Remote Fraud Investigator - Medicare & Investigations
Peraton
Mc Lean, VA
- Remote job
Peraton, through SafeGuard Services (SGS), is seeking an Admin Action Specialist to serve as the CMS point of contact for administrative actions related to investigations. You will train, mentor, and maintain statistics on all actions while ensuring timely and accurate processing. The role requires presenting regulatory concerns, developing action packages, and coordinating with CMS, law enforcement, and MACs. Telework options are available across multiple time zones. #J-18808-Ljbffr Peraton
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Fraud Investigator - Medicare & Investigations in Mc Lean, VA vacancy
$65k - $88.6k
...part 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... ...quality of life for people with Medicare and Medicaid, families, individuals...Remote workFull timeTemporary workFor contractorsApprenticeshipWork at officeWork from homeHome officeMonday to FridayHumana
Carson City, NV4 days ago- ...platform pairs analytics with expert review to surface fraud, waste, and abuse across Medicare, Medicaid, Commercial, and FEP lines of business,... ...customer success, but you will not manage anyone. Strong investigators here come from healthcare payer/vendor backgrounds or...Remote work
City of Groton
United States2 days ago $65k - $88.6k
...part of our caring community The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and... ...Offers We are fortunate to offer a remote opportunity for this job. Our... ...STRONGLY PREFERRED: Experience in Medicare fraud investigations Bilingual in...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...Focused on protecting the integrity and profitability of financial products, the full-time remote Fraud Investigator II will execute fraud and risk operations, conduct investigations into suspicious activities, and develop scalable fraud controls across the customer lifecycle...Remote workFull timeShift work
Virtual Vocations Inc
United States10 hours ago - 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 workWork at officeWork from home
Whatnot
Phoenix, AZ3 days ago $61k - $74k
...Fraud Investigator Richmond, VA; Arlington, VA; or Remote (U.S.). Associates near one of our office locations may work in-office, hybrid, or remotely. Remote opportunities are available to candidates throughout the United States. At Koalafi, we believe in a world...Remote workWork at officeWork from homeFlexible hoursKoalafi
Richmond, VA5 days ago$38.77k - $57.88k
...Fraud Investigator IThe Fraud Investigator I plays a key role in protecting the bank and its customers from financial loss by investigating... ...criminal background & credit check.This is a full-time, non-remote position that requires schedule flexibility to work evenings...Remote workFull timeWork at officeLocal areaWeekend workAfternoon shiftUnited Community Bank
Blairsville, GA2 days ago- ...Control Risks is seeking a Risk Investigations Specialist to monitor and mitigate offline risks for a major tech client. The role collaborates... ...threats like organized crime and human trafficking, with a remote setup but West Coast hours commitment. Responsibilities include...Remote work
Control Risks
Brooklyn, NY1 day ago - ...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
Stripe
United States2 days ago - ...Investigator Position For more than 165 years, the Office of the Indiana Attorney General (OAG) has been committed to serving the best... ...the Supervising Deputy Attorney General. The Indiana Medicaid Fraud Control Unit Investigator shall investigate provider fraud. The...Remote workFull timeWork at officeNight shift
GovernmentJobs.com
United States4 days ago $69.84k - $108.85k
...Fraud Investigator Location : Location US-MD-Silver Spring ID 2026-2304 Location : Address 11900 Bournefield Way... ...work arrangements. This position is eligible for our hybrid remote work and will work in the Bournefield office in Silver Spring...Remote workFull timeWork at officeLocal areaFlexible hoursEagleBank
Silver Spring, MD5 days ago- 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
United States5 days ago - ...Centene Corporation seeks an Investigator to conduct fraud, waste, and abuse investigations across healthcare programs. You will review referrals, claims data, and medical records, document findings, and support case resolution while ensuring regulatory and contractual...Remote work
Centene Corporation
Raleigh, NC4 days ago - ...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
Phaxis
Newark, DE2 days ago $53.81k - $80.73k
...detail everyone else misses, this role is for you. As a desk investigator with our Fraud Unit, you'll reconstruct up to six years of income history... ...are primarily performed in a high-volume office and remote work environment dependent on business needs. For the field...Remote workFull timeTemporary workWork at officeLocal areaMonday to FridayFlexible hoursWeekend workAfternoon shiftEl Paso County, CO
Colorado Springs, CO5 days ago$60k
...What does an Insurance Fraud Investigator do? An insurance fraud investigator works for an insurance company to determine whether a claim is... ...surveillance using still cameras, video cameras, and, when necessary, remote surveillance equipment. Document evidence with photographs...Remote workPractical Adult Insights
Raleigh, NC1 day ago$80k - $120k
...Fraud Investigations AssociateWe are looking for a meticulous and curious Fraud Investigations Associate to serve as our primary defense against... .... Hybrid roles require three days in-office weekly; fully remote roles include regular opportunities for in-person connection...Remote workWork at officeFlexible hoursHackajob
Arlington, VA3 days ago- ...Location: REMOTE – MUST be based in the United States Type: Contract/Freelance based opportunity... ...to join a fast-paced eCommerce risk and fraud operations team. This position supports... ...skills will be heavily utilized to investigate cases, communicate with international...Remote workContract workFreelance
24 Seven Talent
New York, NY1 day ago $25 per hour
...Job Type: Contract Workplace Type: Hybrid (50% remote, 50% fieldwork) Compensation: $25/hr plus $.50/mi COMPANY... ...utilities sector. PLC's core service is outside plant damage investigation, recovery, and prevention. Across the US and parts of Canada,...Remote workContract workPart timeFor contractorsWork experience placementLocal areaPhoenix Loss Control Inc
Monett, MO4 days ago- UnitedHealth Group is seeking a Coding Consultant to investigate and resolve healthcare fraud and provider abuse using CPT coding guidance. You will mentor investigators, review claims against medical records, and coordinate with internal and external stakeholders to ensure...Remote job
- Humana Inc. is seeking a Fraud and Waste Professional 2 to coordinate investigations of fraudulent and abusive practices across internal and external entities,... ...audit reports in support of adjudication. This is a remote opportunity in the United States with occasional...Remote job
- NYC Department of Finance seeks an Associate Fraud Investigator to lead complex investigations involving fraud and financial crimes affecting... ...while coordinating with federal, state, and local partners. Remote work up to two days per week may be available; residency requirements...Remote jobLocal area2 days per week
- Wealthfront Corporation is seeking a Fraud Operations Specialist to monitor and investigate daily fraud activity in a fully remote role. You will work closely with Compliance, Engineering, and Product to optimize detection rules and controls, while maintaining adherence...Remote job
- 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
- ...A financial institution is seeking a Fraud Investigator II to safeguard members from financial crime. This remote position requires strong analytical and investigative skills. Candidates should have over three years of banking experience and two years in fraud or financial...Remote work
Salal Credit Union
Seattle, WA3 days ago $23 - $30 per hour
...Job Type Part-time Description Command Investigations LLC is seeking an Insurance Claims Investigator with a minimum of... ...nationally recognized investigations firm offering surveillance, remote investigations, desktop intelligence, and specialty services to...Remote workHourly payPart timeSecond jobWork at officeFlexible hoursNight shiftCommand Investigations
Cincinnati, OH1 day ago$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... ...shape 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- Wealthfront is hiring a fully remote Fraud Operations Specialist to monitor and investigate daily fraud activity. You will work with Compliance, Engineering, and product teams to strengthen controls and automation, while conducting complex investigations across multiple...Remote job
- Centene Corp. in the United States seeks a Fraud, Waste, and Abuse (FWA) Investigator to review referrals, claims data, medical records, and provider information to identify misconduct and support case resolution. This role documents activities, prepares reports and referrals...Remote job
- Navanti Group, LLC is seeking a senior healthcare fraud investigator and OSINT analyst to support a sensitive federal law-enforcement customer... ...and indicators of fraudulent activity. The position is fully remote, requires an active Top Secret clearance, and demands 5+...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Fraud Investigator - Medicare & Investigations. Be the first to apply!
Related searches
- senior network engineer remote Mc Lean, VA
- remote legal intern Mc Lean, VA
- remote accounts receivable Mc Lean, VA
- remote customer service chat Mc Lean, VA
- junior designer remote Mc Lean, VA
- remote html Mc Lean, VA
- telecom remote Mc Lean, VA
- remote software sales Mc Lean, VA
- full time remote Mc Lean, VA
- marketing intern remote Mc Lean, VA