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Fraud Risk Data Analyst

Dallas,TX

953 Fraud Risk Data Analyst jobs in Dallas,TX

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Fraud Investigator

TEKsystems

Dallas, TX 75201

$26-$47/hr
OnsiteUrgently HiringHealth InsurancePaid Time OffRetirement Benefit

  • This is a Contract to Hire position based out of Dallas, TX.
  • Must have ~3-5 years of experience writing SARs for Fraud or AML cases at a major bank.
  • Knowledge of and ability to apply knowledge of regulatory/compliance risk management and financial crimes related requirements
  • Ability to complete 3 cases per day, stemming from complex, high volume caseload
  • Needs to be an expert within Fraud and/ or AML investigations, working simple to complex Fraud and/ or AML cases with multiple entities involved.
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New, Posted 1 day ago
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Payment Integrity Analyst I-HP Benefit Configuration

CHRISTUS Health

Irving, TX 75039

~ 22 min OnsiteUrgently Hiring

  • High school diploma or equivalent experience in healthcare claims adjudication, system configuration, and auditing
  • Strong understanding of healthcare claims data, pricing, and claims editing concepts, including UB04 and HCFA 1500 claim content
  • Strong working knowledge of health insurance concepts, practices, and procedures, including the understanding of provider payment methodologies and claims processing workflows, from receipt through final adjudication
  • Strong analytical and research abilities to triage issues and perform reconciliations or data analysis
  • Working knowledge of Federal and State regulatory rules regarding claims adjudication
  • Ability to organize and prioritize work to meet deadlines
  • Strong Microsoft Office application skills, including Microsoft Word and Excel (VLOOKUP, Pivot Tables, Index/Match, Formulas, and creating spreadsheets)
  • Strong organizational skills and the ability to manage multiple competing projects and deadlines
  • Ability to think creatively
  • Excellent written and verbal communication skills
  • Good judgment, initiative, and problem-solving abilities
  • Ability to handle and resolve complex issues independently
  • Knowledge of CPT/HCPCS, ICD-10 coding, and medical terminology
  • Ability to learn new policies and processes based on written material and observation
  • Ability to establish and maintain professional, positive, and effective work relationships
  • Demonstrated ability to collaborate effectively and work as part of a team in a fast-changing environment
  • 0–1 year of experience interpreting complex provider agreements, claims adjudication, system configuration, and auditing
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New, Posted 1 hour ago
Recommended
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Fraud Investigator

TEKsystems

Dallas, TX 75201

$26-$47/hr
OnsiteHealth InsurancePaid Time OffRetirement Benefit

  • This is a Contract to Hire position based out of Dallas, TX.
  • Must have ~3-5 years of experience writing SARs for Fraud or AML cases at a major bank.
  • Knowledge of and ability to apply knowledge of regulatory/compliance risk management and financial crimes related requirements
  • Ability to complete 3 cases per day, stemming from complex, high volume caseload
  • Needs to be an expert within Fraud and/ or AML investigations, working simple to complex Fraud and/ or AML cases with multiple entities involved.
SmartExplore AI is experimental.
View now
New, Posted 1 day ago
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Application System Analyst Senior - Converge Revenue Cycle

CHRISTUS Health

Irving, TX 75039

~ 22 min OnsiteUrgently Hiring

  • Associates or Bachelor's degree preferred with a focus in healthcare, business, or information systems
  • 5+ years within healthcare, business, or information systems
  • Requires minimal instruction on day-to-day work and general direction on more complex tasks and projects
  • Develops new functionality for requests with little to no direction and leads multidisciplinary teams throughout project
  • Regularly serves as mentor or knowledge resource to peers across community
  • Works in a team setting, sharing information and assisting other junior level team members
  • Possesses detailed healthcare knowledge and systems expertise
  • Excellent project management and communication skills, both verbal and written
  • Associated certifications on area of focus, preferred
  • For Epic Analysts: Certified or proficient in assigned Epic module (must be obtained within 6 months of employment date)
  • Certifications or Proficiencies must stay current by maintaining new version training
  • Ability to present complex data in meaningful method, i.e., charts, graphs
  • Ability to adjust to and implement change
  • Problem Solving skills
  • Multitasking skills
  • Work as a team member
  • Proficient in Microsoft applications including Word, Excel, and PowerPoint
  • Excellent customer service skills
  • Highly effective written and verbal communication and interpersonal skills to establish working relationships that foster optimal quality teamwork and education
  • Strong organizational skills in managing multiple priorities
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Fraud Strategy Analytics (Mid-level) - Money Movement

USAA

Plano, TX 75023

Flexible Schedule
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USA Sr. Specialist, Pricing (Hybrid Role)

Santander Holdings USA

Dallas, TX 75201

Remote

  • Bachelor's Degree or equivalent work experience: Finance, Economics, Business Analytics, Data Analytics or equivalent field. - Required.
  • Applicants must be legally authorized to work in the United States on a full-time basis without requiring employer sponsorship to commence employment.
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New, Posted 11 hours ago
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Financial Analyst

Spectrum

Coppell, TX 75019

~ 31 min Onsite

  • Bachelor's degree in business or related field or equivalent combination of education and experience
  • 2+ years of business planning, financial analysis or related experience
  • Ability to read, write, speak and understand English
  • Ability to prioritize and organize effectively
  • Ability to work independently and within a collaborative team environment
  • Ability to manage multiple projects and priorities
  • Ability to analyze and interpret data
  • Ability to quickly identify business problems and opportunities
  • Ability to communicate clearly orally and in writing
  • Ability to communicate with all levels of management and personnel
  • Ability to manage multiple projects simultaneously
  • Knowledge of software applications such as Word and Excel
  • This role requires the ability to work lawfully in the U.S. without employment-based immigration sponsorship, now or in the future.
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Associate, Model Development (Hybrid Position)

Santander Holdings USA

Dallas, TX 75201

Hybrid

  • Bachelor's Degree: in related field or equivalent demonstrated through a combination of work experience, training, military service, or education - Required
  • 5+ Years Analytics in Financial Services Industry. - Required.
  • 5+ Years Indirect subprime Auto Financial Services Industry experience. - Preferred.
  • 5+ Years Prior experience developing credit scoring models preferred. - Preferred.
  • Demonstrated experience with logistic regression models, segmentation and variable reduction techniques, hypothesis testing, neural networks, design of experiments, ANOVA, decision trees, and linear regression.
  • Prior experience working with credit bureau data.
  • Prior experience using SAS, particularly SAS base, SAS/STAT, PROC SQL, and SAS Macro programming. Additional knowledge of R preferred.
  • Demonstrated ability to use SQL and SAS to extract data from multiple data sources.
  • Demonstrated ability to merge, concatenate, clean, and prepare extremely large datasets for statistical analysis and mathematical model development.
  • Demonstrated ability to create complex pivot tables in MS Excel.
  • Ability to effectively explain advanced mathematical concepts, techniques, and analyses to a business audience.
  • Ability to translate analysis into a clear business plan.
  • Strong written and verbal communication skills.
  • Ability to delegate and co-ordinate multiple tasks related to the development and monitoring of statistical models.
  • Ability to maintain confidentiality..
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New, Posted 1 day ago
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Senior Associate, M&A Deal Advisory & Strategy Analytics

KPMG

Dallas, TX 75217

OnsiteHealth InsuranceRetirement Benefit

  • Minimum three years of recent experience in strategy consulting, financial analysis, mergers and acquisitions, transaction services, advisory or public accounting
  • Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. KPMG LLP will not sponsor applicants for U.S. work visa status for this opportunity (no sponsorship is available for H-1B, L-1, TN, O-1, E-3, H-1B1, F-1, J-1, OPT, CPT or any other employment-based visa)
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Analyst II, Customer Insights & Analytics

Dollar Tree

Dallas, TX 75217

OnsiteHealth InsurancePaid Time OffRetirement Benefit

  • Bachelors Degree (BA / BS/ BFA) or equivalent, and 1-3 years experience.
  • Must have hands-on data mining experience using at least one of the following platforms: Nielsen, Circana, Numerator, or 1010data.
  • Applicants must be authorized to work in the United States on a full-time basis.
  • The company is unable to sponsor employment visas for this position at this time or in the future.
  • Must be willing to relocate to Chesapeake, VA
SmartExplore AI is experimental.
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