Remote Health Compliance Investigator
$49.7k - $88.8kUnitedHealthcare
- Remote job
UnitedHealthcare is looking for an Investigator to conduct compliance investigations related to agents and brokers. This role allows for telecommuting flexibility and covers all lines of business. The ideal candidate should have at least 2 years of independent investigation experience, with a focus in health care fraud. Responsibilities include documenting findings and reporting on illegal activities in accordance with laws and regulations. Compensation ranges from $49,700 to $88,800 annually with a comprehensive benefits package. #J-18808-Ljbffr UnitedHealthcare
$107.7k - $199.3k
...Internal Investigations Manager You could be the one who changes everything... ...Centene is transforming the health of our communities, one... ...best practices, regulatory compliance, and risk mitigation.... ...flexible approach to work with remote, hybrid, field or office work...Remote workFull timePart timeWork at officeFlexible hours- Centene Corporation is seeking a remote Fraud Investigator to conduct reviews of medical records and claims to identify fraud and abuse. The role involves analyzing provider billing patterns and preparing recommendations based on findings. A Master’s Degree and relevant...Remote job
$49.7k - $88.8k
UMR in Minnetonka is seeking an Investigator responsible for investigating agent and broker... ...business lines. This role involves conducting compliance investigations, documenting findings,... ...experience, preferably in health care. The position offers a competitive...Remote job$49.7k - $88.8k
United Health Group is seeking an Investigator to manage agent/broker complaints in compliance with state and federal regulations. This role involves conducting confidential investigations, documenting findings, and reporting illegal activities. Required qualifications...Remote job- divvyDOSE is seeking an Investigator responsible for conducting compliance investigations on agent/broker complaints. The role involves documenting findings, conducting interviews, and reporting illegal activities as necessary. Candidates should have investigative experience...Remote job
- ...Corporation is seeking an experienced candidate for a remote position that involves conducting reviews of... ...guidelines, as well as close collaboration with investigators. A broad benefits package is provided, including health insurance and flexible working arrangements. #J...Remote jobFlexible hours
- Staffing Solutions Organization LLC is seeking a fully remote Healthcare Investigator to safeguard Medicaid recipients' health and safety. You will conduct investigations and ensure compliance with Ohio Medicaid regulations while collaborating with various stakeholders....Remote jobFlexible hours
- ...small business is seeking an individual to analyze health insurance product submissions to ensure compliance with federal and state laws. The ideal candidate will... ...in health insurance policy review. This role is remote and requires the ability to adapt to changing priorities...Remote jobWork at office
- ...number: 2367444 Job category: Regulatory & Compliance At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities... ...Caring. Connecting. Growing together. The Investigator will be responsible for investigating agent/broker...Remote workMinimum wageFull timeWork experience placementLocal areaMonday to Friday
$60.2k - $107.4k
...number: 2347618 Job category: Regulatory & Compliance At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities... ...Connecting. Growing together. The Senior Investigator is responsible for identification, investigation...Remote workMinimum wageFull timeTemporary workWork experience placementLocal area$150 per hour
...About Us Hawthorne Health is a leading community site network and home research... ...initiated trials as a Principal or Sub-Investigator to lead upcoming trials at our site in... ...20 hours/week with up to 10 hours/week remote (study dependent) Hawthorne Health is...Remote workHourly payContract workPart timeLocal area$46.99k - $112.2k
...Senior Healthcare Fraud Investigator We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose...Remote workHourly payFull timeTemporary workWork experience placementLocal areaWork from home- ...Mockingbird Towers 4th FLR PCHP- Parkland Community Health Plan Primary Purpose The purpose of the Parkland Community Health Plan (PCHP) Special Investigations Unit is to implement an effective compliance program that includes prevention, investigation and pursuit...Work at office
- ...Providing investigative support for special investigation unit (SIU) activities, the full-time Healthcare Investigator... ...fraud, waste, and abuse (FWA), while working remotely to analyze information and ensure compliance with coding and billing guidelines. Key responsibilities...Remote workFull time
- ...considered. LOCATION: Remote- Must live in California... ...BENEFITS ~8% Match - 401K ~ Health benefits (HMO options) ~... ...looking for self-motivated investigator to be part of an exciting fast... ...representative payees to ensure compliance as well as uncover and...Remote workHourly payExtra incomeFull timeTemporary workWork experience placementLive inWork at officeFlexible hoursShift work
$63k - $84.42k
...Senior Fraud Investigator Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability, and member...Remote workLive inLocal area$7,916 - $8,333 per month
...Title IX/DHR Investigator Job no: 556073 Work type: Management (MPP) Location... ...: MPP, Administrative, At-Will, Compliance/Legal, Full Time, On-site (work in-person... ...and telecommute as scheduled), Remote in-state eligible (long distance work arrangement...Remote workFull timeWork at officeLong distanceMonday to Friday$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 work- A leading compliance firm is seeking an Entry-level AML Investigator to work remotely from Richmond, VA. This role involves analyzing financial transactions to identify suspicious activity and ensuring regulatory compliance, including KYC. Candidates must have a Bachelor...Remote work
- ...Arrangement:** **This role offers three weeks of remote company-provided training** before... ....***About the Role:**As a Senior AML Investigator - Financial Crimes, you'll work... ...financial activity, ensuring regulatory compliance, and performing quality control. You will...Remote workFull timeWork at officeLocal areaWork from home
$65k - $88.6k
...Waste Professional 2 conducts investigations of allegations of fraudulent... ...external entities including compliance, internal business partners,... ...We are fortunate to offer a remote opportunity for this job.... ...serve to achieve their best health – delivering the care and service...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork from homeHome officeMonday to Friday$40k
...to help you build a career in financial crime compliance. As an Entry-Level Anti-Money Laundering (AML) Investigator , you will review transactions, identify suspicious... ...performance expectations ~ Comprehensive health, dental, vision, and defined contribution...Remote workOngoing contractFull timeWork at officeLocal areaWork from homeMonday to Friday$56.2k - $101k
...Position Purpose Investigate allegations of potential healthcare fraud and abuse activity.... ...progress of investigations and coordinate with Health Plans on recommendations and further... ...holidays Flexible approach to work with remote, hybrid, field, or office schedules...Remote workWork at officeFlexible hours$56.2k - $101k
...million members. Centene is transforming the health of our communities, one person at a time... .... Position Purpose Position Purpose: Investigate allegations of potential healthcare... ...holidays, and a flexible approach to work with remote, hybrid, field or office work schedules....Remote workFull timePart timeWork at officeFlexible hours- ...As a full-time remote Fraud Investigator II, the successful candidate will be responsible for identifying and resolving fraudulent activity across... ...investigations of fraud alerts and claims, ensuring compliance with regulatory standards Required qualifications Bachelor...Remote workFull time
- ...operational and analytical resource, the full-time Digital Fraud Investigator will work remotely to identify, investigate, and mitigate digital fraud... ...reports and maintain evidentiary materials in compliance with legal and regulatory requirements Collaborate with...Remote workFull time
- Itlearn360 is looking for a Labor Law Investigator based in Pennsylvania. This role involves... ...investigations, and ensuring compliance within workplaces. Candidates must have... ...company offers excellent benefits, including health, wellness options, and generous paid leaves...Remote jobFull timeWork from homeRelocationMonday to Friday
$81.7k - $113.4k
...Digital Fraud Investigator At Municipal Credit Union, we believe that an incredible culture helps create a happy and motivated team... ...upholding the highest standards of loss prevention, regulatory compliance, and member protection. Responsibilities: Performs...Remote workLocal areaFlexible hours$105k
...City Department Overview The Electric Compliance Assurance department is part of the Electric... ...through incident reporting and investigations, overseeing Electric Operations and Power... ...position is hybrid, working from your remote office and assigned office based on business...Remote workWork experience placementWork at officeFlexible hours- ...support a growing team, the full-time Claims Investigator will review, analyze, and investigate P... ...settlements, working in a hybrid or remote capacity. Key responsibilities... ...ensure accurate reserving, and maintain compliance with audit guidelines Required qualifications...Remote workFull time
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