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

Remote Healthcare Fraud Investigator — Data Analytics

Cotiviti

New York, NY
  • Remote job

Cotiviti is seeking an Investigator to scrutinize suspected healthcare fraud, waste, or abuse using data analysis. This is a remote, work-from-home role within the United States. Responsibilities include analyzing patterns, producing written summaries, and supporting legal actions when needed. The role requires 2+ years in healthcare FWA investigations, advanced Excel, and strong communication skills. #J-18808-Ljbffr Cotiviti

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Healthcare Fraud Investigator — Data Analytics in New York, NY vacancy
  • Cotiviti is seeking an Investigator to analyze and investigate suspected healthcare fraud, waste, or abuse using data analytics and Excel, with a remote US-based setup. The role focuses on identifying patterns, evaluating anomalies, and preparing clear written findings.... 
    Remote job

    Cotiviti

    New York, NY
    1 hour ago
  •  ...Centene Corporation is seeking an SIU Investigator in the United States to conduct fraud, waste, and abuse investigations using referrals, claims data, medical records, and interviews. You will prepare reports, coordinate with internal teams, and support program integrity... 
    Remote work

    Bazeta

    New York, NY
    17 hours ago
  • $65k - $88.6k

     ...our caring communityThe Fraud and Waste Professional...  ...comprehensive investigations of reported, alleged or...  ...Responsibilities Analyze healthcare payment methodologies,...  ...experience. Use data analysis and performance...  ...Work Style Fully remote in South Carolina , with... 
    Remote work
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Work from home
    Home office
    Monday to Friday

    Humana

    Columbia, SC
    2 days ago
  •  ...Centene Corporation is seeking an investigator to conduct fraud, waste, and abuse...  ...investigations across referrals, claims data, and medical records. You...  ...'s degree and 2+ years in healthcare investigations, with opportunities to work in a remote, hybrid, or onsite setting... 
    Remote work

    Centene Corporation

    United States
    12 hours ago
  • $68.3k - $113.9k

     ...Our partner is looking for a Healthcare Fraud Investigator based in the United States....  ...investigative expertise, analytical thinking, and claims auditing...  ...reviewing complex claims data, conducting interviews, preparing...  ...proceedings. This fully remote opportunity offers the... 
    Remote work
    Contract work
    Work at office

    Jobgether

    Salem, OR
    2 days ago
  •  ...The Senior Risk & Fraud Investigator is part of the Risk team...  ...utilize your inherent analytical and problem-solving...  ...Success, Compliance, and Data, to encourage...  ...health benefits. Remote-First Culture: Fully...  ...amounts between health plans and healthcare providers.... 
    Remote work
    Full time
    Work experience placement
    Local area
    Work from home

    Binance.US

    Remote
    3 days ago
  •  ...exciting place to be within the healthcare industry. As a member of...  ...conducting confidential investigations of suspected fraud, waste & abuse (FWA)...  ..., but are not limited to: data analysis, public records research...  ...:30-5:00 PM Eastern Time. Remote workspace requirements,... 
    Remote work
    Full time
    Contract work
    Work at office
    Local area
    Monday to Friday
    Flexible hours
    Shift work

    Partners HealthCare

    Somerville, MA
    4 days ago
  •  ...Delta Dental of Michigan is seeking a Special Investigations Unit Investigator to join our team in Michigan. The role focuses on research...  ...communications for auditees and senior management, supporting compliance and anti-fraud efforts across Delta Dental #J-18808-Ljbffr
    Remote work

    Delta Dental of Michigan

    Lansing, MI
    3 days ago
  •  ...Opportunity Council Capital is a healthcare-focused private equity firm...  ...of healthcare. Alivia Analytics helps healthcare payers find...  ...expert review to surface fraud, waste, and abuse across...  ...will not manage anyone. Strong investigators here come from healthcare payer... 
    Remote work

    City of Groton

    United States
    2 days ago
  •  ...a partner company, seeks a Healthcare Fraud Investigator in the United States. You will...  ...fraud, reviewing claims data, and preparing evidence packages...  ...enforcement. This fully remote role requires at least...  ...insurance investigations, strong analytical skills, and proficiency... 
    Remote work

    Jobgether

    Salem, OR
    2 days ago
  •  ...Centene Corp. is hiring a SIU Investigator to conduct fraud, waste, and abuse investigations remotely in Texas. You will review referrals, claims data, medical records, and provider information...  .... The role requires 2+ years in healthcare investigations, a bachelor's... 
    Remote work

    Centene Corporation

    Austin, TX
    2 days ago
  •  ...Healthcare Fwa Investigator Levels (Investigator, Sr. Investigator...  ...prevention of healthcare fraud, waste and abuse (FWA...  ...to perform data mining or track investigative...  ...ad-hoc query, analytical and case management applications...  ...within a remote team, under minimal supervision... 
    Remote work

    Integrity Advantage

    United States
    1 day ago
  • $77.1k - $92.52k

     ...Full-Time Office: Remote Salary: $...  ...of affordable healthcare continue to create new...  ...Responsibilities: The SIU Fraud Investigator is responsible for...  ...record, and provider data; conducts interviews,...  ...organizational, and analytical skills required... 
    Remote work
    Full time
    Part time
    Work at office
    Flexible hours

    MJHS

    New York, NY
    2 days ago
  • Cotiviti is hiring a Senior Investigator to analyze data and investigate suspected healthcare fraud, waste, and abuse from a remote/home-based position aligned with the post-pay Fraud Waste & Abuse team. The role involves interviews, reporting findings, and may require... 
    Remote job
    Casual work
    Work from home

    Cotiviti

    Salem, OR
    1 day ago
  • UnitedHealthcare in the United States is seeking a Senior Investigator to identify, investigate, and prevent healthcare fraud, waste, and abuse. This role uses claims data and guidelines to detect aberrant billing and conducts investigations, including potential fieldwork... 
    Remote job

    Unitedhealthcare

    New Orleans, LA
    4 days ago
  • UnitedHealth Group is seeking a Coding Consultant to investigate healthcare fraud and abuse, reviewing CPT codes, medical records, and related documentation. The role supports internal and external stakeholders and provides guidance on CPT coding during investigations.... 
    Remote job

    Optum

    New York, NY
    2 days ago
  • Centene Corporation is seeking a Fraud, Waste, and Abuse (FWA) Investigator to conduct comprehensive investigations by reviewing referrals, claims data, medical records, and provider information...  ...ideal candidate has 2+ years of healthcare investigations, experience with... 
    Remote job

    Centene Corp.

    Clifton, TX
    1 day ago
  • Sentara Health Plans is hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) for a remote, full-time role. The position supports investigations across provider, pharmacy, employer and member interactions with occasional travel to Virginia... 
    Remote job
    Full time
    Monday to Friday

    Sentara Health

    Richmond, VA
    1 day ago
  • Cotiviti is seeking a Senior Investigator who will analyze data and conduct interviews to identify potential healthcare fraud, waste, and abuse. This remote role emphasizes Excel expertise and the ability to work across a post-pay Fraud Waste & Abuse team. Responsibilities... 
    Remote job

    Cotiviti

    New York, NY
    2 days ago
  •  ...live healthier lives. The Senior Investigator role focuses on gathering and analyzing data, applying coding guidelines, and...  ...and stakeholders. You will work remotely from Kentucky with 25% travel,...  ...and external partners to combat fraud, waste and abuse. #J-18808-Ljbffr... 
    Remote job

    Optum

    Frankfort, KY
    3 days ago
  • Sentara Health Plans in the United States is hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) for a remote role. The position is full-time (40 hours) with occasional travel to Virginia Beach. You will contribute to deep investigations... 
    Remote job
    Full time

    Sentara Health

    Crystal Bay, NV
    1 hour ago
  • $56.2k - $101k

     ...highly preferred. Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in...  ...to the appropriate party Perform data mining and analysis to detect aberrancies...  ...a flexible approach to work with remote, hybrid, field or office work... 
    Remote job
    Full time
    Part time
    Work at office
    Flexible hours

    Centene Corp.

    Tallahassee, FL
    1 hour ago
  • $25.58 - $28.78 per hour

     ...building a better future for healthcare. That starts by offering...  ..., Oregon. The Dental Fraud and Abuse Investigator is responsible for providing...  ...oriented and proven initiative, analytical, and problem-solving...  ...connection required to support remote or hybrid work. Must be... 
    Remote work
    Hourly pay
    Work experience placement
    Work at office
    Afternoon shift

    Moda Partners, Inc.

    Portland, OR
    1 day ago
  • Peraton is seeking a Fraud Investigator Coordinator for SafeGuard Services (SGS) to join the Insurance/Healthcare investigations team. You will conduct fraud investigations, interview subjects, and refer cases to law enforcement as needed, providing subject matter expertise... 
    Remote job
    Casual work

    Peraton

    New York, NY
    2 days ago
  • Peraton’s SafeGuard Services seeks a Fraud Investigator Coordinator to join the SGS team, focusing on investigating and resolving fraud or abuse in the Insurance/Healthcare space. You will interview subjects, develop cases, and collaborate with law enforcement as needed... 
    Remote job
    Casual work
    Work at office

    Peraton

    Home, PA
    1 day ago
  •  ...evaluate leads, complaints, and investigations, and to recommend...  ...work onsite in Grove City, OH or remotely from a home office. Responsibilities include reviewing claims data, detecting fraudulent patterns, and developing fraud alerts for CMS and state agencies... 
    Remote job
    Home office

    CoventBridge Integrity Systems

    Salem, OR
    1 day ago
  •  ...looking for a Payments & Fraud Data Analyst to join our Business...  ...do Own payment performance analytics end to end — diving into...  ...Compliance on AML work , delivering investigation queries, data analysis and...  ...assumptions with data in a remote-team setting. An... 
    Remote work
    Full time

    B2spin

    Georgia
    14 days ago
  •  ...Accountant in New York City, supporting the Medicaid Fraud Control Unit in vital healthcare fraud investigations. The role involves collaboration with diverse...  ...accounting or related fields, along with excellent analytical and communication skills. OAG offers competitive... 
    Remote job
    Work at office

    Office of the New York State Attorney General

    New York, NY
    1 day ago
  • $64.13k

     ...Mission to Outwit Fraud—From Anywhere! Our...  ...envisioned a future where healthcare was transparent,...  ...trust, fueled by data, and driven by a...  ...Today, we empower remote professionals...  ...Health Insurance Fraud Investigator Detect and...  ...Records (EHR) Data analytics platforms Secure video... 
    Remote job
    Work from home
    Flexible hours

    Naukri Mitra

    New York, NY
    1 hour ago
  •  ...the United States is seeking a detail-oriented Fraud Data Analyst to join our growing team. You will identify, investigate, and prevent fraudulent transactions,...  ...ideal candidate has 2+ years in fraud, strong analytical skills, and experience with AI tooling like Claude... 
    Remote job

    Sezzle

    New York, NY
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Healthcare Fraud Investigator — Data Analytics. Be the first to apply!