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Sr. Manager, Risk and Fraud
Regulated Industries | Healthcare and Financial Crime
Reports to Sr. Site Leader with Oversight from Sr. Global Compliance, Risk, and Audit Director
Location: India. Onsite. Not eligible for remote work.
We are seeking a highly analytical and investigative professional to create compliance and risk
actionable insights. This role monitors behavioral indicators, access activity, and operational
anomalies to detect and prevent insider-driven fraud, data misuse, and policy violations across a
global environment. This role will manage assigned risk and fraud analysts and compliance officers.
What You'll do:
- Identify insider behavioral risk and early-warning indicators to detect fraud
- Use data to identify fraud rings, coaching fraud patterns, KPI manipulation, and payment
diversion schemes
- Deliver actionable insights that strengthen controls and prevent incidents.
- Active assessment and monitoring of floor activities to identify behaviors or policy
infractions
- Working with Sr. Site Leadership to identify, reduce and help resolve non-compliance
- Manage the site level compliance and risk team and responsible for the outcomes and
resolutions of any non-compliance.
Position Summary
The Senior Risk and Fraud Manager is responsible for identifying, analyzing, and reporting insider driven risks across the enterprise. This role monitors behavioral indicators, access patterns, data
movement, and operational anomalies to detect early signs of fraud, misuse of systems, policy
violations, or emerging threats. The Sr. Manager establishes analytical models, risk scoring methods,
and detection rules that prevent incidents before they escalate. This role partners closely with Global
Risk & Fraud Investigations, Compliance, IT Security, HR, and Operations leadership to ensure
swift containment, root cause remediation, and long-term control improvements.
Key Responsibilities
Threat Detection and Analytics
- Build and maintain insider threat detection models focusing on behavior, access anomalies, and
transactional irregularities.
- Review data created by fraud and compliance investigations to develop early-warning indicators
for fraud rings, coaching fraud, KPI manipulation, and payment diversion attempts.
- Analyze correlations between team leads, agents, system access, and complaint patterns to
identify high risk clusters.
Intelligence Development
- Create ongoing intelligence reports highlighting emerging risks, suspicious patterns, and
environmental vulnerabilities.
- Maintain a taxonomy of insider threat behaviors relevant to BPO operations (refund abuse,
coaching fraud, data misuse, etc.)
- Conduct trend analysis across geographies, business lines, and programs to identify systemic
risks.
Incident Support and Collaboration
- Support audits and investigations by providing analytical insights, evidence trails, and risk
scoring.
- Work with the Sr. Global Director, Compliance & Audit to assess gaps controls and recommend
enhancements.
- Partner with IT Security to validate abnormal activity, access misuse, and technical indicators of
compromise.
- Provide HR with behavior-based insights in support of investigations and disciplinary actions.
Insider Risk Scoring and Governance
- Design KRIs related to insider behavior and noncompliance activities
- Produce reporting and trend summaries
Prevention and Control Improvements
- Recommend new controls to limit opportunities for inside fraud and system misuse
- Assess the impact of incentive plans, operational changes, and workload pressures on insider
risk.
- Develop training insights to improve awareness among leaders and support teams
Leadership Partnership and Feedback Integration
- Serve as a trusted execution partner to the Sr. Global Director, Compliance & Audit and/or
assigned representative.
- Manage assigned employees, set expectations on daily, weekly, and monthly activities.
- Drive problem resolution and compliance governance related remediation across the region
- Work with cross functional stakeholders to drive end to end completion of compliance initiatives
and goals.
- Demonstrate the ability to receive and integrate direction and feedback constructively, quickly
and effectively.
- Escalate issues appropriately and provide clear status, risks, and recommendations.
- Perform other duties as assigned.
Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty
satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability
required. Reasonable accommodation may be made to enable individuals with disabilities to perform
the essential functions.
Education/Experience: Bachelor's/ College degree in business or related field and a minimum of 3
years of fraud analytics, insider threat programs, or risk analysis. Minimum 1 year of experience in a
leadership position. Minimum 5 years of experience in lieu of degree will be considered. Experience
with BPOs, telecommunication services, financial services, healthcare operations, or call centers is
preferred.
Language and Communication Skills: Ability to translate risk signals into actionable insights.
Strong ability to effectively present information and respond to questions from groups of managers,
clients, and customers.
Reasoning & Critical Thinking Skills: Analytical thinking and strong pattern-recognition ability.
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Conflict Resolution Skills: Ability to handle and resolve complex issues within a team, department
and client process. Strong cross-functional collaboration
Technical skills: Create reports, charts, and presentations in Microsoft office programs including
Word, Excel, Outlook and PowerPoint. Proficiency with using Internet software (Websites,
Browsers). Experience with Project Management concepts is preferred.
Required Skills:
1. Experience required in fraud patterns specific to call centers, customer support and BPO
workflows.
2. Expertise in data analysis, behavioral analysis, and anomaly detection.
3. Experience with data and modeling tools. Preference for experience with Power Bi.
4. Experience with interpreting datasets and transforming them into actionable insights.
5. Excellent documentation skills with emphasis on defining business and functional
requirements.
6. Excellent organizational, written and verbal skills, with the ability to quickly analyze issues
and craft practical, business-oriented solutions
7. Exceptional customer service skills
8. Ability to work in a fast-paced environment under tight deadlines. Must be flexible and able
to effectively manage multiple priorities and adapt to changing priorities.
9. Ability to work independently, be self-motivated and take initiative, use judgment, tact and
discretion and maintain a high level of confidentiality.
10. Motivates and mentors' team, presenting new opportunities and challenges for additional
development
Certificates and Licenses: None
Supervisory Responsibilities: Risk & Fraud Analysts, Compliance Officers and as assigned.
Working Conditions
The work environment characteristics described here are representative of those an employee
encounters while performing the essential functions of this job. Reasonable accommodation may be
made to enable individuals with disabilities to perform the essential functions. The noise level in the
work environment is moderate. This job requires working in a business office with computers,
printers, and light traffic.
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
