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

Healthcare Fraud Investigator

Highmark Health

Highmark Inc. seeks an experienced anti-fraud investigator to develop and maintain an enterprise fraud program, deliver training, and file fraud plans and reports. You will conduct investigations into fraud, waste and abuse across providers, members, facilities, pharmacies, groups, and employees, and may testify in court. Field investigations and coordination with law enforcement are required. You will perform audits, support regulatory compliance, and help recover misappropriated funds while #J-18808-Ljbffr Highmark Health

Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Healthcare Fraud Investigator in Baton Rouge, LA vacancy
  •  ...Highmark Inc. seeks an experienced anti-fraud investigator to develop and maintain an enterprise fraud program, deliver training, and file fraud plans and reports. You will conduct investigations into fraud, waste and abuse across providers, members, facilities, pharmacies... 
    Suggested

    Highmark Health

    Baton Rouge, LA
    4 days ago
  • $65k - $88.6k

     ...Become a part of our caring community The Fraud and Waste Professional is responsible for conducting comprehensive investigations of reported, alleged or suspected fraud...  ...where needed. Responsibilities Analyze healthcare payment methodologies, billing practices,... 
    Suggested
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Work from home
    Home office
    Monday to Friday

    Humana

    Baton Rouge, LA
    1 day ago
  • $32.03 - $45.7 per hour

     ...Overview: Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) Remote! Status: Full...  ...years combined experience required in Medical Coding OR Healthcare (Medical Chart Review/Insurance Billing) OR Internal/... 
    Suggested
    Hourly pay
    Permanent employment
    Full time
    Temporary work
    Live in
    Currently hiring
    Work at office
    Remote work
    Shift work

    Sentara Health

    Baton Rouge, LA
    5 days ago
  • $14.55 - $20.4 per hour

     ...maintains confidentiality Observes, apprehends, and/or deters any acts of dishonesty from outside sources Participates in investigations and surveillance as assigned Ensures apprehensions are consistent with store theft activity Completes and distributes... 
    Suggested
    Hourly pay
    Temporary work
    Local area
    Home office
    Flexible hours

    TJX

    Baton Rouge, LA
    5 days ago
  • All Job Postings will close at 12:01a.m. CST (1:01a.m. EST) on the specified Closing Date (if designated). If you close the browser or exit your application prior to submitting, the application progress will be saved as a draft. You will be able to access and complete...
    Suggested
    Work at office
    Flexible hours

    Louisiana State University

    Baton Rouge, LA
    5 days ago
  •  ...DESCRIPTION: Under the direction of a higher classification, performs responsible fieldwork in the investigation and resolution of citizen oriented complaints. The employee of this classification is responsible for investigating, handling and resolving numerous complaints... 

    Duplantis Design Group, PC

    Baton Rouge, LA
    15 hours ago
  •  ...seeking an Affirmative Civil Enforcement Investigator for the United States Attorney's Office...  ...specialized investigative analysis relevant to fraud on federal programs or federal civil...  ...as bank records, financial records, healthcare claims data, and tax recordsU.S. Citizenship... 
    For contractors
    Work experience placement
    Work at office
    Local area

    SGI Global

    Baton Rouge, LA
    5 days ago
  • All Job Postings will close at 12:01a.m. CST (1:01a.m. EST) on the specified Closing Date (if designated). If you close the browser or exit your application prior to submitting, the application progress will be saved as a draft. You will be able to access and complete ...
    Work at office
    Flexible hours

    Louisiana State University

    Baton Rouge, LA
    3 days ago
  • All Job Postings will close at 12:01a.m. CST (1:01a.m. EST) on the specified Closing Date (if designated). If you close the browser or exit your application prior to submitting, the application progress will be saved as a draft. You will be able to access and complete...
    Full time
    Summer work
    Work at office
    Remote work
    Flexible hours

    Louisiana State University

    Baton Rouge, LA
    3 days ago
  • Postdoctoral Researcher - College of Engineering Conduct applied research on engineering education at the undergraduate level, which includes teaching sophomore level engineering and computer science undergraduate and/or graduate courses to test new educational methodologies...

    Louisiana State University

    Baton Rouge, LA
    2 days ago
  • $3,340 - $6,758 per month

    Salary : $3,340.00 - $6,758.00 Monthly Location : Shreveport, LA Job Type: Promotion Job Number: 227341 Department: LSU Health Sciences Center-Shreveport Opening Date: 10/14/2026 Closing Date: 10/19/2026 11:59 PM Central About this Job...
    Permanent employment
    Full time
    Local area
    Shift work

    State of Louisiana

    Baton Rouge, LA
    2 days ago
  • $2,917 - $5,904 per month

    Salary : $2,917.00 - $5,904.00 Monthly Location : Monroe, LA Job Type: Classified Job Number: 214236 Department: LSU Health Sciences Center-Shreveport Opening Date: 10/24/2025 Closing Date: Continuous About this Job At LSU Health ...
    Local area
    Shift work
    Night shift
    Rotating shift
    Weekend work
    Afternoon shift

    State of Louisiana

    Baton Rouge, LA
    4 days ago
  • $3,122 - $6,316 per month

     ...and serve with courage and commitment. In this role, you'll provide the full range of police services, including enforcing laws, investigating crimes and accidents, and responding to emergencies. If you are committed to upholding the law, protecting others, and... 
    Local area

    State of Louisiana

    Baton Rouge, LA
    5 days ago
  • $3,220.53 - $5,904 per month

     ...and Federal laws through foot and mobile patrols. Provide crowd control and traffic control. Provide emergency services. May investigate serious crimes and accidents. May testify in court. Prepares reports on activities. May be required to intervene in situations... 
    Hourly pay
    Local area

    State of Louisiana

    Baton Rouge, LA
    4 days ago
  • $72.7k

     ...for developing and maintaining an anti-fraud program which includes development and...  ...incumbent is responsible for conducting investigations of organizational or functional activities...  ...the Health insurance industry and/or Healthcare fraud investigations ~1 year of... 
    Contract work
    For contractors
    Work at office
    Local area

    Highmark Health

    Baton Rouge, LA
    5 days ago
  • $46.7k - $60.7k

     ...Industry Operations Investigator This position is an entry-level Industry Operations Investigator responsible for conducting investigations and inspections that require knowledge of industry operations and records, as well as the laws and investigations covering the... 
    Permanent employment
    Full time
    Temporary work
    Work at office
    Remote work
    Relocation
    Trial period

    Phenom People

    Baton Rouge, LA
    5 days ago
  • $46.99k - $112.2k

     ...Dental Fraud Investigator We're building a world of health around every individual — shaping a more connected, convenient and compassionate...  ...company. Required Qualifications ~3-5 years of healthcare fraud investigations experience ~ Experience with Microsoft... 
    Hourly pay
    Full time
    Temporary work
    Local area

    Oak St. Health

    Baton Rouge, LA
    5 days ago
  • $2,917 - $5,904 per month

    Salary : $2,917.00 - $5,904.00 Monthly Location : Shreveport, LA Job Type: Classified Job Number: 218528 Department: Southern University-Shreveport Opening Date: 03/11/2026 About this Job Southern University at Shreveport Louisiana (SUSLA...
    Full time
    Part time

    State of Louisiana

    Baton Rouge, LA
    4 days ago
  • Extra-Duty Police Officer The Extra-Duty Police Officer provides security for assigned areas of organization. Officers provide the mechanism for arrest beyond the citizen's arrest powers of the Security Staff. Officers provide a liaison between our facility and local...
    Temporary work
    Relief
    Local area
    Shift work

    Franciscan Missionaries of Our Lady Health System

    Baton Rouge, LA
    3 days ago
  • $200k - $215k

     ...Responsible for enterprise security risk management, physical security, crisis management, travel security, executive protection, investigations, and vendor oversight.This position reports to the Senior Director of Global EHS and is part of the Global EHS Team located and... 
    Hourly pay
    Full time
    Remote work
    Work from home
    Flexible hours

    Danaher Corporation

    Baton Rouge, LA
    4 days ago
  • $3,445.87 - $6,316 per month

     ...property by conducting foot and mobile security patrols; enforcing parking and traffic regulations; rendering emergency services; investigating minor crimes and making arrest when necessary. Provides a limited range of police services. The position is non-exempt under the... 
    Trial period
    Shift work
    Rotating shift
    Weekend work

    State of Louisiana

    Baton Rouge, LA
    4 days ago
  • $51.63k - $124.72k

     ...immigration laws Proficient in the use of firearms, preparing investigative reports, serving court orders (e.g., warrants, subpoenas, etc....  ...or military law enforcement official Leading investigations of fraud, contraband, criminal activity, threats to our nation, and/or... 
    Full time
    Work experience placement
    Immediate start
    Night shift

    US Customs and Border Protection

    Port Allen, LA
    17 days ago
  • $95k - $125k

     ...maintenance records for accuracy, completeness, retention, and traceability Administer receiving inspection for parts and material Investigate discrepancies, escalations, and customer quality concerns Qualifications Valid FAA Airframe & Powerplant (A&P) License (... 
    Full time
    Work at office
    Relocation
    Monday to Friday
    Shift work
    Day shift
    Weekday work

    Hancock Aviation LLC

    Baton Rouge, LA
    a month ago
  •  ...Job Description Job Description Forensic Crash Investigator (Engineering-Focused) – Reconstruct Real-World Collisions Overview Apply your engineering mindset to real-world investigations where your analysis directly impacts legal outcomes. We are seeking... 
    Work at office
    Local area

    NCTI

    Baton Rouge, LA
    7 days ago
  • $20 - $25 per hour

     ...Job Description Job Description Description: Command Investigations, LLC is looking for Surveillance Investigators to become part of a dynamic team. This is a great opportunity for individuals with prior investigative experience who demonstrate integrity, independence... 
    Hourly pay
    16 hours
    Full time
    Work at office
    Remote work
    Flexible hours
    Shift work
    Night shift
    Weekend work

    Command Investigations LLC

    Baton Rouge, LA
    21 days ago
  • Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actionable insights that translate into better decision-making for our clients... 
    Local area
    Night shift
    Weekend work

    Ethos Risk Services

    Baton Rouge, LA
    4 days ago
  • Company Overview Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we... 
    Work experience placement
    Work at office
    Local area

    Allied Universal

    Baton Rouge, LA
    2 days ago
  • $62.7k

     ...for developing and maintaining an anti-fraud program which includes development and...  ...incumbent is responsible for conducting investigations of organizational or functional activities...  ...the health insurance industry and/or healthcare fraud investigations Preferred 1 year... 
    Contract work
    For contractors
    Work at office
    Local area

    Highmark Health

    Baton Rouge, LA
    5 days ago
  • $81.55k - $106.29k

    About the opportunity SWCA's Gulf Coast operation is seeking a Lead Archaeologist in Houston, TX, to support its expanding practice. As a key member of our team, you will collaborate with Directors, Team Leads, and Project Managers to coordinate projects and ensure high...
    Full time
    Local area

    SWCA Environmental Consultants

    Baton Rouge, LA
    5 days ago
  • The Extra-Duty Police Officer provides security for assigned areas of organization. Officers provide the mechanism for arrest beyond the citizen's arrest powers of the Security Staff. Officers provide a liaison between our facility and local law enforcement. FMOL Health...
    Local area

    FMOL Health

    Baton Rouge, LA
    5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Healthcare Fraud Investigator. Be the first to apply!