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Senior Fraud Risk Analyst Jobs in Raleigh, NC (NOW HIRING)

Novo Nordisk

Senior Financial Analyst

Clayton, NC · On-site

$72K - $90K/yr

Interacts with senior leaders and cross-functional stakeholders across DPM US and Global Finance at ... Ensure strong financial governance, compliance, internal controls, and risk management across ...

Novo Nordisk

Senior Financial Analyst

Clayton, NC

$72K - $90K/yr

Interacts with senior leaders and cross-functional stakeholders across DPM US and Global Finance at ... Ensure strong financial governance, compliance, internal controls, and risk management across ...

Liberty Health

REGIONAL RISK MANAGER

Raleigh, NC

... Senior Living) * Assesses operating risks involving clinical (patient care and regulatory ... Investigates and analyses root causes, patterns, or trends that could result in compensatory or ...

Liberty Health

REGIONAL RISK MANAGER

Raleigh, NC · On-site

... Senior Living) * Assesses operating risks involving clinical (patient care and regulatory ... Investigates and analyses root causes, patterns, or trends that could result in compensatory or ...

Black & Veatch

Project Controls Sr Analyst - Cost

Cary, NC

$77K - $98K/yr

The Opportunity The Project Controls Sr Analyst - Cost is a senior level position assigned to an ... Leads risk analysis and management of risk register. * Applies key scheduling processes. Management ...

Black & Veatch

Project Controls Senior Analyst

Cary, NC · Hybrid

The Opportunity The Project Controls Senior Analyst is an experienced project controls professional ... Leads risk analysis and management of risk register. * Applies key scheduling processes. Schedule ...

NC SECU

Senior Business Resiliency Analyst

Raleigh, NC · Hybrid

$89K - $116K/yr

The Senior Business Resiliency Analyst will have a critical and visible role providing support for ... Use data to identify risk areas and recommend strategies to mitigate. Collaborate with BC Plan ...

Strive Health

Sr. Analyst, Actuarial

Raleigh, NC · On-site

$85K - $104K/yr

We're on a mission to transform chronic conditions by identifying risk earlier, coordinating ... If the data is not complete and accurate, the Senior Analyst will quantify the impact of imperfect ...

ProSidian Consulting

Senior Analyst/Programmer

Raleigh, NC · On-site

$43.25 - $58.50/hr

... areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT ... NO RESUMES ACCEPTED AFTER 5:00 PM EST ON 10.05.2012 Seeking a Senior Analyst/Programmer with ...

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All JobsFraud Risk Analyst JobsSenior Fraud Risk Analyst JobsSenior Fraud Risk Analyst Jobs in Raleigh, NC

Senior Fraud Risk Analyst information

See Raleigh, NC salary details

$52K

$106.8K

$138.5K

How much do senior fraud risk analyst jobs pay per year?

As of Jul 7, 2026, the average yearly pay for senior fraud risk analyst in Raleigh, NC is $106,779.00, according to ZipRecruiter salary data. Most workers in this role earn between $88,000.00 and $133,200.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Senior Fraud Risk Analyst, and why are they important?

To thrive as a Senior Fraud Risk Analyst, you need expertise in fraud detection, risk assessment, data analysis, and a bachelor's degree in finance, business, or a related field. Familiarity with anti-fraud software, data analytics tools like SQL or Python, and relevant certifications such as CFE (Certified Fraud Examiner) are highly valued. Strong problem-solving abilities, attention to detail, and effective communication skills help analysts spot patterns and present findings clearly. These skills are vital for identifying and mitigating fraud risks, protecting organizational assets, and ensuring compliance with regulations.

What does a Senior Fraud Risk Analyst do?

A Senior Fraud Risk Analyst is responsible for identifying, assessing, and mitigating risks related to fraudulent activities within an organization. They analyze data, investigate suspicious transactions, and develop strategies to prevent fraud. These professionals also collaborate with other departments, implement fraud detection systems, and ensure compliance with regulations. Their expertise helps protect the organization from financial losses and reputational damage.

What is the difference between Senior Fraud Risk Analyst vs Fraud Investigator?

AspectSenior Fraud Risk AnalystFraud Investigator
CredentialsBachelor's degree, certifications like CFE or CPA often preferredBachelor's degree, CFE certification common
Work EnvironmentAnalytical, data-driven, risk assessment teamsInvestigative, interview-focused, field or office-based
Employer & IndustryFinancial institutions, insurance, e-commerceFinancial services, law enforcement, corporate security

While both roles focus on fraud prevention, the Senior Fraud Risk Analyst primarily assesses risks and develops strategies, whereas the Fraud Investigator conducts investigations into specific fraud cases. The analyst role is more analytical and strategic, while the investigator is more hands-on and investigative.

How does a Senior Fraud Risk Analyst typically collaborate with other departments to identify and mitigate fraud risks?

Senior Fraud Risk Analysts often work closely with teams across the organization, such as compliance, IT, customer service, and legal departments. They collaborate to analyze transaction data, investigate suspicious patterns, and implement new fraud prevention strategies. Regular cross-functional meetings and sharing of insights are crucial to ensure that fraud risks are identified early and addressed effectively. This collaborative approach helps create a comprehensive defense against evolving fraud threats and supports a proactive risk management culture.
What are popular job titles related to Senior Fraud Risk Analyst jobs in Raleigh, NC? For Senior Fraud Risk Analyst jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Senior Fraud Risk Analyst jobs in Raleigh, NC look for? The top searched job categories for Senior Fraud Risk Analyst jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Senior Fraud Risk Analyst jobs? Cities near Raleigh, NC with the most Senior Fraud Risk Analyst job openings:
Senior Fraud Risk Analyst jobs near you
Infographic showing various Senior Fraud Risk Analyst job openings in Raleigh, NC as of July 2026, with employment types broken down into 1% Locum Tenens, 1% Internship, 81% Full Time, 11% Part Time, 1% Temporary, and 5% Contract. Highlights an 82% Physical, 5% Hybrid, and 13% Remote job distribution, with an average salary of $106,779 per year, or $51.3 per hour.
Senior Data Analyst, Clinical Programs

Senior Data Analyst, Clinical Programs

Brighton Health Plan Solutions, LLC

Chapel Hill, NC • On-site, Remote

Full-time

Medical, Vision

Posted 16 days ago

Job description

About The Role
The Senior Data Analyst, Clinical Programs will be an analytically driven team player, responsible for understanding business needs and objectives, eliciting requirements from stakeholders, and analyzing data and processes to identify opportunities for improvement. This role will support BHPS Clinical Programs, Utilization Management, Complex Case Management, and Population Health Management. In this role, you will be challenged to think creatively while developing actionable insights to inform client and program strategy.
Primary Responsibilities
  • Monitor Utilization Management and Case Management activities through the development of KPIs and benchmarks (i.e. member engagement rates, readmissions, preventable hospitalizations, ER utilization)
  • Develop statistical models that deliver meaningful insights on cost, utilization and clinical outcomes based on various data sources.
  • Develop algorithms for stratifying populations and identifying high-risk members.
  • Leverage Predictive Analytics to measure the performance (ROI) of Disease Management and other Medical Management programs.
  • Conduct prospective savings analyses in support of clinical program initiatives.
  • Build and maintain client-facing reports, dashboards, and analyses.
  • Develop actionable data insights and advise on client strategy
  • Participate in program performance review presentations with clinical program managers, client account managers, and external clients, as needed.
  • Manage internal and external client requests and timelines to ensure timely delivery.
  • Collaborate with Medical Management to provide ongoing support.
Essential Qualifications
  • Bachelors' degree required, preferably in Mathematics, Statistics, Finance, Actuarial Science, Data Science, or related field.
  • 5-7 years of experience in healthcare analytics, preferably in a managed care setting.
  • Proficiency in SQL and Microsoft SQL Server Suite of Products (SSMS) required.
  • Proficiency in MS Excel required.
  • Advanced data analysis, financial modeling, and predictive analytics skills.
  • Experience with clinical program evaluation and outcomes reporting.
  • Experience with health plan performance reporting and cost and utilization analysis.
  • Experience with developing client-facing reports.
  • Experience with Business Intelligence applications and DAX functions (PowerPivot, Power BI, Tableau).
  • Ability to explain technical concepts to a non-technical audience .
  • Ability to effectively manage and prioritize several concurrent projects.
  • Excellent oral and written communications skills.
  • Experience with Payer Care Management platforms (i.e. ZeOmega) a plus.

About
At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you'll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion and a sense of belonging at every level. Here, you'll be encouraged to bring your authentic self to work with all of your unique abilities.
Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today's healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today's challenges into tomorrow's solutions.
Come be a part of the Brightest Ideas in Healthcare™.
Company Mission
Transform the health plan experience - how health care is accessed and delivered - by bringing outstanding products and services to our partners.
Company Vision
Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways.
JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Brighton Health Plan Solutions in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All of our career opportunities are regularly published and updated brighonthps.com Careers section. If you have already provided your personal information, please report it to your local authorities. Any fraudulent activity should be reported to: [email protected]

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