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Remote Fraud Risk Management Jobs in Atlanta, GA

Oscar Health

Auditor, Risk Adjustment

Atlanta, GA · Remote

$82.72K - $108.57K/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 ...

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Deloitte

Cyber Manager - ServiceNow

Atlanta, GA · On-site +1

$106.70K - $144.20K/yr

... Risk Management workstreams in partnership with architects and product owners * Managing ... This compensation range is specific to Remote role and takes into account the wide range of factors ...

RELX

Data Discovery and Enrichment Expert II

Alpharetta, GA · On-site +1

$71.60K - $119.40K/yr

... Fraud and Credit Risk mitigation and Customer Data Management. You can learn more about LexisNexis ... Candidate can be hybrid from one of our offices or remote in the US. Responsibilities * Assist in ...

Delta Group

Remote Video Specialist

Buford, GA · Remote

... state fraud prosecutorial offices, claims and program management divisions, and investigative ... For over 41 years, our investigative resources have helped organizations reduce risk, improve ...

Delta Group

Remote Video Specialist

Buford, GA · On-site +1

$15 - $16/hr

... state fraud prosecutorial offices, claims and program management divisions, and investigative ... For over 41 years, our investigative resources have helped organizations reduce risk, improve ...

Delta Group

Remote Video Specialist

Buford, GA · Remote

... state fraud prosecutorial offices, claims and program management divisions, and investigative ... For over 41 years, our investigative resources have helped organizations reduce risk, improve ...

Huntington

Supplier Manager - Sr

Atlanta, GA · On-site +1

$146.40K - $147.40K/yr

Bachelor's Degree 8+ years of experience in procurement, vendor management, third party risk or ... Remote Our Approach to Office Workplace Type Certain positions outside our branch network may be ...

Huntington

Supplier Manager - Sr

Atlanta, GA · On-site +1

$146.20K - $147.10K/yr

Bachelor's Degree * 8+ years of experience in procurement, vendor management, third party risk or ... Remote Our Approach to Office Workplace Type Certain positions outside our branch network may be ...

Origami Risk LLC

Data Consultant

Atlanta, GA · On-site +1

All full-time positions are hybrid, with many eligible to be completely remote * Fully Paid by ... Founded by industry veterans who recognized the need for risk management technology that was more ...

Origami Risk LLC

Data Consultant

Atlanta, GA · On-site +1

All full-time positions are hybrid, with many eligible to be completely remote * Fully Paid by ... Founded by industry veterans who recognized the need for risk management technology that was more ...

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All JobsFraud Risk Management JobsRemote Fraud Risk Management JobsRemote Fraud Risk Management Jobs in Atlanta, GA

Remote Fraud Risk Management information

See Atlanta, GA salary details

$49.5K

$107.3K

$163.5K

How much do remote fraud risk management jobs pay per year?

As of Jun 1, 2026, the average yearly pay for remote fraud risk management in Atlanta, GA is $107,279.00, according to ZipRecruiter salary data. Most workers in this role earn between $86,500.00 and $124,100.00 per year, depending on experience, location, and employer.

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.

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 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 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 are the most commonly searched types of Fraud Risk Management jobs in Atlanta, GA? The most popular types of Fraud Risk Management jobs in Atlanta, GA are:
What are popular job titles related to Remote Fraud Risk Management jobs in Atlanta, GA? For Remote Fraud Risk Management jobs in Atlanta, GA, the most frequently searched job titles are:
What job categories do people searching Remote Fraud Risk Management jobs in Atlanta, GA look for? The top searched job categories for Remote Fraud Risk Management jobs in Atlanta, GA are:
What cities near Atlanta, GA are hiring for Remote Fraud Risk Management jobs? Cities near Atlanta, GA with the most Remote Fraud Risk Management job openings:
Remote Fraud Risk Management jobs near you
Auditor, Risk Adjustment

Auditor, Risk Adjustment

Oscar Health

Atlanta, GA • Remote

$82.72K - $108.57K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

225th of 259 rated insurance

Job description

Hi, we're Oscar. We're hiring a Associate, Risk Adjustment Auditor to join our Risk Adjustment 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:

The Associate, Risk Adjustment Auditor conducts internal and external quality audits. Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and identified clinical documentation improvement opportunities. You will work with management to implement benchmarks, establish acceptable thresholds, and quality assurance programs.

You will report into the Manager, Risk Adjustment.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role is: $82,717 - $108,566 per year You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential Centers of Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record retrieval efforts.
  • Mitigate risk by validating Encounter Data Gathering Environment Server (EDGE) data is supported within provider encounter documentation
  • Review the performance of the Risk Adjustment Coding team and report audit trends to Leadership in a timely, consistent and effective manner to ensure the appropriate changes and education are implemented.
  • Maintain compliance with national standards and coding practices set by the ICD-10-CM coding guidelines for accuracy, as well as compliance with Risk adjustment production standards.
  • Conduct CMS audits of Risk Adjustment activities, including but not limited to Risk Adjustment Data Validation audits.
  • Develop relationships with key individuals to foster an increased understanding of the Risk Adjustment process.
  • Identify and execute on the creation of clinical document improvement resources for provider education in both MA and ACA line of business.
  • Manage the implementation process improvements that will maximize risk adjustment factor increases.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • Bachelor's degree in a relevant field of study or commensurate work experience.
  • Certified professional coder (CPC)
  • 3+ year(s) retrospective risk adjustment coding experience.
  • 1+ year(s) experience Quality Auditing and/or Risk Adjustment Data Validation Audit (RADV) experience

Bonus points:

  • Certified Risk Adjustment Coder (CRC) or similar certification
  • Experience coding in a variety of different Electronic Medical Record (EMR) systems.

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.