Senior Fraud, Waste & Abuse Investigator (Remote)
Centene Corporation
- Remote job
Centene Corporation in the United States is seeking an experienced investigator to independently lead complex fraud, waste, and abuse investigations across providers, members, pharmacies, and vendors. The role requires analyzing diverse data sources, developing investigation plans, and preparing detailed reports for leadership and regulators. The ideal candidate will have a Bachelor's degree in a related field, 4+ years in healthcare investigations, and experience coordinating with Compliance, #J-18808-Ljbffr Centene Corporation
- ...Profile We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL... ...favorably adjudicated DOD background investigation for this position. Veterans, Reservists... ..., and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department...Remote workFraudContract workFor subcontractorInterim role
$64k - $68k
...We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA,... ...favorably adjudicated DOD background investigation for this position. Veterans,... ...development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the...Remote workFraudContract workTemporary workFor subcontractorInterim roleLocal areaShift work- UnitedHealthcare is seeking a Sr Data Investigator to monitor patterns of potential fraud, waste and/or abuse and support investigation processes. The role emphasizes... ...organization. You will have the flexibility to work remotely from anywhere in the U.S., with some locations...Remote jobSeniorFraudWork at office
- Centene Corporation is seeking a seasoned investigator to independently lead complex fraud, waste, and abuse investigations across providers, members, and other entities. You will analyze diverse data sources, develop investigative strategies, and manage cases through...Remote jobSeniorFraud
- 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 jobSeniorFraud
- ...healthcare organization to recruit a Special Investigation Unit Investigator III- Healthcare. This remote opportunity on the West Coast hours focuses on... ...protecting program integrity by investigating complex fraud, waste, and abuse in healthcare. You will lead investigations,...Remote jobSeniorFraud
- Centene is seeking an experienced Senior SIU Investigator to independently lead complex fraud, waste, and abuse investigations across providers, members, pharmacies, and other entities. You will analyze claims data, medical records, and interviews to identify misconduct...Remote jobSeniorFraud
- Centene Corporation in Pennsylvania is seeking a Senior Investigator to independently lead complex fraud, waste, and abuse investigations across providers, members, pharmacies, and vendors using referrals, claims data, medical records, interviews, analytics, and other resources...Remote jobSeniorFraud
$70.1k - $126.2k
...Position Purpose: Independently leads complex fraud, waste, and abuse (FWA) investigations involving providers, members, pharmacies, vendors, and... ...off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will...Remote workSeniorFraudFull timePart timeWork at officeFlexible hours$65k - $88.6k
...Humana Inc. is seeking a Fraud and Waste Investigator to conduct investigations of fraudulent and abusive practices. The role is remote nationwide with standard 40-hour weeks and a pay range of $65,000–$88,600 per year. The ideal candidate will hold a Bachelor's degree...Remote workFraud$46.99k - $112.2k
CVS Health in Denver is seeking a Fraud Investigation Specialist to conduct high-level analysis related to Pharmacy and Prescriber behavior... .... This position is essential for the prevention and prosecution of Fraud, Waste and Abuse in healthcare. #J-18808-Ljbffr CVS HealthSeniorFraudFull time- Public Partnerships LLC is seeking an experienced Fraud Audit & Investigations Analyst to lead investigations into fraud, waste, and abuse within Medicaid-related programs. The role coordinates with regulators, health plans, and law enforcement while ensuring regulatory...Remote jobSeniorFraud
- Humana Inc. is seeking a Fraud and Waste Professional 2 to coordinate investigations of fraudulent and abusive practices across internal and external entities, assemble evidence... ...in support of adjudication. This is a remote opportunity in the United States with occasional...Remote jobFraud
$65k - $88.6k
...Fraud And Waste Professional 2 The Fraud And Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud And Waste Professional 2 work assignments... ...We are fortunate to offer a remote opportunity for this job. Our Fortune...Remote workFraudBi-weekly payTemporary workApprenticeshipWork from homeHome officeMonday to Friday$65k - $88.6k
## Fraud and Waste InvestigatorApplylocations: Remote Nationwidetime type: Full timeposted on: Posted Yesterdayjob requisition id:... ...Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional...Remote workFraudBi-weekly payWeekly payFull timeTemporary workWork at officeWork from homeHome officeMonday to Friday$65k - $88.6k
...Healthcare Investigator Humana is looking for an experienced Healthcare Investigator... ...do you have a passion for combating Fraud, Waste, and Abuse in the Health Care Industry? If this... ...areas Work at Home. While this is a remote position, occasional travel to Humana...Remote workFraudTemporary workFor contractorsApprenticeshipWork experience placementLocal areaWork from homeHome officeMonday to Friday- Location: Remote (Occasional Travel May Be Required) Clearance: Ability to obtain and... ...Praescient Analytics is seeking an experienced Senior Forensic Accountant to support complex financial investigations involving fraud, waste, abuse, and mismanagement affecting federal...Remote workSeniorFraudWork at office
- UnitedHealth Group is seeking a Senior Investigator Pharmacy to identify and prevent healthcare fraud, waste and abuse. The role includes data-driven investigations, fieldwork and interviews, with occasional travel up to 50% to Los Angeles County and surrounding areas....Remote workSeniorFraud
- ...and our customers from fraud, money laundering, and... ...through robust investigations, risk management, and... ...Business Banking – Acquiring Senior Investigator to conduct... ..., shell merchants, Abuse of Merchant facilities... ...Macbooks and for fully remote workers we will provide...Remote workSeniorFraudFull timeLocal areaWork from homeShift work
- ...Inc. is seeking an experienced Healthcare Investigator to join its industry-leading Special... ...role involves investigating fraudulent and abusive practices, assembling evidence,... ...candidates have 2+ years in healthcare fraud investigations, strong data analysis skills...Remote workFraud
$60.2k - $107.4k
...difference? Join us to start Caring. Connecting. Growing together. The Senior Investigator is responsible for identification, investigation and prevention of healthcare fraud, waste, and abuse. The Senior Investigator will utilize claims data, applicable...Remote workSeniorFraudMinimum wageFull timeTemporary workWork experience placementLocal area- Praescient Analytics is looking for a Senior Forensic Accountant to support complex financial investigations, particularly in identifying fraud and abuse in federal programs. The ideal candidate will have extensive experience in forensic accounting, with a strong focus...Remote jobSeniorFraud
- We are seeking a Senior Healthcare Fraud Investigator to support our program integrity efforts through hands‑on investigation of potential fraud, waste, and abuse (FWA). This role is ideal for someone who thrives on digging into data, managing complex cases, and driving...Remote workSeniorFraudWork at office
$60.2k - $107.4k
...difference? Join us to start Caring. Connecting. Growing together. The Senior Investigator Pharmacy is responsible for identification, investigation and prevention of healthcare fraud, waste and abuse. The Senior Investigator will utilize claims data, applicable...Remote workSeniorFraudMinimum wageFull timeTemporary workWork experience placementLocal area$60.2k - $107.4k
...Connecting. Growing together. As a Sr Data Investigator with us, you will monitor patterns of potential fraud, waste and/or abuse to ensure compliance and be closely involved... ...way. You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take...Remote workSeniorFraudMinimum wageFull timeWork experience placementLocal area- ...About the Role As our Senior Fraud Analyst for Consumer Lending... ...automated block and manual investigation policies. Advanced Risk Tooling... ...Reports (SARs), loan abuse patterns, and system exploitation... ..., and vision plans Remote work environment, although we...Remote workSeniorFraud
- ...Alpaca is seeking a senior Compliance Investigator to join our remote team focused on BSA/AML, anti-fraud, and securities fraud monitoring. You will lead investigations, file SARs, review sanctions alerts, and support regulatory inquiries to strengthen our compliance infrastructure...Remote workSeniorFraud
$35 - $55 per hour
...Fraud Analyst – Content & Reviews Abuse This position is listed on behalf of a partner... ...focused on detecting and investigating deceptive, manipulative,... ...recommendations clearly to senior stakeholders and other decision... ...5–$55 per hour. Fully remote opportunity available to...Remote workFraudHourly payContract workFlexible hours- ...Highmark Inc. seeks a detail-oriented investigator to develop and maintain an anti-fraud program, conduct investigations into fraud/waste/abuse, and coordinate with law enforcement, regulators, and internal committees. The role may involve onsite or offsite interviews...SeniorFraud
- ...We are seeking a Compliance Investigator to join our Corporate Compliance... ..., TN corporate office with remote work flexibilityTravel: Up... ...and coding concernsFraud, waste, and abuse risksHIPAA privacy and security... ...Compliance (CHPC)Certified Fraud Examiner (CFE)Comparable...Remote workFraudWork at office
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