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

Senior Fraud, Waste & Abuse Investigator (Remote)

Centene Corporation

Kansas City, MO
  • 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

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Senior Fraud, Waste & Abuse Investigator (Remote) in Kansas City, MO vacancy
  •  ...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 work
    Fraud
    Contract work
    For subcontractor
    Interim role

    TriWest Healthcare Alliance

    Phoenix, AZ
    3 days ago
  • $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 work
    Fraud
    Contract work
    Temporary work
    For subcontractor
    Interim role
    Local area
    Shift work

    Triwest Healthcare

    United States
    3 days ago
  • 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 job
    Senior
    Fraud
    Work at office

    UnitedHealthcare

    Minnetonka, MN
    3 days ago
  • 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 job
    Senior
    Fraud

    Centene Corporation

    Brooklyn, NY
    2 days ago
  • 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 job
    Senior
    Fraud

    Centene Corporation

    New York, NY
    5 days ago
  •  ...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 job
    Senior
    Fraud

    The Intersect Group

    Los Angeles, CA
    5 days ago
  • 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 job
    Senior
    Fraud

    Centene Corp.

    Brooklyn, NY
    3 days ago
  • 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 job
    Senior
    Fraud

    Centene Corporation

    New York, NY
    2 days ago
  • $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 work
    Senior
    Fraud
    Full time
    Part time
    Work at office
    Flexible hours

    Centene Corporation

    Pennsylvania
    5 days ago
  • $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 work
    Fraud

    Humana

    Brooklyn, NY
    1 day ago
  • $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 Health
    Senior
    Fraud
    Full time

    CVS Health

    Denver, CO
    4 days ago
  • 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 job
    Senior
    Fraud

    Public Partnerships LLC

    Brooklyn, NY
    1 day ago
  • 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 job
    Fraud

    Humana

    Salt Lake City, UT
    2 days ago
  • $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 work
    Fraud
    Bi-weekly pay
    Temporary work
    Apprenticeship
    Work from home
    Home office
    Monday to Friday

    Minnesota Jobs

    United States
    4 days ago
  • $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 work
    Fraud
    Bi-weekly pay
    Weekly pay
    Full time
    Temporary work
    Work at office
    Work from home
    Home office
    Monday to Friday

    Humana

    Brooklyn, NY
    4 days ago
  • $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 work
    Fraud
    Temporary work
    For contractors
    Apprenticeship
    Work experience placement
    Local area
    Work from home
    Home office
    Monday to Friday

    Minnesota Jobs

    United States
    4 days ago
  • 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 work
    Senior
    Fraud
    Work at office

    Praescient Analytics

    Fairfax, VA
    2 days ago
  • 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 work
    Senior
    Fraud

    Optum

    Los Angeles, CA
    4 days ago
  •  ...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 work
    Senior
    Fraud
    Full time
    Local area
    Work from home
    Shift work

    Monzo

    Remote
    14 days ago
  •  ...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 work
    Fraud

    Humana

    New York, NY
    4 days ago
  • $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 work
    Senior
    Fraud
    Minimum wage
    Full time
    Temporary work
    Work experience placement
    Local area

    UnitedHealth Group

    New Orleans, LA
    5 days ago
  • 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 job
    Senior
    Fraud

    Praescient Analytics

    Fairfax, VA
    2 days ago
  • 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 work
    Senior
    Fraud
    Work at office

    Community Care Plan

    Florida, NY
    2 days ago
  • $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 work
    Senior
    Fraud
    Minimum wage
    Full time
    Temporary work
    Work experience placement
    Local area

    Optum

    Los Angeles, CA
    5 days ago
  • $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 work
    Senior
    Fraud
    Minimum wage
    Full time
    Work experience placement
    Local area

    UnitedHealthcare

    Minnetonka, MN
    3 days ago
  •  ...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 work
    Senior
    Fraud

    Felix Technologies, Inc.

    Miami, FL
    4 days ago
  •  ...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 work
    Senior
    Fraud

    Framework Ventures

    New York, NY
    4 days ago
  • $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 work
    Fraud
    Hourly pay
    Contract work
    Flexible hours

    Jobgether

    United States
    1 day ago
  •  ...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... 
    Senior
    Fraud

    Highmark Health

    Nashville, TN
    3 days ago
  •  ...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 work
    Fraud
    Work at office

    Acadia Healthcare

    Franklin, TN
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior Fraud, Waste & Abuse Investigator (Remote). Be the first to apply!