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
- 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
$60.2k - $107.4k
...Senior Investigator At UnitedHealthcare, we're simplifying the health care experience, creating... ..., investigation and prevention of healthcare fraud, waste and abuse. The Senior Investigator... ..., waste and abuse referrals Ensure compliance of applicable federal/state...Remote workSeniorMinimum wageFull timeTemporary workWork experience placementLocal area- 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...Remote jobSeniorFull timeWork experience placement
- 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
$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$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$70k - $120k
## Senior Bank Fraud Investigator .### General informationCareer areaDeposits OperationsWork... ...(2) hybrid, or (3) fully remote. Hybrid roles are... ...fraudulent activities.* Ensure compliance with Federal and State... ...with employer contributions, Healthcare FSA, critical illness,...Remote workSeniorFull timeTemporary workPart timeWork experience placementWork at officeRelocation packageFlexible hours- Chicago, IL (Remote) Des Plaines, IL 60018, USA... ...complex, high-value investigations from intake through resolution... ...among claims, compliance, underwriting, and legal... ...and reporting for senior leadership Partner with... ...of plans to fit your healthcare needs. Employer-Paid...Remote jobSeniorTemporary workWork at officeFlexible hours
$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 role involves assessing reports of... ...salary range: $98,776 - $139,000. Location: Remote. Equal Opportunity Employer USC is an...Remote workSeniorWork at office$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- 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
$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
$79k - $120k
...Description This newly created senior individual contributor role... ..., Engineering, Finance, Compliance, Operations, and external vendors... ...operations, financial crime investigations, risk and payment fraud... ...strong plus. Benefits ~Remote-First Flexibility: Work from...Remote workSeniorFull timeFlexible hoursShift work- ...Seeking a detail-oriented Healthcare Compliance Investigator, the full-time remote position will conduct investigations into healthcare providers' compliance with legislation, review documentation, and generate comprehensive reports while collaborating with various stakeholders...Remote workFull timeWork experience placement
- 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
- ...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$65.3k - $111k
Role Description The Senior Investigator manages work related to fraud, waste and abuse audits and... ...of FWA reporting for the Corporate Compliance Committee and the Audit and Compliance... ...years of experience conducting complex healthcare fraud investigations required. ~Significant...SeniorFull timeContract workWork at office- ...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
- ...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
- ...Health is seeking an Employee Relations Investigator to conduct thorough, impartial... ...prepare detailed reports, ensure legal compliance, and maintain confidential records. The... ...sensitive information with integrity. Remote work options and travel up to 10% are possible...Remote jobSenior
$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$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- FALL CREEK FARM & NURSERY is looking for investigators to protect residents' health in Texas long-term care facilities through onsite... ...Test (SMQT) certification. A commitment to safety and compliance in healthcare regulations is essential. #J-18808-Ljbffr FALL CREEK...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
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