Healthcare FWA SIU Investigator — Hybrid/Remote
Summa Health
- Remote job
Summa Health is seeking an Investigator for Fraud, Waste, and Abuse (FWA) in Cleveland, Ohio. The role involves conducting complex investigations to identify and prevent healthcare fraud while complying with regulations. Candidates should have a Bachelor's degree and five years of relevant experience. The position ensures competitive pay and comprehensive benefits. A hybrid work option is available. #J-18808-Ljbffr Summa Health
$28.1 - $42.15 per hour
...Full-Time / 40 hours / Days Hybrid or Remote Summary Conducts medium to high complexity investigations under general supervision... ..., and investigation of healthcare fraud, waste and abuse (FWA), to facilitate the... ...to the plan. Ensures the SIU processes and procedures...Remote workDaily paidFull timeContract workTemporary workLocal areaFlexible hours- ...your job application. Healthcare Fraud Shield will not contact... ...Clinical Coder/Fraud Investigator to join our team. RESPONSIBILITIES Work with SIU Team (Clinical... ...specialties) pertaining to FWA investigations as needed... ...development initiatives Remote work eligible REMOTE WORK...Remote workFull timeFlexible hours
- Centene Corporation is seeking an Investigator to address allegations of healthcare fraud within Kentucky's Medicaid Program. The role involves planning investigations, performing data analysis, documenting findings, and providing updates to Health Plans. Qualified candidates...Remote jobFlexible hours
$56.2k - $101k
Centene Corporation is looking for a dedicated individual to investigate allegations of healthcare fraud in California. The role involves conducting investigations, documenting findings, and analyzing claims for potential fraud or abuse. A Bachelor's Degree in Business,...Remote jobFlexible hours$70k - $90k
Senior Investigator - Pre-Pay (Healthcare FWA) Job Location: US-Remote Overview As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through data analysis (a high level of proficiency with Excel is required). This is not...Remote workWork experience placementWork at officeWork from home- A healthcare organization is seeking a PI Investigator responsible for investigating fraud, waste, and abuse. This role requires... ...experience and can be performed remotely in several U.S. states. The ideal... ...researching and documenting FWA issues, ensuring compliance with federal...Remote job
- A leading healthcare solutions provider in Phoenix, AZ, is seeking a dedicated... ...professional to manage medical case investigations. The role involves ensuring... ...offers a competitive base salary and a hybrid work model, combining remote and on-site work to support employee...Remote work
- Centene Corp. is seeking a full-time SIU Investigator to work remotely in California. This role involves investigating healthcare fraud allegations, performing data mining, and analyzing claims to identify potential abuse. Applicants should possess a Bachelor’s degree...Remote jobFull time
$70k - $90k
A leading healthcare analytics firm is seeking a Senior Investigator to investigate incidents of healthcare fraud, waste, and... ...abuse through data analysis. This remote position requires a Bachelor's... ...years of experience in healthcare FWA investigations, and advanced Excel...Remote job$30 - $35 per hour
A leading investigative firm based in Nashville seeks experienced part-time SIU Investigators to join their team. The role involves investigating potential fraud in insurance claims, conducting interviews, and preparing investigative reports. Candidates should have 5-10...Remote jobHourly payPart timeWork at office$56.2k - $101k
Position Purpose Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations... ...off plus holidays Flexible approach to work with remote, hybrid, field or office schedules Actual pay will be...Remote workWork at officeFlexible hours- ...We are seeking a detail-oriented SIU Investigator to join our team. In this role, you will... ...accuracy, compliance, and integrity of healthcare claims through comprehensive audits, analyses... ...and completing necessary reporting for FWA recoupments and savings. Key...Remote workFull timeWork at office
$93.77k - $179.24k
...support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with... .... The Opportunity We are looking for a dedicated SIU Investigator Senior - Major Case Unit. Within defined guidelines and framework...Remote workH1bLocal areaRelocation package- A leading company in healthcare fraud prevention is seeking a talented Coder or Clinical Coder/Fraud Investigator. This full-time role involves analyzing patient medical records... ...compliance with coding guidelines. The position is remote work eligible, requiring a CPC...Remote jobFull time
- UnitedHealth Group is seeking a Senior Investigator responsible for identifying and preventing healthcare fraud, waste, and abuse. This role offers telecommuting flexibility and requires investigating complex fraud cases, analyzing data trends, and collaborating with regulatory...Remote job
$78.32k - $128.16k
Elevance Health seeks an Investigator II in Grand Prairie, Texas to lead investigations against healthcare fraud and recover funds from fraudulent claims. This hybrid position requires presence in the office 1-2 days per week while promoting flexible telework for a balanced...Remote workWork at officeFlexible hours2 days per week1 day per week$25 - $50 per hour
...support Professional autonomy in case strategy & scheduling Paid travel for field investigations when required Job Summary The SIU Investigator conducts field and remote investigations involving insurance claims. This role requires a strong understanding...Remote workHourly payPart timeWork at officeHome officeAfternoon shift$77.12k - $147.39k
...support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with... ...policy and business needs. The Opportunity As a dedicated SIU Investigator, you will, within defined guidelines and framework,...Remote workH1bLocal area- 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 has...Remote job
$61.5k - $136.1k
...is seeking a dynamic individual for its Fraud Investigations team. The role involves identifying and managing complex healthcare fraud investigations, preparing reports for... ...visibility three days a week, with the option of remote work for two days. Strong communication...Remote workWork at office3 days per week- Centene Management Company LLC is seeking a skilled investigator to handle allegations of healthcare fraud and abuse in New York. In this role, you'll plan, organize, and execute claims investigations, utilizing your expertise in data mining and report creation. The ideal...Remote jobFlexible hours
- Insight Global is seeking a Senior Healthcare Claims Investigation Analyst in Los Angeles, California. The role involves responsible for intake, triage, and regulatory reporting of healthcare fraud and abuse leads. The successful candidate will coordinate case intake, ensure...
$70.29k - $117.16k
Capital Insurance Group is looking for an SIU Investigator based in Phoenix, AZ. The role involves investigating suspicious claims, identifying... ..., with excellent communication skills. The position offers a hybrid work environment and a competitive salary range between $70,2...- ...Louis Forensic Treatment Center. This role involves conducting forensic evaluations for adult criminal defendants, with flexible remote or hybrid work options. Applicants must have a Doctorate in Psychology, and while licensure is preferred, license eligibility is...Remote workFlexible hours
- A healthcare organization is looking for a Special Investigations Unit Investigator II to investigate fraud and abuse in the healthcare... ...regulations, and supports the FWA Program. Candidates should have... .... The position offers a hybrid work schedule and includes benefits...
$58k - $90k
...analytical and experienced investigator with a passion for... ...truth and protecting vital healthcare resources? Our Special Investigations Unit (SIU) is looking for a... ...fraud, waste, and abuse (FWA), safeguarding our members... ...(CPC) #LI-DS1 #LI-Remote Salary range: $58,000 -...Remote workFull timeContract workWork experience placementInternship- Our healthcare payer client urgently needs additional SIU (Special Investigations Unit) support to handle a heavy caseload of fraud, waste, and abuse (FWA) investigations. The role is critical for maintaining compliance with state and federal regulations and ensuring claims...
$18 - $30 per hour
...Surveillance Prep Investigator/Surveillance This is a hybrid position in both pre-surveillance research and surveillance in the Omaha, NE area. Frasco... ...surveillance abilities, and independent work capability in both remote and field environments. Compensation & Benefits...Remote workHourly payNight shiftWeekend work- ...understanding that one needs to have a "roll up your sleeves" attitude to help make things happen. Job Summary A Special Investigations Unit (SIU) Desk Investigator within an insurance company plays a crucial role in assisting the SIU and claims departments with...Remote workContract workWork at officeRelocation package
$80.06k - $106.06k
Special Investigations Unit Investigator II (Healthcare) The SIU Investigator II is responsible for investigating and analyzing... ...’s Fraud, Waste, and Abuse (FWA) Program. Duties include reporting... ...59.20 - $106,059.20 USD Annually Hybrid Schedule, Monday & Friday are work...Work experience placementWork from homeMonday to Friday
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