Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Medicaid Auditor and Investigations Specialist

Integrity Management Services, Inc.

Alexandria, VA
  • Remote job

Integrity Management Services, Inc. is seeking a Medicaid Auditor to perform audits of Medicaid Managed Care Plans and providers, identify fraud, waste, and abuse, and report findings with recommendations. The role includes on-site and remote work, relevant documentation, and interaction with federal/state agencies. Applicants should have a Bachelor’s in finance or accounting and 5–7 years of related experience, with strong data analysis and knowledge of Medicare/Medicaid programs. #J-18808-Ljbffr Integrity Management Services, Inc.

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Medicaid Auditor and Investigations Specialist in Alexandria, VA vacancy
  •  ...Peraton is seeking a Medicaid Auditor/Investigator to join SafeGuard Services in a remote capacity. You will conduct audits of Medicaid programs to ensure compliance with federal and state requirements and recover over-payments. Strong analytical skills and Excel proficiency... 
    Remote work

    Peraton

    New York, NY
    3 days ago
  • SafGuard Services (SGS), a Peraton subsidiary, is seeking a Medicaid Auditor/Investigator to perform audits and data analyses on various Medicaid programs from a remote location in the United States. The role emphasizes independent judgment, adherence to regulations, and... 
    Remote job

    Peraton

    New York, NY
    4 days ago
  •  ...Knowledge of internal audit/investigative policies and operating principles...  .... Understanding of Medicare/Medicaid or healthcare auditing....  ...are looking to add a Medicaid Auditor/Investigator to our SGS team...  ...his business acumen. This is a remote position. #J-18808-Ljbffr Peraton
    Remote work
    Work at office

    Peraton

    New York, NY
    4 days ago
  •  ...Partnerships LLC is seeking a Fraud Audit & Investigations Analyst to lead investigations into fraud, waste, and abuse within Medicaid programs. You will audit case files,...  ...strong documentation skills and ability to work remotely with occasional travel. #J-18808-Ljbffr
    Remote work

    Pplfirst

    Brooklyn, NY
    3 days ago
  •  ...SafeGuard Services (SGS), a subsidiary of Peraton, is seeking a Medicaid Fraud Auditor to join the SGS team. The role focuses on researching laws, conducting compliance audits across Medicaid cases, and identifying improper payments. Telework is available from any state... 
    Remote work

    Peraton

    New York, NY
    13 hours ago
  • $90.58k - $114.59k

    Position InformationNY HELPS: No55-b/c Eligible: NoAgency: Medicaid Inspector General, NYS Office of the Title: Investigative Specialist 2 MedicaidOccupational Category: No PreferenceSalary Grade: 23Bargaining Unit: PS&T - Professional, Scientific, and Technical (PEF)Salary... 
    Remote work
    Permanent employment
    Full time
    Work experience placement
    Internship
    Work at office
    Visa sponsorship

    State of New York, USA

    Westchester, FL
    7 days ago
  • $55k - $75k

     ...analytics, technology solutions, audit, investigation, and medical review. At IntegrityM, we...  ...company feel! In this role, the Medicaid Auditor will be responsible for performing and...  ...hire background screening checks. For remote work, required to have wired and/or wireless... 
    Remote work
    Full time
    Contract work
    Temporary work
    For contractors
    Work at office
    Local area
    Flexible hours

    Integrity Management Services, Inc.

    Remote
    3 days ago
  •  ...Peraton is seeking a Medicaid Fraud Auditor for its SafeGuard Services (SGS) team to conduct audits of Medicaid programs, ensure compliance with...  ...and knowledge of Medicaid auditing are essential. This remote role offers telework from any state in the US, with potential... 
    Remote work

    Peraton

    New York, NY
    13 hours ago
  •  ...The Investigative Specialist 2 Medicaid works for the NYS Office of the Medicaid Inspector General to investigate Medicaid fraud, waste, and abuse by providers. The role supervises investigative staff in regional offices, evaluates complaints, conducts complex investigations... 
    Permanent employment
    Work at office

    Medicaid Inspector General, NYS Office of the

    New York, NY
    5 days ago
  •  ...Services (SGS) a subsidiary of Peraton, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and...  ...recover fraud, waste, and abuse. We are looking to add a Medicaid Fraud Auditor to our SGS team of talented professionals. Required... 
    Remote work
    Work at office

    Peraton

    New York, NY
    9 hours ago
  •  ...Solutions Organization LLC (SSO) is seeking a Licensed Professional Counselor to join our remote Healthcare Investigator team in Ohio. The role conducts investigations into Medicaid incidents, analyzes documentation, interviews involved parties, and ensures compliance... 
    Remote work
    Local area
    Work from home

    Staffing Solutions Organization LLC

    United States
    4 days ago
  •  ...The Agency for Health Care Administration seeks an Inspector Specialist to conduct investigations into fraud, abuse, and waste within the Florida Medicaid program. You will perform on-site visits, prepare investigative reports, and collaborate with multiple units to enforce... 

    Florida, Inc.

    Doral, FL
    3 days ago
  •  ...SafeGuard Services (SGS), a Peraton subsidiary, seeks a Medicaid Fraud Auditor to join our team. The role audits Medicaid programs for compliance and over-payment recovery, applying analytical skills and interviews to gather information. Candidates must reside within... 
    Remote work

    Peraton

    Herndon, VA
    5 days ago
  •  ...Arizona Supreme Court is seeking an Investigator and Compliance Auditor – Specialist V to lead investigations of complaints against licensed professionals and conduct compliance audits across the state. You will manage cases from intake to disposition and present findings... 
    Remote work

    Arizona Supreme Court

    United States
    2 days ago
  •  ...CoventBridge Integrity Systems seeks an experienced Medicaid claims auditor with an active RN license to review claims for potential fraud....  ...coding knowledge to assess payment accuracy and document investigative findings. The role involves preparing detailed investigative... 

    CoventBridge Integrity Systems

    New York, NY
    2 days ago
  • Gainwell Technologies is seeking an entry-level Long-Term Care Auditor I to support identification and recovery of Medicaid improper payments in long-term care. This remote role requires strong organization, attention to detail, and the ability to manage a caseload across... 
    Remote job
    Flexible hours

    Gainwell Technologies

    Brooklyn, NY
    3 days ago
  •  ...Xcelerate Solutions is seeking Case Reviewers to join a remote government contracting team. You will review background investigation reports submitted by Field Investigators and Record Searchers to ensure accuracy, completeness, and timely submission. The role requires... 
    Remote work

    Xcelerate Solutions

    New York, NY
    4 days ago
  •  ...0-03DaMar Staffing is seeking an experienced Quality Assurance Auditor with a coding background. The role focuses on reviewing medical...  ...education and risk mitigation initiatives.Location is Phoenix, AZ or remote. Requirements include 5+ years of professional coding, 3+ years... 
    Remote work

    AAPC

    New York, NY
    8 days ago
  •  ...Guided Care is seeking a part-time Licensing Specialist to manage licensing, Medicare, and Medicaid registrations with accurate, timely submissions. The role...  ...Director of Licensing and requires independent work in a remote-capable setup within the United States. #J-18808-... 
    Remote work
    Part time

    Guided Care

    United States
    9 hours ago
  •  ...Alpine Intel is seeking investigators to conduct workers' compensation, liability, and multi-line insurance claim investigations, including...  ...footage with timely updates. The Robison Group provides remote or in-classroom training; a college degree is preferred; applicants... 
    Remote work

    The Robison Group

    Birmingham, AL
    2 days ago
  •  ...The Office of the Special Commissioner of Investigation for the New York City School District (SCI) seeks an experienced Confidential Investigator to conduct confidential investigations into corruption, unethical conduct, and other misconduct within the NYC school system... 
    Remote work
    Work at office

    National Organization of Black Law Enforcement Executives (N...

    Buffalo, NY
    4 days ago
  •  ...Gainwell Technologies Wisconsin is seeking a Professional Field Representative to support Wisconsin Medicaid providers as a key liaison for education, issue resolution, and operational support. This role partners with providers and stakeholders to research and resolve... 
    Remote work

    Gainwell Technologies LLC

    United States
    2 days ago
  • $30 - $45 per hour

     ...consulting agency is seeking an Operations Specialist III for a contract opportunity in Long...  ..., CA. This role requires expertise in Medicaid and Medi-Cal operations, along with experience...  ...program metrics. This position is remote and offers a pay range of $30-$45 per hour... 
    Remote work
    Hourly pay
    Contract work

    Pyramid Consulting

    Long Beach, CA
    2 days ago
  • $51k - $82k

     ...Services (SGS), a subsidiary of Peraton, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and...  ...recover fraud, waste, and abuse. We are looking to add a Medicaid Fraud Auditor to our SGS team of talented professionals. What you'll do... 
    Remote work
    Contract work
    Temporary work
    Work at office
    Shift work

    Peraton

    New York, NY
    2 days ago
  •  ...AuraOne, Inc. is seeking a remote Embodied Navigation Task Evaluator to review outputs, compare responses, and label issues using AuraOne's quality rubric. The role focuses on labeling edge cases, writing rationales, and contributing to retraining efforts. Responsibilities... 
    Remote work
    For contractors

    AuraOne, Inc.

    United States
    3 days ago
  •  ...Humana Inc. seeks a Policy Governance Professional to manage the Medicaid Utilization Management Rates and Timeliness evaluation and reporting process across applicable markets, including both physical and behavioral health. You will coordinate schedules, validate... 
    Remote work

    Humana

    United States
    2 days ago
  •  ...seeking a Community Relations Representative I to expand market reach in North Carolina. This remote role covers outreach, enrollment assistance, and education for Medicaid/Medicare products across the state. You will attend community events, build partnerships, conduct... 
    Remote work

    Centene Corporation

    Raleigh, NC
    13 hours ago
  •  ...dedicated, hardworking, analytical and results oriented. Candidates will be responsible for a wide range of duties related to the investigation and elimination of online e-commerce risk. The position relies on an analytical mind, detailed investigation and excellent... 
    Remote work
    Fixed term contract
    Weekend work
    Day shift
    Early shift

    Amazon

    United States
    2 days ago
  • $63.3k - $114.3k

     ...Preparing documentation of findings and consulting with special investigation and the affordability of care area as needed. Coordinating...  ...~ Current AAPC Medical Coding Certification #LI-MW2 #LI-Remote Are you being referred to one of our roles? If so, ask your... 
    Remote work
    Full time
    Work from home

    Health Care Service Corporation

    Remote
    11 days ago
  •  ...Humana Inc. is seeking a Policy Governance Professional to manage end-to-end Medicaid Utilization Management (UM) Rates and Timeliness evaluation and reporting across markets. Reporting to the Policy Governance Lead, you will coordinate data validation, analyze trends... 
    Remote work

    Humana

    United States
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Medicaid Auditor and Investigations Specialist. Be the first to apply!