Senior Fraud & Program Integrity Investigator (Remote)
Centene Corporation
- Remote job
Centene Corporation seeks an experienced Investigator to lead complex fraud, waste, and abuse investigations affecting providers, members, and vendors. You will analyze claims data, medical records, and interviews to identify schemes and overpayments, and guide investigations through resolution. You will prepare detailed reports for leadership, regulators, and law enforcement, while collaborating with Compliance, Legal, and external partners to support actions and program integrity initiatives. #J-18808-Ljbffr Centene Corporation
- ...Profile We offer remote work opportunities (AK, AR, AZ, CO,... ...adjudicated DOD background investigation for this position. Veterans,... ...general guidance of the Director, Program Integrity and reports directly to the... ...and reporting of suspected fraud, waste and abuse (FWA) cases...Remote workFraudContract workFor subcontractorInterim role
- ...healthcare organization is seeking a PI Investigator responsible for investigating fraud, waste, and abuse. This role... ...experience and can be performed remotely in several U.S. states. The... ...guidelines, and supporting the Program Integrity objectives. #J-18808-Ljbffr TriWest...Remote jobFraud
- HHAeXchange in the United States is seeking a Sr Program Integrity Analyst to safeguard Medicaid home and... ...-based care data. You will identify fraud patterns, translate findings into... ...detection logic in the platform. This remote role requires at least 5 years in healthcare...Remote jobSeniorFraud
$99k - $225k
Program Integrator, SeniorThe Opportunity: Are you looking for... ...as a Senior Material Lead (SML),... ...subject to a security investigation and may need to meet... ...protect against identity fraud. You are expected to... ...cameras on during meetings.Remote: If this position is...Remote workSeniorFraudFull timeContract workPart timeWork at officeLocal area- Workforce Solutions for Tarrant County seeks a Child Care Program Integrity & Investigations Specialist to lead fraud prevention, detection, and compliance for the CCDF program. This role oversees investigations, risk-based monitoring, and remediation across federal and...SeniorFraud
$100k - $150k
...Ascensus is seeking a Senior Fraud Strategy Analyst to... ..., Quality First, and Integrity AlwaysSupport additional... ...strategy, fraud investigations, financial crimes, or... ...execution and longer-term program development — helping... ....SummaryLocation: Remote, Pennsylvania; Remote...Remote workSeniorFraudFull time- Praescient Analytics is seeking a Senior Investigative Analyst to assist in federal fraud detection and program integrity initiatives. Candidates should possess strong analytical problem-solving skills and a minimum of three years of experience investigating complex fraud...Remote jobSeniorFraud
- Praescient Analytics is searching for a Senior Investigative Analyst to enhance federal fraud detection and program integrity initiatives. The role encompasses analyzing various forms of data to uncover fraud indicators and producing high-quality intelligence for governmental...Remote jobSeniorFraud
$70.1k - $126.2k
...Independently leads complex fraud, waste, and abuse (FWA) investigations involving providers,... ...Compliance, Legal, Payment Integrity, Provider Relations, government... ..., control gaps, and program integrity risks, and... ...flexible approach to work with remote, hybrid, field or office...Remote workSeniorFraudFull timePart timeWork at officeFlexible hours$155k - $165k
...organizations, and states. The Sr Program Integrity Analyst is a key member of... ...responsible for identifying fraud, waste, and abuse patterns... ...sits at the intersection of investigative analysis, product... ...essential functions. This is a remote opportunity for candidates that...Remote workSeniorFraudFull timeLocal areaNight shift- Health and Human Services Commission (HHSC) seeks a Program Specialist V within Access & Eligibility Services (AES) Integrity Support Services (ISS) to support procedures,... .... Ideal candidates will lead reviews of fraud indicators across Medicaid, CHIP, SNAP, and TANF...Remote jobSeniorFraud
- Location: Remote (Occasional Travel May Be Required... ...an experienced Senior Forensic Accountant... ...support complex financial investigations involving fraud, waste, abuse, and... ...federal benefit programs and other government... ...Government investigators to integrate financial findings...Remote workSeniorFraudWork at office
$86.8k - $198k
Naval Weapons Systems Program Manager, SeniorThe... ...levels advising senior leaders,... ...trusted advisor and an integral part of delivering... ...subject to a security investigation and may need to... ...against identity fraud. You are expected... ...on during meetings.Remote: If this position...Remote workSeniorFraudFull timeContract workPart timeWork at officeLocal area- About the RoleWe're seeking a Senior Program Manager to join zerohash and... ...working with remote or globally distributed teamsMastery... ...ramp, identity and compliance integrations, APIs etc.Benefits Healthcare... ...zerohash.com. This email is for fraud reports only. Candidate...Remote workSeniorFraudFull timeImmediate start
$99k - $225k
Intel Integrator, SeniorThe Opportunity:With all the information... ...subject to a security investigation and may need to meet... ...assistance, work-life programs, and dependent care.... ...against identity fraud. You are expected to be... ...on during meetings.Remote: If this position is listed...Remote workSeniorFraudFull timeContract workPart timeWork at officeLocal area$86.8k - $198k
Systems Integration Engineer, SeniorThe Opportunity:Are... ...a top-priority space program.On our team, you will... ...subject to a security investigation and may need to meet eligibility... ...against identity fraud. You are expected to... ...cameras on during meetings.Remote: If this position is...Remote workSeniorFraudFull timeContract workPart timeFor contractorsWork at officeLocal area$85k - $97.5k
...Description: Summary The Senior Fraud Analyst supports the... ...digital fraud prevention program by monitoring, investigating, analyzing, and escalating... ...digital account opening, remote deposit capture, card-not... ...environment. # High level of integrity, confidentiality,...Remote workSeniorFraudFull timePart timeWork at officeFlexible hours- Centene Corporation is seeking a seasoned Health Care Fraud Investigator to support a remote SIU team across the continental US. You will guide investigations... ...fraud investigations, knowledge of government programs, and the ability to manage complex caseloads. This position...Remote jobSeniorFraudFlexible hours
$86.8k - $198k
Rewards Program Coordinator, SeniorThe Opportunity:As... ...solve complex design, integration, and analytical... ...subject to a security investigation and may need to meet eligibility... ...against identity fraud. You are expected to be... ...cameras on during meetings.Remote: If this position is...Remote workSeniorFraudFull timeContract workPart timeWork at officeLocal area$99k - $225k
VectraAI On Premise Integration Engineer, SeniorThe Opportunity... ...subject to a security investigation and may need to meet... ...assistance, work-life programs, and dependent care.... ...against identity fraud. You are expected to be... ...cameras on during meetings.Remote: If this position is...Remote workSeniorFraudFull timeContract workPart timeWork at officeLocal area$112.7k - $193.2k
...Connecting. Growing together.The Senior Product Manager is a... ...for one of Optum Payment Integrity's Intelligent Fraud Detection products. This role... ...the flexibility to work remotely * from anywhere within the... ...incentive and recognition programs, equity stock purchase and...Remote workSeniorFraudMinimum wageFull timeWork experience placementWork at officeLocal areaShift work$91.55k - $118.47k
...everyday Americans. With integrated marketing, product... ...for indicators of fraud or suspicious... ..., high-value investigations from intake through... ...process design and program build-out rather than... ...and reporting for senior leadership... ...AD&D coverages. Remote work is not available...Remote workSeniorFraudTemporary workFlexible hours$208.8k - $307k
...vision for designing for integrity at scale. In this role,... ...working across fraud prevention, trust, safety... ...team around you — mentor senior designers and managers,... ...Jobs Located in NYC or Remote Jobs Associated With Office... ..., and a mental health program, among others.To learn...Remote workSeniorFraudHourly payWork at officeLocal areaFlexible hours2 days per week1 day per week$86.9k - $198k
O365 Integration Specialist, SeniorThe Opportunity: As the senior O365 Integration Specialist you... ...to a security investigation and may need to meet... ..., work-life programs, and dependent care... ...against identity fraud. You are expected... ...during meetings.Remote: If this position...Remote workSeniorFraudFull timeContract workPart timeWork at officeLocal area$146k - $194k
...analysis of failures observed in integration, characterization, and system... ...navigation.Familiar with programming languages like Python or Matlab... ...to travel 50% and work at remote sites supporting test integration... ....What to Do If You Suspect Fraud: Should you encounter any...Remote workSeniorFraudFull timeWork experience placementImmediate start£31.1k - £39.35k per year
...and our customers from fraud, money laundering, and other... ..., we safeguard the integrity of our business through robust investigations, risk management, and regulatory... ...Banking – Acquiring Senior Investigator to conduct... ...Macbooks and for fully remote workers we will provide...Remote workSeniorFraudFull timeLocal areaWork from homeShift work- ...seeking an experienced Technical Program Manager (TPM) to lead complex... ..., settlement, disputes, fraud, and payment processing domains... ...objectives. ~Identify integration, performance, reliability, and... .... Benefits ~This is a remote position. A remote position does...Remote workSeniorFraudFull timeWork experience placementWork at office
$166k - $220k
...these autonomous weapons. We are looking for a Technical Program Manager to lead integration & test efforts for the Barracuda Family of Systems. Working... ...or clicking on links.What to Do If You Suspect Fraud: Should you encounter any questionable or fraudulent outreach...SeniorFraudFull timeWork experience placementImmediate start$159.8k - $235k
...the TeamOur Trust & Safety, Integrity and Fraud Product team is dedicated to... ...this trust.We’re looking for a Senior Product Manager that will... ...assistance, and a mental health program, among others.To learn more... ...for Jobs Located in NYC or Remote Jobs Associated With Office...Remote workSeniorFraudHourly payWork at officeLocal areaFlexible hours- ...seeking a Medical Review Manager to lead the Program Integrity medical reviews nationwide. You will... ...possess deep Medicare knowledge, fraud-focused review experience and a master’s or bachelor’s in nursing. This fully remote/office role collaborates with CMS and law...Remote workFraudWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Fraud & Program Integrity Investigator (Remote). Be the first to apply!
- fraud investigator New York, NY
- bank fraud investigator New York, NY
- senior maintenance supervisor New York, NY
- senior lead project manager New York, NY
- senior robotics software engineer New York, NY
- senior firewall engineer New York, NY
- senior devops engineer remote New York, NY
- senior sas administrator New York, NY
- senior IT manager New York, NY
- senior director of client services New York, NY



