Fraud Investigation Manager jobs in Utah

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

The Fraud Manager will play a crucial role in developing and maintaining the solid fraud program at the Bank. This position entails strategic planning for fraud prevention and investigation, requiring close collaboration with various teams within the organization. The candidate should bring a proactive mindset and expertise in fraud management to ensure the integrity of our financial systems. This position will report to the Director of Fraud.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.   

Primary Responsibilities: 

• Assist the Director of Fraud in management of the growth and development of the Bank security and fraud program
• Coordinate responsibilities and workload of the fraud team tasks to ensure accuracy and effectiveness
• Represent the Fraud Team on new products, projects and programs to help ensure fraud risks and controls are considered throughout implementation
• Lead and take ownership of enhancements to system, programs and controls across the Bank to help reduce fraud
• Perform in-depth research within banking systems to investigate customer and transactional activity for fraudulent and high-risk activity
• Analyze data for trends and recommend and implement strategies to reduce risk and fraud
• Take necessary action, when fraud is identified, to prevent additional fraud and work fraud cases, per procedure
• Assist in, and proactively contribute to, the development of fraud detection tactical and strategic planning
• Partner and collaborate with Operations, Compliance, and IT teams as well as other team members to resolve issues and investigate fraud cases
• Serve as a liaison with Information Technology in the development, enhancement, and ongoing maintenance of risk management systems
• Communicate significant issues to management; make and help implement recommendations when weaknesses are identified 
• Balance priorities to meet multiple deadlines
• Assist in the development of training programs as well as policies and procedures for the department
• Provide training and education to team members and other teams on risk and fraud best practices

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. 

Required Qualifications: 

• 5 years of experience in banking or financial services industry
• 5 years of experience in card fraud investigation and disputes
• 5 years of experience in payment fraud investigations, online fraud investigation, or financial crime risk management
• 3 years of experience with payment card operations with a solid understanding of card processing and settlement flow
• 2 years of people leadership experience
• 2 years experience with SQL
• Experience with verbal, written and interpersonal skills and ability to work independently
• Proficient Excel experience (e.g., filter, sort, V-lookup, pivot tables, etc.)
• Demonstrated ability to work effectively, both independently and within a collaborative team and take ownership of assigned projects and duties 

  
Preferred Qualifications:         

• Bachelor's Degree in Finance, Accounting, Information Technology from an accredited institution
• Experience with building out a card fraud management program
• Experience in healthcare payments, particularly healthcare payments fraud
• Experience in Anti-Money Laundering investigation and Bank Secrecy Act requirements and controls

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy 

  
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.    
 
  
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. 
  
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment