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

Senior Healthcare Fraud Investigator (Remote)

Cotiviti

Salem, OR
  • Remote job

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 travel up to 15% and occasional after-hours work to meet deadlines. Required: bachelor’s degree, 5–8 years of investigative experience, advanced Excel, and strong communication skills. #J-18808-Ljbffr Cotiviti

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Senior Healthcare Fraud Investigator (Remote) in Salem, OR vacancy
  •  ...Holdings Inc. About This Role: The Senior Risk & Fraud Investigator is part of the Risk team and reports...  ...competitive health benefits. Remote-First Culture: Fully remote,...  ...and out-of-network allowed amounts between health plans and healthcare providers.... 
    Remote work
    Senior
    Full time
    Work experience placement
    Local area
    Work from home

    Binance.US

    Remote
    3 days 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
    Senior

    Unitedhealthcare

    New Orleans, LA
    4 days 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
    Senior

    Cotiviti

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

    Optum

    Frankfort, KY
    3 days ago
  •  ...CVS Health is seeking a Senior Investigator to conduct high-level investigations of known or suspected healthcare fraud and abuse. You will handle complex cases, including those with multiple perpetrators, and work to prevent fraudulent Medicaid claims. Responsibilities... 
    Senior

    CVS Health

    Phoenix, AZ
    13 hours ago
  •  ...a better today and tomorrow.Section 1: Position SummaryThe Senior Fraud Investigator is a senior individual contributor responsible for leading...  ...education and relevant experience preferredFor all virtual remote positions, in order to ensure associates can effectively perform... 
    Remote work
    Senior
    Full time
    Second job

    Ascensus

    Charlotte, NC
    1 day ago
  •  ...CVS Health is seeking a Senior Investigator in Ohio to conduct high‑level investigations of healthcare fraud and abuse, including Medicaid matters, handling sensitive, national cases and providing testimony when required. Requirements: 4+ years in healthcare fraud... 
    Senior

    CVS Health

    Columbus, OH
    2 days ago
  •  ...MJHS Health System is seeking a SIU Fraud Investigator to identify, investigate, and resolve fraud, waste, and abuse across Elderplan’s product lines in New York. This role requires deep knowledge of Medicaid/Medicare regulations and collaboration with compliance, legal... 
    Senior

    MJHS Health System

    New York, NY
    1 day ago
  •  ...CVS Health is seeking a Senior Investigator to lead complex investigations of healthcare fraud and abuse. You will handle sensitive, high-profile cases, often involving multiple perpetrators and intricate schemes across Medicaid lines of business. You will research... 
    Senior

    CVS Health

    Yuma, AZ
    1 day ago
  •  ...CVS Health is seeking a Senior Investigator to conduct high-level investigations of known or suspected healthcare fraud and abuse. You will handle complex cases, often involving multiple perpetrators, and participate in presenting findings to clinical and legal partners... 
    Senior

    CVS Health

    New York, NY
    1 day ago
  •  ...Elderplan is seeking a SIU Fraud Investigator in New York, NY to identify, investigate, and resolve fraud, waste, and abuse involving providers, vendors, and members. Under the direction of the SIU Director and Manager, you will analyze claims, enrollment, medical records... 
    Senior

    MJHS

    New York, NY
    1 day 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
    19 hours ago
  • $65k - $88.6k

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

    Humana

    Columbia, SC
    2 days ago
  •  ...A healthcare company in New York is seeking a Fraud Investigator to conduct in-depth investigations of reported fraud. Responsibilities include mentoring other investigators, investigating Medicaid fraud cases, and maintaining relationships with law enforcement. Candidates... 
    Senior

    EmblemHealth

    New York, NY
    3 days ago
  •  ...Centene Corporation is seeking an investigator to conduct fraud, waste, and abuse investigations across referrals,...  ...requires a Bachelor's degree and 2+ years in healthcare investigations, with opportunities to work in a remote, hybrid, or onsite setting and benefit from... 
    Remote work

    Centene Corporation

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

     ...applications and next steps. Our partner is looking for a Healthcare Fraud Investigator based in the United States. In this role, you will help protect...  ...support recovery efforts or legal proceedings. This fully remote opportunity offers the chance to apply your investigative... 
    Remote work
    Contract work
    Work at office

    Jobgether

    Salem, OR
    2 days ago
  •  ...Delta Dental of Michigan is seeking a Special Investigations Unit Investigator to join our team in Michigan. The...  ...handling, and preparing 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
  • $79.56k - $115.72k

     ...an exciting place to be within the healthcare industry. As a member of Mass General...  ...Responsible for conducting confidential investigations of suspected fraud, waste & abuse (FWA) involving...  ...generally 8:30-5:00 PM Eastern Time Remote workspace requirements, including privacy... 
    Remote work
    Full time
    Contract work
    Work at office
    Local area
    Monday to Friday
    Flexible hours
    Shift work

    Mass General Brigham Health Plan

    Somerville, MA
    3 days ago
  • Grow Financial Federal Credit Union is seeking a Fraud Investigator II to independently manage a broad range of fraud case types and support prevention initiatives in a remote/hybrid environment. You will review predictive reports daily, collaborate with technical partners... 
    Remote job
    Senior
    Work from home

    Grow Financial Federal Credit Union

    Bismarck, ND
    2 days ago
  •  ...Job Opportunity Council Capital is a healthcare-focused private equity firm based in...  ...analytics with expert review to surface fraud, waste, and abuse across Medicare, Medicaid...  ...but you will not manage anyone. Strong investigators here come from healthcare payer/vendor... 
    Remote work

    City of Groton

    United States
    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...  ...as needed. The role requires 2+ years in healthcare investigations, a bachelor's degree in a related... 
    Remote work

    Centene Corporation

    Austin, TX
    2 days ago
  •  ...Jobgether, on behalf of a partner company, seeks a Healthcare Fraud Investigator in the United States. You will protect healthcare resources by investigating...  ...with providers, insurers and law enforcement. This fully remote role requires at least three years of health insurance... 
    Remote work

    Jobgether

    Salem, OR
    2 days ago
  • Grow Financial Federal Credit Union is seeking a Fraud Investigator II to independently manage a broad range of fraud cases and support prevention...  ...reports and actionable follow-up, with opportunities for remote or in-person work depending on location and program needs.... 
    Remote job
    Senior

    Grow Financial Federal Credit Union

    Manchester, NH
    2 days ago
  • Grow Financial Federal Credit Union in Florida is seeking a Fraud Investigator II to independently manage a broad range of fraud case types and...  ...and employees, participates in team projects, and fits a remote work environment with strong communication and analytical #J... 
    Remote job
    Senior

    Grow Financial Federal Credit Union

    Kansas City, MO
    2 days ago
  • Grow Financial Federal Credit Union in the United States is seeking a Fraud Investigator II to independently manage a broad range of fraud cases and contribute to prevention initiatives. You will work with technical partners to understand system outputs and fraud patterns... 
    Remote job
    Senior

    Grow Financial Federal Credit Union

    Sioux Falls, SD
    2 days ago
  • Grow Financial Federal Credit Union is seeking a Fraud Investigator II to manage a wide range of fraud cases from home. The role requires sharp...  ...in team projects and training for staff and members. Remote work is supported with eligibility across multiple states. #J... 
    Remote job
    Senior

    Grow Financial Federal Credit Union

    Charlotte, NC
    2 days ago
  •  ...Healthcare Fwa Investigator Levels (Investigator, Sr. Investigator, etc) will depend on experience and...  ...and prevention of healthcare fraud, waste and abuse (FWA). We are growing...  ...Ability to work independently within a remote team, under minimal supervision Benefits... 
    Remote work

    Integrity Advantage

    United States
    1 day ago
  • Grow Financial Federal Credit Union is hiring a Fraud Investigator II to independently manage a broad range of fraud cases and support prevention efforts. The role emphasizes analyzing predictive reports and collaborating with teams to protect member assets. The ideal... 
    Remote job
    Senior
    Work at office

    Grow Financial Federal Credit Union

    Madison, WI
    2 days ago
  • $77.1k - $92.52k

     ...Status: Regular Full-Time Office: Remote Salary: $77,099.34 - $92,5...  ...The challenges of affordable healthcare continue to create new opportunities....  ...Responsibilities: The SIU Fraud Investigator is responsible for identifying, investigating... 
    Remote work
    Full time
    Part time
    Work at office
    Flexible hours

    MJHS

    New York, NY
    2 days ago
  • 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... 
    Remote job
    Work from home

    Cotiviti

    New York, NY
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior Healthcare Fraud Investigator (Remote). Be the first to apply!