Senior Healthcare Compliance Investigator — Remote
Centene Corporation
- Remote job
Centene Corporation in California is seeking a Clinical Compliance Investigator to oversee compliance investigations across business units. This role involves conducting investigations, collaborating with various departments, and ensuring compliance with regulations. An ideal candidate will have over 4 years of experience in investigations and a Bachelor's Degree. Centene offers competitive pay and a flexible working environment, including remote options. #J-18808-Ljbffr Centene Corporation
$60.2k - $107.4k
UnitedHealthcare is looking for a Senior Investigator responsible for investigating agent and broker... ...in the U.S., and involves conducting compliance investigations and documenting... ...investigative experience and 2 years in healthcare. The salary range for this position is...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$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 workSenior$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 workSeniorHourly payFull timeTemporary workWork experience placementLocal areaWork from home$70k - $90k
...steps. Our partner is looking for a Senior Investigator – Lead Validation (Healthcare FWA) based in the United States.... ...and recommendations that support compliance, recovery, and enforcement... ...when necessary. This is a fully remote, detail-intensive role for a professional...Remote jobSeniorFull timeFlexible hours$60.2k - $107.4k
A leading healthcare organization seeks a Senior Investigator Pharmacy to prevent and investigate healthcare fraud and abuse. Responsibilities include assessing misconduct complaints and analyzing trends. Required qualifications include a degree and relevant experience...Remote jobSenior$68.04k - $118.8k
...Summary of Job Conduct complex, in-depth investigations of reported fraud involving the full range of healthcare products. Develop and maintain relationships with law enforcement (HHS-OIG, FBI, DOJ), regulatory agencies (DFS, MEDIC, OMIG, MFCU) and with industry...Remote workSeniorWork experience placement- 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
- ...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
- MapLight Therapeutics, Inc. is seeking a Sr. Clinical Research Associate (CRA) to manage Investigator sites and ensure compliance with quality standards. This remote role emphasizes collaboration with internal teams and requires substantial travel across the United States...Remote jobSenior
- 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
$105k
...Department Overview The Electric Compliance Assurance department is part... ...incident reporting and investigations, overseeing Electric... ...is hybrid, working from your remote office and assigned office based... ...building consensus with multiple senior leaders to stay on schedule....Remote workSeniorWork experience placementWork at officeFlexible hours- ...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
$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$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- ...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
$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 - $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- Kids for the Future is looking for a Senior AML/Fraud Investigator at our Seattle, WA Headquarters. This remote position involves minimizing risk through the development... ...analytical skills and experience in banking compliance and fraud detection. You will mentor staff and...Remote jobSenior
- 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
$143k - $243k
A healthcare benefit management company seeks a Senior Principal Actuary to provide actuarial direction and innovative modeling concepts. This remote role requires strong strategic pricing expertise and leadership skills with a minimum of 10 years in actuarial work. The...Remote workSenior- 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
$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.... ...Minimum 2 years of experience in healthcare fraud investigations...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork from homeHome officeMonday to Friday$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- ...candidate will leverage analytical skills to identify patterns of fraud in healthcare claims, requiring strong analytical skills and a coding certification. With a focus on compliance and investigation, this role involves collaboration with various departments to ensure...Senior
$143k - $243k
A leading healthcare organization is seeking a Senior Principal Actuary to provide actuarial direction and create innovative modeling concepts. This remote position involves collaborating with underwriters, leading data analyses, and influencing pricing strategies across...Remote workSenior$46.99k - $112.2k
Hispanic Alliance for Career Enhancement is looking for a Sr. Analyst in Fraud, Waste, and Abuse to assist in investigating incidents and ensuring compliance in healthcare services. You will leverage your analytical skills to identify patterns of fraud and manage...SeniorFull time- 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
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