Remote Senior Investigator - Healthcare Compliance
Index Analytics
- Remote job
Index Analytics is seeking a Senior Investigator for a full-time remote position focused on compliance investigations into healthcare providers. This role involves managing research, analysis, and reporting on regulatory adherence while also mentoring junior staff and collaborating with cross-functional teams. The ideal candidate will hold a Bachelor's degree in a relevant field and possess a minimum of four years of work experience. Strong writing skills and knowledge of compliance laws in the healthcare sector are essential for success in this role. #J-18808-Ljbffr Index Analytics
- Centene Corporation seeks a Clinical Professional to lead compliance investigations in a diverse national organization. Your role will focus on... ...have substantial experience in investigations within a healthcare setting. Centene provides competitive benefits, including...Remote jobSeniorFlexible hours
- Centene Corporation is seeking a Clinical Professional for its Medical Management/Health Services team to lead compliance investigations across all business units. You will prepare analyses and reports, ensuring that investigations comply with regulations and company policies...Remote jobSenior
$70.1k - $126.2k
...general direction of the VP of Compliance Investigations this position assists with... ...& Investigations and/or senior management regarding the status... ...in a regulated healthcare environment preferred. Experience... ...flexible approach to work with remote, hybrid, field or office...Remote workSeniorFull timePart timeWork at officeFlexible hours$98.78k - $139k
...Senior Investigator The Office of Civil Rights Compliance at the University of Southern California (USC) is seeking a Senior Investigator to join their team. This is an exciting time at USC when the successful candidate will have an opportunity to contribute their...Remote workSeniorWork at office- Lumen is seeking a Lead Corporate Investigator to manage internal investigations... ...evidence, and presenting findings to senior stakeholders, ensuring compliance and transparency throughout. The... ...Washington, DC, with opportunities for remote work. #J-18808-Ljbffr LumenRemote workSenior
- Lumen is seeking a Lead Corporate Investigator to lead complex internal investigations into employee... ...reports, and present findings to senior stakeholders while maintaining confidentiality... ..., Texas, and operates in a dynamic, remote work environment. #J-18808-Ljbffr LumenRemote jobSenior
$98.78k - $139k
...The Office of Civil Rights Compliance at the University of Southern California (USC) is seeking a Senior Investigator to join their team. This is an exciting time at USC when the... ...grant funding, and market condition. #LI-Remote Minimum Education: Master's degree...Remote workSeniorWork at office$70k - $90k
Cotiviti is seeking a Senior Investigator to analyze suspected incidents of healthcare fraud, waste, or abuse through data analysis. The role involves evaluating instances of potential fraud and conducting interviews with patients and providers. Candidates should have...Remote jobSeniorWork from home$107.7k - $199.3k
...York seeks a highly skilled individual to lead and manage complex internal investigations. This role requires exceptional judgment and the ability to guide senior management while ensuring compliance with federal and state regulations. The ideal candidate will have 7+...Remote jobSenior- Centene Corporation is seeking a skilled Investigator to lead complex internal investigations and ensure compliance with laws and regulations. This role involves evaluating allegations, conducting interviews, and managing investigation strategies. The ideal candidate will...Remote jobSeniorFlexible hours
- UnitedHealth Group is seeking a Senior Investigator responsible for identifying and preventing healthcare fraud, waste, and abuse. This role offers telecommuting flexibility and requires investigating complex fraud cases, analyzing data trends, and collaborating with regulatory...Remote jobSenior
- Centene Corporation is seeking a full-time Senior Compliance Investigator to lead compliance and ethics investigations while working remotely. This role provides oversight on the development and implementation of the Compliance Investigations Program. The ideal candidate...Remote jobSeniorFull time
- ...Providing investigative support for special investigation unit (SIU) activities, the full-time Healthcare Investigator will focus on the prevention, detection... ...abuse (FWA), while working remotely to analyze information and ensure compliance with coding and billing guidelines...Remote workFull time
$70k - $90k
A leading healthcare analytics firm is seeking a Senior Investigator to investigate incidents of healthcare fraud, waste, and abuse through data analysis. This remote position requires a Bachelor's degree, 5-8 years of experience in healthcare FWA investigations, and advanced...Remote jobSenior- ...in Kentucky is looking for a skilled professional to lead complex internal investigations. The ideal candidate needs 7+ years of experience in investigations, proficiency in regulatory compliance, and a bachelor’s degree in a related field. Knowledge of Federal and...Remote jobSeniorFlexible hours
$60.2k - $107.4k
...2347618 Job category: Regulatory & Compliance At UnitedHealthcare, we're simplifying... ...Connecting. Growing together. The Senior Investigator is responsible for identification, investigation and prevention of healthcare fraud, waste and abuse. The Senior...Remote workSeniorMinimum wageFull timeTemporary workWork experience placementLocal area$73.2k - $109.8k
...Senior Fraud Investigator Volkswagen Financial Services, a wholly-owned subsidiary... ...Classification of Fully Remote. Salary range is dependent... ...annual performance bonus Healthcare benefits 401(k), with... ...Knowledge of legal system • Compliance Specialized Skills:...Remote workSeniorWork from home- ...Alliance for Career Enhancement is seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit. This role... ...suspected healthcare fraud, waste, and abuse while enabling remote work anywhere in the United States. The ideal candidate...Remote jobSeniorWork at office
- Verity Credit Union is looking for a Senior AML/Fraud Investigator to support fraud and anti-money laundering initiatives. This fully remote role based in Seattle, WA requires extensive investigative skills, compliance knowledge, and collaboration with law enforcement....Remote jobSenior
- ...BlueShield of Tennessee is looking for an Investigator II for its Special Investigations Unit.... ...and supporting legal proceedings. This remote position requires occasional travel... ...candidates should have 8 years of experience in healthcare fraud investigations and a Bachelor’s...Remote jobSenior
$70k - $90k
Senior Investigator - Pre-Pay (Healthcare FWA) Job Location: US-Remote Overview As a Senior Investigator, you will investigate suspected incidents of healthcare fraud... ...detect potential fraud, waste, abuse, or non-compliance. Leverages claims data, dashboards, and predictive...Remote workSeniorWork experience placementWork at officeWork from home$46.99k - $122.4k
...is looking for a dedicated individual to manage complex healthcare fraud investigations. The role demands at least 3 years of relevant experience... ...on fraud cases, document case activities, and ensure compliance with regulations. This full-time position offers a competitive...SeniorFull time- Centene Management Company LLC is seeking a skilled investigator to handle allegations of healthcare fraud and abuse in New York. In this role, you'll plan, organize, and execute claims investigations, utilizing your expertise in data mining and report creation. The ideal...Remote jobSeniorFlexible hours
$46.99k - $112.2k
Hispanic Alliance for Career Enhancement is looking for an experienced Senior Healthcare Fraud Investigator to join the Special Investigations Unit in the United States. In this full-time position, you will manage complex investigations into healthcare fraud, waste, and...Remote jobSeniorFull time- UnitedHealthcare is seeking a Senior Investigator Pharmacy to identify, investigate and prevent healthcare fraud, waste, and abuse. This role focuses on utilizing claims data and conducting field investigations. Applicants must reside within commutable distance to Los...Remote jobSeniorWork experience placementWork at office
$115k - $165k
UCLA Outpatient Clinics is seeking a Senior Compliance Investigator in Los Angeles to lead complex compliance investigations regarding potential regulatory concerns. The role involves gathering and analyzing evidence, conducting interviews, and preparing comprehensive...Senior$115k - $165k
...University of California - Los Angeles Health is seeking a Senior Compliance Investigator to lead compliance investigations involving potential... ...relevant experience, strong analytical skills, and knowledge of healthcare regulations. Responsibilities include gathering and...Senior- UCLA Health is searching for a Senior Compliance Investigator to lead investigations focusing on integrity and regulatory compliance within healthcare. You will analyze evidence, conduct interviews, and prepare comprehensive reports while collaborating with stakeholders...Senior
- Parkland Community Health Plan, Inc. is seeking a Senior Compliance Investigations Consultant in Dallas, Texas. The role involves conducting investigations... ...a bachelor's degree and have at least six years of healthcare compliance experience. The consultant will work...Senior
- ...for Fraud, Waste, and Abuse (FWA) specifically in healthcare services. This full-time position involves reviewing claims, investigating potential fraud, and collaborating with various departments to ensure compliance and training. Ideal candidates will have 3-5 years...SeniorFull time
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