Fraud Detection Analyst, Senior
Blue Shield of California · Oakland, California, US
Your Role The Internal Audit Services team oversees the insider threat detection and security intelligence program at Blue Shield of California. The Senior F...
Job description
Your Role The Internal Audit Services team oversees the insider threat detection and security intelligence program at Blue Shield of California. The Senior Fraud Detection Analyst will report to the Director of this program as a full-time employee. The individual in this position will partner closely with other team members in designing and deploying AI-powered fraud detection systems that safeguard our health insurance operations using the latest in software development techniques. You will work closely with auditors, data scientists, and compliance experts to build scalable, secure, and an intelligent fraud analytics infrastructure. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. Your Work: In this role, you will: - Design and implement Python-based fraud detection algorithms targeting internal fraud schemes (e.g., fictitious employees, kickbacks, claims abuse, financial re...