
Fraud Risk Management and Operations Manager
Posted Sep 15

Posted Sep 15
This is a fully remote position, open to applicants in Arizona, +5 more states.
• Assist in the development, implementation, and maintenance of procedures and controls for fraud detection, alert management, and investigations.
• Oversee and manage Level 1 fraud alert reviews, triage, and resolutions.
• Supervise Level 2 fraud case investigations, including escalation and resolution processes.
• Set and monitor quality standards, productivity expectations, and service level agreements (SLAs).
• Help manage relevant components of the BSA/AML program, focusing on the identification and escalation of suspicious activities.
• Collaborate with Risk, Compliance, Product, and Operations teams to improve fraud detection strategies, rules, and controls.
• Engage in fraud risk assessments across various products, channels, customer segments, and new typologies.
• Work with senior leadership on strategic initiatives related to fraud detection and operational efficiency.
• Promote continuous improvement in workflows from alert to case, automation, documentation standards, and escalation protocols.
• Carry out additional tasks as assigned.
• A bachelor's degree or equivalent education and professional experience.
• Generally 5 or more years of experience with a bachelor's degree or equivalent.
• Background in fraud operations, including alert reviews, case investigations, and analysis of fraud typologies.
• Preferred certifications include CAMS, CFE, or other credentials related to fraud/financial crimes.
• Understanding of suspicious activity identification and escalation when fraud activities reach SAR reporting thresholds.
• Capability to operate within established guidelines and secure validation for non-standard fraud scenarios or high-risk escalations.
• Proficiency in resolving routine operational issues and escalating ambiguous or unique fraud patterns.
• Ability to direct the daily activities of individual contributors.
• Skill in engaging with Risk, Compliance, and Product teams.
• Competence in executing established processes and providing feedback to enhance fraud detection rules, workflows, and investigative procedures.
• Annual performance-based incentive opportunities.
• Health insurance coverage.
• 401(k) retirement plan benefits.
• Life insurance options.
• Disability benefits.
• Paid time off.
• Comprehensive benefits package available for eligible employees.
CareMetx, LLC
Zocdoc
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