Remote Healthcare Fraud & Waste Investigator
Humana
Humana Inc. is seeking a Fraud and Waste Professional 2 to coordinate investigations of fraudulent and abusive practices across internal and external entities, assemble evidence, and prepare complex investigative and audit reports in support of adjudication. This is a remote opportunity in the United States with occasional travel to Humana offices for training or meetings. Typical hours are 40 per week with a start between 6 AM and 9 AM in the employee's time zone. #J-18808-Ljbffr
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Healthcare Fraud & Waste Investigator in Salt Lake City, UT vacancy
$65k - $88.6k
...Fraud And Waste Professional 2 The Fraud And Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices.... ...are fortunate to offer a remote opportunity for this job.... ...2 years of experience in healthcare fraud investigations Knowledge...Remote workBi-weekly payTemporary workApprenticeshipWork from homeHome officeMonday to Friday$65k - $88.6k
...of our caring community The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and... ...Work at Home. While this is a remote position, occasional travel to Humana... ...'s degree • 2 years of healthcare fraud investigations and auditing...Remote workFull timeTemporary workFor contractorsApprenticeshipWork at officeWork from homeHome officeMonday to Friday$65k - $88.6k
...Humana Inc. is seeking a Fraud and Waste Investigator to conduct investigations of fraudulent and abusive practices. The role is remote nationwide with standard 40-hour weeks and a pay... ...Bachelor's degree and at least two years in healthcare fraud investigations, with knowledge...Remote work- ...Humana Inc. is seeking a Fraud and Waste Professional 2 to conduct investigations of fraudulent and abusive practices. The role involves coordinating with compliance... ..., and preparing complex reports. The position is remote anywhere in the US with occasional travel for...Remote work
- ...Job Opportunity Council Capital is a healthcare-focused private equity firm based in... ...analytics with expert review to surface fraud, waste, and abuse across Medicare, Medicaid,... ...you will not manage anyone. Strong investigators here come from healthcare payer/vendor...Remote work
$65k - $88.6k
## Fraud and Waste InvestigatorApplylocations: Remote Nationwidetime type: Full timeposted on: Posted Yesterdayjob... ...and Waste Professional 2 conducts investigations of allegations of fraudulent and... ...2 years of experience in healthcare fraud investigations* Knowledge...Remote workBi-weekly payWeekly payFull timeTemporary workWork at officeWork from homeHome officeMonday to Friday$85k - $105k
...Healthcare Fraud InvestigatorCGS is seeking a Healthcare Fraud Investigator to provide legal support for a large government project in Nashville, TN. The candidate must... ...litigation.Analyze data for evidence of fraud, waste and abuse.Review and evaluate referrals to determine...Remote workWork experience placementWork at officeLocal area$85k - $105k
...Healthcare Fraud InvestigatorEmployment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in... ...data for evidence of fraud, waste and abuse.Review and evaluate...Remote workFull timeWork experience placementWork at officeLocal area- Centene Corporation, a national leader in diversified healthcare, seeks a seasoned investigator to guide team members, investigate fraud, waste and abuse, and mentor staff. This remote role covers the continental United States and emphasizes compliance with CMS guidelines...Remote job
- ...Corporation in the United States is seeking an experienced investigator to independently lead complex fraud, waste, and abuse investigations across providers,... ...Bachelor's degree in a related field, 4+ years in healthcare investigations, and experience coordinating with...Remote job
- Centene Corporation in Pennsylvania is seeking a Senior Investigator to independently lead complex fraud, waste, and abuse investigations across providers, members, pharmacies, and vendors using referrals, claims data, medical records, interviews, analytics, and other resources...Remote job
- ...Levels (Investigator, Sr. Investigator, etc) will depend on experience and qualifications... ..., investigation and prevention of healthcare fraud, waste and abuse (FWA). We are growing and looking... ...to work independently within a remote team, under minimal supervision Benefits...Remote workFull time
- ...Profile We offer remote work opportunities (AK, AR, AZ, CO,... ...adjudicated DOD background investigation for this position. Veterans,... ...and reporting of suspected fraud, waste and abuse (FWA) cases as defined... ...Veterans Affairs (VA), the Healthcare Finance Administration (HCFA...Remote workContract workFor subcontractorInterim role
$64k - $68k
...We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA... ...adjudicated DOD background investigation for this position.... ...and reporting of suspected fraud, waste and abuse (FWA) cases as defined... ...Veterans Affairs (VA), the Healthcare Finance Administration (HCFA...Remote workContract workTemporary workFor subcontractorInterim roleLocal areaShift work- ...UnitedHealth Group in Omaha, Nebraska, seeks an investigator to assess fraud and misconduct allegations. You will conduct investigations, analyze data, and ensure compliance with regulations while collaborating with internal and external partners. The ideal candidate...Remote work
- A leading health organization seeks an investigator for healthcare fraud allegations. Responsibilities include conducting investigations, analyzing... ...a minimum of 5 years in fraud investigations. This is a remote role with a strong preference for residents of New York....Remote work
- ...Centene Corporation is seeking an investigator in Arkansas to tackle healthcare fraud and abuse activities. The role involves conducting thorough investigations, performing data analysis, and preparing reports for federal and state agencies. The ideal candidate should...Remote workFlexible hours
- ...We are seeking a Senior Healthcare Fraud Investigator to support our program integrity efforts through hands‑on investigation of potential fraud, waste, and abuse (FWA). This role is ideal for someone who thrives on digging into data, managing complex cases, and driving...Remote workWork at office
- ...Estágios e Treinamentos seeks a Medicaid Fraud Investigator to join its Special Investigations Unit. This role focuses on identifying healthcare fraud, conducting audits, data analysis... ...skills, and MS Office proficiency. Remote work from the Chicago area is preferred...Remote job
- Navanti Group, LLC is seeking a senior healthcare fraud investigator and OSINT analyst to support a sensitive federal law-enforcement customer. The... ...indicators of fraudulent activity. The position is fully remote, requires an active Top Secret clearance, and demands 5+ years...Remote job
- The Cigna Group in Miami, FL is hiring a Bilingual Junior Healthcare Fraud Investigator to join the Special Investigations Unit. You will support audits and investigations of potentially fraudulent claim activity by providers, using analytical and investigative skills to...Remote job
- ...UnitedHealth Group is seeking an Investigator in the SIU team to identify, investigate, and prevent healthcare fraud, waste, and abuse using data analysis and regulatory guidelines. You will conduct thorough investigations, including interviews and evidence collection...Work from home
- Company: Navanti Group, LLC Location: Remote Employment Type: Part-Time / Consultant... ..., with workload varying based on investigative tasking. The position is anticipated to... ...Overview Navanti Group is seeking a senior healthcare fraud investigator and Open-Source...Remote workPart timeWork at officeMonday to Friday10 hours per week
- ...Highmark Inc. seeks a detail-oriented investigator to develop and maintain an anti-fraud program, conduct investigations into fraud/waste/abuse, and coordinate with law enforcement, regulators, and internal committees. The role may involve onsite or offsite interviews...
- ...hope. Overview Responsible for complex fraud and abuse investigations and data analysis to identify trends,... ...multiple perpetrators or intricate healthcare fraud schemes. Investigate fraud and... ...determine validity of allegations of fraud waste and abuse. May include conversations...Local area
- ...Centene Corporation seeks an experienced investigator to independently lead complex fraud, waste, and abuse investigations across providers, members, pharmacies... ...is required; Master's preferred. 4+ years in healthcare investigations and ability to coordinate with Compliance...
- ...Community Care Plan is seeking a Senior Healthcare Fraud Investigator to lead and execute investigations into fraud, waste, and abuse within Medicaid programs. The role emphasizes hands-on data analysis, case development, and end-to-end management from identification...
- ...Medica is seeking an SIU Investigator III to join our Minnetonka, MN office. This onsite role conducts complex fraud, waste and abuse investigations, performs onsite audits and provider reviews, and collaborates with Legal, Regulatory, and law enforcement partners to...Work at office
- ...Medica in Minnetonka, MN is seeking an SIU Investigator III to lead complex investigations into fraud, waste, and abuse involving members, providers, and employees. You will work with legal teams and regulatory agencies, perform on-site audits, analyze evidence, and prepare...Work at office
- ...Fraud Investigator IIUnder the general direction of the Associate Director, or designee, the Fraud... ...a crucial role in combating fraud, waste and abuse (FWA) within the Medicaid program... ...of federal and state regulations and healthcare industry standards.Conduct independent...Work at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Healthcare Fraud & Waste Investigator. Be the first to apply!
Related searches
- system engineer remote Salt Lake City, UT
- remote recruitment consultant Salt Lake City, UT
- remote insurance agent Salt Lake City, UT
- remote no experience Salt Lake City, UT
- remote medical coding supervisor Salt Lake City, UT
- business development representative (remote) Salt Lake City, UT
- informatica remote Salt Lake City, UT
- remote lawyer Salt Lake City, UT
- marketing remote Salt Lake City, UT
- data science internship remote Salt Lake City, UT


