Fraud Detection Analyst, Senior

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.

• Requires a Bachelor's degree in Computer Science, Data Science, or related field or equivalent experience
• Requires a minimum of 5 years of prior professional experience in Python development, preferably in fraud detection or audit analytics
• Hands-on experience training and deploying AI/ML models (OpenAI, LLaMA, Hugging Face, etc.)
• Strong understanding of CI/CD practices and containerization (Docker, Git Hub Actions, Azure Dev Ops)
• Experience with internal audit, compliance, or fraud investigations is a strong plus