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 Rules Analyst is a member of the Optum Financial Consumer Payments Fraud team and acts as a subject matter expert to other departments within the business and the Company. The Senior Fraud Research Analyst will be responsible for reviewing and investigating potential cases of financial fraud on both bank accounts, directed spend cards, and credit/debit cards. They will also be responsible for working with other groups to identify and resolve areas of vulnerability, control gaps, and opportunities to strengthen the security of the business. The Senior Fraud Research Analyst is expected to have a deep understanding of fraud and be able to represent the team as a subject matter expert.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities
- 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 strategies to reduce risk and fraud
- Represent the Fraud Team on new products, projects and programs to help ensure fraud risks and controls are considered throughout implementation
- Take necessary action, when fraud is identified, to prevent additional fraud and work fraud case, 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 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
- Provide training, guidance and education to other team members and other teams on risk and fraud best practices
- Communicate with customers who are victims of fraud, answering their questions and helping them to secure their account
- Communicate significant issues to management; make recommendations when weaknesses are identified
- Balance priorities to meet multiple deadlines
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
- 4+ years of experience in banking or financial services industry
- 4+ years of experience in payment fraud investigations, and online fraud investigation, or financial crime risk management
- 2+ years of experience with payment card operations, disputes, chargeback or fraud analysis
- 2+ years Excel experience (e.g., filter, sort, V-lookup, etc.)
- 2+ years in fraud rule and strategy development
Preferred Qualifications
- People leadership experience
- Database software query experience (i.e., SQL, VBA, Access, etc.)
- Experience in healthcare payments, particularly healthcare payments fraud
- Experience in Anti-Money Laundering investigation and Bank Secrecy Act requirements and controls
- Experience with verbal, written and interpersonal skills and ability to work independently
- Demonstrated ability to work effectively, both independently and within a collaborative team and take ownership of assigned projects and duties
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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 employer 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.
