• Job Description

  Req#: R-100741

  MISSION

  Help protect Alegeus and its clients through fraud risk mitigation, detection and containment.

  RESPONSIBILITIES

  • Provide strategic direction of the Fraud Risk Management function that prepares the firm to achieve organizational priorities and supports the prevention, detection, and incident management of all fraud events.

  • Lead and manage the dedicated fraud team with effective leadership, ability to hire and retain talented staff, ability to train and develop a team in fraud expertise.

  • Lead anti-fraud efforts including performing fraud risk assessments, examining, and evaluating the adequacy and effectiveness of the fraud-related controls, preparing fraud training, and advising management in the design and implementation of fraud prevention/detection/mitigation policies and procedures and in the development and improvement of the anti-fraud program.

  • Identify and communicate emerging technologies that aid in the detection and management of fraud

  • Guide sensitive investigations regarding actual and suspected fraud involving both internal and external stakeholders offering comprehensive guidance and support to ensure effective resolution while maintaining positive relationships. This includes collecting and analyzing data, assessing evidence, drawing conclusions, reporting results, recommending solutions and improvements, and following up to ensure remedial action is taken.

  • Define, manage and modify metrics and other fraud data reports that compare and contrast client/firm fraud against current and historical peer group and industry standards. Development and management of reporting standards and metrics to the Executive Committee and/or Board of Directors

  • Identify suspicious activity by reviewing daily reporting and flag any deviation from normal patterns of system behavior. Analyze overall fraud metrics, identify and report on emerging trends.

  • Consult with clients and internal parties on recommended practices for fraud risk mitigation.

  • Collaborate closely with other teams at that perform governance, risk, compliance activities (Corporate Compliance, Legal, Risk Management, Security), and participate and advise on Company initiatives in related areas such as enterprise risk management, cybersecurity, compliance, and data analytics to promote a culture of ethics and integrity within the firm

  • Network and develop effective contacts in the private, public and government sector to assist in fraud initiatives of the firm.

  • Stay up to date on trends and technologies, and inform senior leadership of new developments and best practices in investigations and fraud prevention/detection. Attend educational programs to update professional knowledge.

  • Responsible for working with other internal and external stakeholders to design, orchestrate and present appropriate fraud training for employees and customers.

  EDUCATION/EXPERIENCE

  • Bachelor’s degree in Accounting, Finance, Management, Mathematics, Computer Science, Information Systems or related field; Advanced degree (MBA or MS) and/or Certified Fraud Examiner (CFE) is a plus.

  • 5 years’ business experience preferably in the financial services industry and/or in a technical role.

  • Experience leading and performing sensitive investigations (including cross functional investigations involving Legal, HR, Security and other departments) in areas including debit card fraud and account takeover fraud.

  • Advanced knowledge and understanding of internal control frameworks, of anti-fraud controls and mitigation measures, of fraud examination and forensic techniques, and of investigatory standards and protocols and related laws and regulations

  • Skill in data mining, extraction and analysis with proficiency in use of relevant tools (e.g., Excel, SQL, etc.) is preferred

  • Experience creating presentations and reports for both management and external clients.

  • Proven success managing multiple projects with minimal guidance/supervision.

  ROLE-BASED COMPETENCIES

  • Highest level of professionalism, integrity and confidentiality on all events

  • Strong analytical, critical thinking, and problem-solving skills.

  • Commitment to quality, willingness to challenge current practice and innovate, and continuous improvement mindset

  • Excellent interpersonal and communication skills (both written and verbal) and ability to effect change through collaboration, professionalism, trust, credibility and influence

  • A high degree of flexibility, creativity, and innovation.

  • Aptitude for a high level of accuracy and attention to detail.

  • Ability to work in self-directed and team environments.

  • Ability to interact on a variety of personal and professional levels.

  • Ability to work independently and under pressure to meet strict deadlines.

  VALUES (the “How”)

  At Alegeus, equally important to the “What” (the individual performance goals that each employee commits to in support of the company’s overall success) is the “How” (the framework of principles that guide how we work together to drive our business forward). Overall performance success will also consider individual delivery on our corporate values:

  • People First. We pride ourselves in bringing talented people together and treating one another with care. This means we assume best intentions and trust and respect each other. We lift our colleagues up, celebrate diverse perspectives and accomplish more together.

  • Partner Powered. We are committed to empowering our partners, knowing our success is shared and we win as one. We take this connection to heart—it’s the spark that drives collaboration across teams and inspires us to continuously raise the bar with the products and services we deliver.

  • Always Advancing. We are driven by potential and relentlessly determined to achieve our goals. We thrive on the opportunity to get better every day and the thrill presented by new challenges. Our competitive edge lies in the clarity of our vision, confidence in the future and tenacity to deliver.

  The above cited duties and responsibilities describe the general nature and level of work performed by an incumbent assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that a candidate may be expected or asked to perform.

  #LI-Remote

  We are committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of race, color, religion, creed, national origin or ancestry, sex, age, physical or mental disability, veteran or military status, genetic information, sexual orientation, marital status, or any other legally recognized protected basis under federal, state or local laws, regulations or ordinances. The information collected by this application is solely to determine suitability for employment, verify identity and maintain employment s tatistics on applicants.

  At Alegeus, being transparent about our compensation philosophy and approach is more than just a legal requirement. As our organization continues to grow and evolve, we have made a commitment to ensure that our compensation framework is equitable, data-driven, consistent, and unbiased, with allowable pay differences based on factors unique to each candidate (think: skills, experience, qualifications, etc.) in order to attract and retain a highly talented and committed workforce.

  We are taking an “inside-out” approach to pay transparency by first educating our valued managers and internal workforce and then moving to publishing compensation ranges externally. In the interim, if you are a California, Colorado, Connecticut, Maryland, Nevada, New Jersey, New York, Ohio or Washington resident and this role is physically available in your state or classified as remote, you may be eligible to receive additional information about the compensation and benefits for this role, which we will provide upon request. Please send an email identifying the title of the role you are interested in and the state you reside in to talentacquisitionteam@alegeus.com .

• About the company

  The Alegeus software platform guides people to the right coverage, cash and care strategies. Learn how healthcare consumerism helps people live healthier lives.

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