and documentation responsibilities.
  • Works with BayCare Leadership to evaluate and adopt risk adjustment technology solutions.

Minimum Qualifications:
Required Education and Credentials: Bachelor's degree in business, technology, healthcare OR related disciplines required; and at least one of the following active certifications: Certified Professional Coder (CPC); Certified Risk Adjustment Coder (CRC); Certified Coding Specialist (CCS); or Registered Health Information Technician (RHIT).
Preferred Education and Credentials: Master's degree in business, technology, healthcare OR related disciplines
Required Experience: Minimum of three (3) years of relevant experience managing a risk adjustment program OR department with direct supervisory responsibility and budgetary accountability required, and minimum of five (5) years of management/leadership experience for a healthcare organization.
Preferred Experience: Two (2) or more years of experience in a lead risk adjustment role working with OR for Medicare Advantage health plans.
*Any equivalent combination of education and experience that provides the required knowledge, skills, and abilities to perform the essential duties and responsibilities of the position.
BayCare Values: Demonstrate a consistent commitment to BayCare Health System's core values of trust, respect, and dignity in all interactions with patients, families, team members, and the community, supporting our shared responsibility to achieve excellence in the communities we serve.
Leadership Competencies
  • Communication: Communicates in a clear, authentic, and transparent manner to meet the needs of others to ensure messages are received and mutually understood.
  • Emotional Intelligence: Demonstrates self-awareness and manages one's emotions. Recognizes and responds constructively to others' emotions and builds meaningful relationships.
  • Talent and Team Development: Develops team members and teams by empowering them, setting clear expectations, providing learning opportunities, and supporting ongoing growth.
  • Change Champion: Demonstrates a commitment to enhance performance by engaging and promoting change, continuous improvement, adaptability, and innovation.
  • Collaboration: Collaborates by sharing responsibility, transparent exchange of information, and collective problem-solving to achieve mutually beneficial solutions.
  • Results Driven: Takes ownership of outcomes by setting clear, measurable goals and aligning team efforts and resources to achieve them.
  • Inclusion and Belonging: Creates an inclusive environment that values all perspectives, respects individuality, and fosters an environment where all feel a sense of belonging.

Equal Opportunity Employer Veterans/Disabled

What BayCare Health System employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply