7 Fraud Risk Management jobs in Detroit.

Hiring now: Dir Payment Integrity Ana @ Molina Hea, Investigator Sr @ Elevance H, Fraud Team Leader @ Stockx, Banker @ Citizens.Explore more at jobswithgpt.com.

🔥 Skills

claim reimbursement (4) payment integrity (4) data systems (4) leadership (4) big data (4) analytics (4) root cause analysis (4) automated processes (4) team management (4) performance review (4)

đź“Ť Locations

Detroit (2) Ann Arbor (1) Dearborn (1) Southgate (1) Sterling Heights (1) Warren (1)
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Molina Healthcare

Director, Payment Integrity (Analytics) Ann Arbor
Skills & Focus: claim reimbursement, payment integrity, data systems, leadership, big data, analytics, root cause analysis, automated processes, team management, performance review
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: 5+ years related experience in Claims, Analytics or Payment Integrity related job functions, 5+ years Managed Care payor experience, preferably Medicare / Medicaid experience, 3+ years of experience in a leadership role
Salary: $97,299 - $227,679 / ANNUAL
Benefits: Molina Healthcare offers a competitive benefits and compensation package.

Elevance Health

Investigator Senior Dearborn
Skills & Focus: healthcare fraud, claim reviews, data mining, law enforcement, health insurance, investigation, policy development, provider network, compliance, Negociation
About the Company: A health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the h…
Experience: 5 years related experience
Type: Hybrid
Benefits: market-competitive total rewards including merit increases, paid holidays, Paid Time Off, incentive bonus programs, med…

Stockx

Fraud Team Leader Detroit
Skills & Focus: fraud, marketplace integrity, e-commerce, chargeback, safety, trust, team leadership, data analysis, project management, stakeholder engagement
About the Company: StockX is proud to be a Detroit-based technology leader focused on the large and growing online market for sneakers, apparel, accessories, electronics, collect…
Experience: 3-5 years in related fields; 2 years leadership experience
Salary: $70,000 to $80,000
Type: Full-time
Benefits: Medical, dental, equity, and discretionary bonuses

Molina Healthcare

Director, Payment Integrity (Analytics) Detroit
Skills & Focus: claim reimbursement, payment integrity, data systems, leadership, big data, analytics, root cause analysis, automated processes, team management, performance review
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: 5+ years related experience in Claims, Analytics or Payment Integrity related job functions, 5+ years Managed Care payor experience, preferably Medicare / Medicaid experience, 3+ years of experience in a leadership role
Salary: $97,299 - $227,679 / ANNUAL
Benefits: Molina Healthcare offers a competitive benefits and compensation package.

Citizens

Banker Southgate
Skills & Focus: Banking, Finance, Customer Service, Commercial, Professional, Compliance, Sales, Operations, Risk Management, Analytics
About the Company: Citizens is committed to building a diverse, inclusive, and high-performing culture where everyone feels valued, respected, and heard.
Experience: Professional
Type: Full Time
Benefits: We’re committed to providing benefits, resources and programming to surface healthy habits and support the whole you, a…

Molina Healthcare

Director, Payment Integrity (Analytics) Sterling Heights
Skills & Focus: claim reimbursement, payment integrity, data systems, leadership, big data, analytics, root cause analysis, automated processes, team management, performance review
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: 5+ years related experience in Claims, Analytics or Payment Integrity related job functions, 5+ years Managed Care payor experience, preferably Medicare / Medicaid experience, 3+ years of experience in a leadership role
Salary: $97,299 - $227,679 / ANNUAL
Benefits: Molina Healthcare offers a competitive benefits and compensation package.
Director, Payment Integrity (Analytics) Warren
Skills & Focus: claim reimbursement, payment integrity, data systems, leadership, big data, analytics, root cause analysis, automated processes, team management, performance review
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: 5+ years related experience in Claims, Analytics or Payment Integrity related job functions, 5+ years Managed Care payor experience, preferably Medicare / Medicaid experience, 3+ years of experience in a leadership role
Salary: $97,299 - $227,679 / ANNUAL
Benefits: Molina Healthcare offers a competitive benefits and compensation package.