Remote Healthcare Fraud Investigator
Centene Corporation
- Remote job
Centene Corporation is seeking an investigator to tackle healthcare fraud and abuse, essential for transforming health in communities. This remote role requires a bachelor's degree and at least one year of experience in medical claim investigations. You'll conduct thorough investigations, prepare detailed reports, and collaborate with Health Plans. Competitive benefits include health insurance, 401K, tuition reimbursement, and flexible work schedules. Join us in making a difference for our 28 million members while enjoying a supportive work environment. #J-18808-Ljbffr Centene Corporation
- ...Humana is seeking a Fraud and Waste Professional to investigate fraudulent and abusive healthcare practices. The role involves coordinating with law enforcement, gathering... ...guidelines. The position may include remote work with minimal travel and requires strong analytical...Remote work
- ...Humana Inc. is seeking a Fraud and Waste Professional to conduct investigations of fraud and abuse and coordinate with law enforcement. You will assemble evidence... ...investigative reports to support adjudication. Remote work is available with minimal travel. Typical hours...Remote work
- Centene Corporation seeks a candidate to investigate allegations of potential healthcare fraud and abuse. This role involves conducting thorough investigations... ...in the field is required. The position offers a remote working option for candidates residing within Ohio and...Remote job
$56.2k - $101k
Centene Management Company LLC is seeking a Fraud Investigator to investigate allegations of healthcare fraud and abuse. The role is remote but prefers candidates from Texas. The investigator will conduct detailed claims investigations, assist with audits, and prepare reports...Remote job- Centene Management Company LLC is seeking candidates for a position dedicated to investigating allegations of healthcare fraud and abuse within the Kentucky Medicaid Program. The ideal applicant will have a Bachelor's Degree in a related field and a minimum of three years...Remote job
- 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 job
- 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 hold...Remote jobFlexible hours
$56.2k - $101k
Centene Management Company LLC is looking for a skilled investigator to focus on potential healthcare fraud and abuse activities. The candidate will analyze claims, conduct investigations, and prepare detailed reports for regulatory agencies. A Bachelor's degree in Business...Remote jobFlexible hours- ...Job Description Job Description Fraud Investigator / Fraud Analyst / Fraud Specialist Location - Remote and Onsite Thrice a week --- Pensacola, FL / Winchester... ...Our expertise spans industries from providing healthcare information systems to developing E-Remit software...Remote workHourly payLocal areaImmediate startWorldwide
$60k - $92k
...Levels (Investigator, Sr. Investigator, etc) will depend on experience and qualifications... ...detection, investigation and prevention of healthcare fraud, waste and abuse (FWA). We are growing... ...to work independently within a remote team, under minimal supervision Benefits...Remote workFull time$46.99k - $122.4k
...The Hispanic Alliance for Career Enhancement is seeking a dedicated professional to handle investigations into healthcare fraud, waste, and abuse, focusing on complex cases and cooperation with law enforcement. This full-time position requires a bachelor's degree, with...Full time- ...Employment 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 Nashville, TN. The candidate must take the initiative to ask questions to successfully complete...Full timeWork experience placementWork at officeLocal area
$46.99k - $122.4k
...The Hispanic Alliance for Career Enhancement is seeking a dedicated investigator for healthcare fraud cases based in Missouri, Louisiana. The role requires extensive knowledge of healthcare fraud prevention and the ability to interact effectively with various stakeholders...- ...Employment Type: Full‑Time, Experienced Department: Litigation Support Job Overview CGS is seeking a Healthcare Fraud Investigator to provide legal support for a large government project in Oxford, MS. The candidate must take the initiative to ask questions to successfully...Full timeFor contractorsInterim roleLocal areaFlexible hours
- ...PacificSource is seeking a Senior Investigator – Fraud, Waste, and Abuse to plan, conduct, and manage investigations of health care claims... ...policies. The role requires at least 4 years of experience in healthcare fraud investigations, use of OSINT tools, and collaboration...
- ...A government services contractor is seeking a Healthcare Fraud Investigator to support legal efforts on a large government project. The role involves analyzing data, preparing legal documents, and advising attorneys on fraud cases. Applicants must have a four-year degree...Full timeFor contractorsWork at office
$29.37 - $41.12 per hour
...Fraud Investigator II Salal Credit Union is seeking a Fraud Investigator II to play a vital role in safeguarding our members and organization... ...stronger policies and controls to reduce risk. This is a remote position , offering flexibility to work from home. However,...Remote workHourly payLocal areaWork from home- ...important work of your career. About the team The mission of Fraud Operations is to act as guardians of the global financial... ..., card testing, account takeover, and financial partner investigation requests. We strive to improve manual fraud decisioning and enhance...Remote work
- ...To enhance customer security, the full-time Fraud Investigator will focus on investigating account takeover (ATO) incidents and third-party fraud, managing high-risk cases remotely while providing empathetic support to customers during critical recovery events. Key responsibilities...Remote workFull time
$81.7k - $113.4k
...Digital Fraud Investigator At Municipal Credit Union, we believe that an incredible culture helps create a happy and motivated team that works hard to achieve the best results for themselves and their members. For more than 100 years, MCU has provided affordable financial...Remote workLocal areaFlexible hours- ...clients' transactions identified through fraud operations and strategy to identify... ...corporate losses. Additionally, the Fraud Investigator Specialist will quarterback internal events... ...to credit, cash, wire transfers, remote deposit capture and loans. Conduct and document...Remote workContract workFlexible hours
$20.72 - $25.91 per hour
...Overview Quartz is looking for an individual to investigate insurance information to coordinate benefits for claim processing. Processes... ...Benefits: Flexible and supportive work environment Full-time, remote , in-person or hybrid work environments available Ideal wage,...Remote workFull timeWork at officeWork from homeFlexible hours- ...A healthcare company in New York is seeking a Fraud Investigator to conduct in-depth investigations of reported fraud. Responsibilities include mentoring other investigators, investigating Medicaid fraud cases, and maintaining relationships with law enforcement. Candidates...
- ...Desktop Investigator At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more... ...M-F 9am-5pm EST (must work in EST time zone) Location: Fully Remote Benefits Start day 1! How you'll make an impact: Investigate...Remote workLocal area
- A leading live shopping platform is seeking a Fraud Agent to help prevent and mitigate fraud on their platform. The ideal candidate will have 1 to 5 years of experience in customer service or fraud operations and a proactive problem-solving mentality. Team members can work...Remote jobWork from homeWeekend work
- A leading live shopping platform is seeking a Fraud Agent to investigate and develop solutions to mitigate fraud. This role requires identifying fraud patterns proactively and working collaboratively with the team to enhance user experience. Candidates should have experience...Remote jobWork at officeWork from home
- ...Investigating and resolving claims, the full-time Claims Investigator will analyze P&C insurance claims for validity, negotiate settlements, and ensure compliance while working in a hybrid or remote capacity. Key responsibilities Investigate, evaluate, and resolve low...Remote workFull time
- ...independently owned subsidiary of CVS Health, seeks an SIU Investigator to support the Network Cost Management team and the Special... ...Unit. You will conduct investigations to prevent and pursue healthcare fraud and abuse, recover funds, and ensure compliance with state regulations...
- ...seeking a qualified candidate for a position focused on investigating health care fraud. Responsibilities include handling complex cases, preventing... ...role requires at least three years of experience in healthcare fraud and a Bachelor's degree, emphasizing knowledge in...Full time
$46.99k - $122.4k
The Hispanic Alliance for Career Enhancement is looking for a full-time position in health care fraud investigation in Nebraska. This role involves handling complex fraud cases, cooperating with law enforcement, and ensuring compliance with regulations. The ideal candidate...Full time
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