6 Fraud Risk Management jobs in Houston.

Hiring now: Store Protection Spec @ Ross Store, Investigator Sr @ Elevance H, Dir Payment Integrity Ana @ Molina Hea.Explore more at jobswithgpt.com.

🔥 Skills

fraud (2) communication (2) healthcare fraud (2) claim reviews (2) data mining (2) policy development (2) law enforcement (2) health insurance (2) investigation (2) theft (1)

đź“Ť Locations

Houston (6)
🔍 Go to full job search

Ross Stores

Store Protection Specialist Houston
Skills & Focus: theft, fraud, customer service, safety, loss prevention, collaboration, training, security, teamwork, communication
About the Company: Ross is the nation’s largest off-price retailer with over 2,000 stores, providing a constant stream of high-quality brands and on-trend merchandise at extraord…
Experience: One year retail supervisor experience or similar training preferred. One year loss prevention/security training preferred.
Type: Full-time

Elevance Health

Investigator Senior Houston
Skills & Focus: healthcare fraud, insurance investigation, claim reviews, data mining, policy development, law enforcement, communications, negotiation, provider networks, health insurance
About the Company: Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstandi…
Experience: Minimum of 5 years related experience in healthcare insurance and healthcare insurance investigation, law enforcement.
Type: Hybrid
Benefits: Includes merit increases, paid holidays, Paid Time Off, incentive bonus programs, medical, dental, vision, short and lo…

Molina Healthcare

Director, Payment Integrity (Analytics) Houston
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 Houston
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…
Investigator I Houston
Skills & Focus: investigating, claim data, fraudulent activities, healthcare insurance, statistical analysis, case reports, communication skills, data analysis, financial analyses, market-competitive benefits
About the Company: Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstandi…
Experience: Minimum of 2 years related experience preferably in healthcare insurance departments.
Salary: $60,000 to $108,000
Type: Hybrid
Benefits: Comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contributions.
Investigator I Houston
Skills & Focus: investment, healthcare, insurance, fraud, analysis, claims, investigation, data, reporting, communication
About the Company: Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstandi…
Experience: 2 years related experience preferred in healthcare insurance departments such as Grievance and Appeals or Claim Operations.
Type: Hybrid
Benefits: We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, medica…