Fraud Detection Analyst, Senior

Blue Shield of California • Oakland, CA

5d • Hybrid

About The Position

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.

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun.
Ascendiun is a nonprofit corporate entity that is the parent to a family of
organizations including Blue Shield of California and its subsidiary, Blue
Shield of California Promise Health Plan; Altais, a clinical services company;
and Stellarus, a company designed to scale healthcare solutions. Together, these
organizations are referred to as the Ascendiun Family of Companies.

At Blue Shield of California, our mission is to create a healthcare system
worthy of our family and friends and sustainably affordable. We are transforming
health care in a way that genuinely serves our nonprofit mission by lowering
costs, improving quality, and enhancing the member and physician experience.

To achieve our mission, we foster an environment where all employees can thrive
and contribute fully to address the needs of the various communities we serve.
We are committed to creating and maintaining a supportive workplace that upholds
our values and advances our goals.

Blue Shield is
a U.S. News Best Company to work for, a Deloitte U.S. Best
Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360
as a Top Regional Company, and one of the 50 most community-minded companies in
the United States by Points of Light. Here at Blue Shield, we strive to make a
positive change across our industry and communities – join us!

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed