Remote Healthcare Fraud Investigator
Centene Corporation
Lansing, MI
- Remote job
Centene Corporation seeks a candidate to investigate allegations of potential healthcare fraud and abuse. This role involves conducting thorough investigations and collaborating with Health Plans to ensure accurate resolutions. A Bachelor's degree or equivalent experience in the field is required. The position offers a remote working option for candidates residing within Ohio and provides a competitive pay range along with a comprehensive benefits package including health insurance and a 401K plan. #J-18808-Ljbffr Centene Corporation
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Healthcare Fraud Investigator in Lansing, MI vacancy
- ...Humana Inc. is seeking a Fraud and Waste Professional to conduct investigations of fraud and abuse and coordinate with law enforcement. You will assemble evidence... ...investigative reports to support adjudication. Remote work is available with minimal travel. Typical hours...Remote work
Humana
Columbus, OH4 days ago - ...Humana is seeking a Fraud and Waste Professional to investigate fraudulent and abusive healthcare practices. The role involves coordinating with law enforcement, gathering... ...guidelines. The position may include remote work with minimal travel and requires strong analytical...Remote work
Humana
Brooklyn, NY4 days ago - Centene Corporation is looking for a dedicated investigator to monitor healthcare fraud activities. You will utilize your investigation skills to ensure... ...benefits package and a flexible work environment including remote options. #J-18808-Ljbffr Centene CorporationRemote jobFlexible hours
$56.2k - $101k
Centene Management Company LLC is seeking a Fraud Investigator to investigate allegations of healthcare fraud and abuse. The role is remote but prefers candidates from Texas. The investigator will conduct detailed claims investigations, assist with audits, and prepare reports...Remote job- Centene Management Company LLC is seeking candidates for a position dedicated to investigating allegations of healthcare fraud and abuse within the Kentucky Medicaid Program. The ideal applicant will have a Bachelor's Degree in a related field and a minimum of three years...Remote job
- Humana Inc. is seeking a Fraud and Waste Professional to conduct investigations of fraudulent and abusive healthcare practices and to coordinate with law enforcement. The role... ...preparing complex investigative reports. This remote position offers 40-hour weeks, possible...Remote job
- Centene Management Company LLC is seeking a skilled investigator to handle allegations of healthcare fraud and abuse in New York. In this role, you'll plan, organize, and execute claims investigations, utilizing your expertise in data mining and report creation. The ideal...Remote jobFlexible hours
- Centene Corporation in Kansas is looking for a motivated individual to investigate healthcare fraud and abuse allegations. The role involves conducting thorough investigations, analyzing medical claims, and documenting all activities. The ideal candidate will have a Bachelor...Remote jobFlexible hours
- Centene Corporation is seeking an investigator to tackle healthcare fraud and abuse, essential for transforming health in communities. This remote role requires a bachelor's degree and at least one year of experience in medical claim investigations. You'll conduct thorough...Remote jobFlexible hours
$56.2k - $101k
Centene Management Company LLC is looking for a skilled investigator to focus on potential healthcare fraud and abuse activities. The candidate will analyze claims, conduct investigations, and prepare detailed reports for regulatory agencies. A Bachelor's degree in Business...Remote jobFlexible hours- Centene Corporation is seeking an investigator in Arkansas to tackle healthcare fraud and abuse activities. The role involves conducting thorough investigations, performing data analysis, and preparing reports for federal and state agencies. The ideal candidate should hold...Remote jobFlexible hours
- ...Corporation is hiring for a Fraud Prevention Analyst. In this... ...and operations. Youll combine investigation, analytics, and risk... ...our Middleton, WI office or remotely from Wisconsin, Arizona, Florida... ...services, benefits administration, healthcare, or another regulated...Remote workWork at officeFlexible hours
Employee Benefits Corporation
Florida1 day ago $60k - $92k
...Levels (Investigator, Sr. Investigator, etc) will depend on experience and qualifications... ...detection, investigation and prevention of healthcare fraud, waste and abuse (FWA). We are growing... ...to work independently within a remote team, under minimal supervision Benefits...Remote workFull time$46.99k - $122.4k
...The Hispanic Alliance for Career Enhancement is seeking a dedicated investigator for healthcare fraud cases based in Missouri, Louisiana. The role requires extensive knowledge of healthcare fraud prevention and the ability to interact effectively with various stakeholders...Hispanic Alliance for Career Enhancement
Louisiana, MO14 hours ago- ...To enhance customer security, the full-time Fraud Investigator will focus on investigating account takeover (ATO) incidents and third-party fraud, managing high-risk cases remotely while providing empathetic support to customers during critical recovery events. Key responsibilities...Remote workFull time
Virtual Vocations Inc
United States8 hours ago - ...important work of your career. About the team The mission of Fraud Operations is to act as guardians of the global financial... ..., card testing, account takeover, and financial partner investigation requests. We strive to improve manual fraud decisioning and enhance...Remote work
Stripe
United States4 days ago $81.7k - $113.4k
...Digital Fraud Investigator At Municipal Credit Union, we believe that an incredible culture helps create a happy and motivated team that works hard to achieve the best results for themselves and their members. For more than 100 years, MCU has provided affordable financial...Remote workLocal areaFlexible hoursMunicipal Credit Union
United States3 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...
EmblemHealth
New York, NY14 hours ago $20.72 - $25.91 per hour
...Overview Quartz is looking for an individual to investigate insurance information to coordinate benefits for claim processing. Processes... ...Benefits: Flexible and supportive work environment Full-time, remote , in-person or hybrid work environments available Ideal wage,...Remote workFull timeWork at officeWork from homeFlexible hoursQuartz
Madison, WI14 hours ago- A leading live shopping platform is seeking a Fraud Agent to help prevent and mitigate fraud on their platform. The ideal candidate will have 1 to 5 years of experience in customer service or fraud operations and a proactive problem-solving mentality. Team members can work...Remote jobWork from homeWeekend work
- ...Investigating and resolving claims, the full-time Claims Investigator will analyze P&C insurance claims for validity, negotiate settlements, and ensure compliance while working in a hybrid or remote capacity. Key responsibilities Investigate, evaluate, and resolve low...Remote workFull time
Virtual Vocations Inc
United States2 days ago $25 per hour
...Job Type: Contract Workplace Type: Hybrid (50% remote, 50% fieldwork) Compensation: $25/ hr plus $.50/mi Company Overview Phoenix... ...utilities sector. PLC’s core service is outside plant damage investigation, recovery, and prevention. Across the US and parts of Canada,...Remote workContract workPart timeFor contractorsWork experience placementLocal areaEvolving Solution Services
Sutherland, NE4 days ago- A leading live shopping platform is seeking a Fraud Agent to investigate and develop solutions to mitigate fraud. This role requires identifying fraud patterns proactively and working collaboratively with the team to enhance user experience. Candidates should have experience...Remote jobWork at officeWork from home
$85k - $105k
...$85,000.00/yr - $105,000.00/yr Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The candidate must take the initiative to ask...Full timeWork experience placementWork at officeLocal area$46.99k - $122.4k
CVS Health is looking for a dedicated individual to manage complex healthcare fraud investigations. The role demands at least 3 years of relevant experience and a Bachelor's degree or equivalent, alongside strong analytical skills. You will collaborate with law enforcement...Full time- A government agency is seeking a Law Enforcement Investigator II in West Palm Beach, Florida. Candidates must possess a high school diploma... ....S. citizen, and pass a physical examination. Experience in healthcare fraud investigations and a solid background in law enforcement are...
- The Hispanic Alliance for Career Enhancement is looking for a full-time professional in Idaho to help investigate healthcare fraud and abuse. This position involves handling complex cases, documenting findings, and interacting with law enforcement agencies. The ideal candidate...Full time
- PacificSource is seeking a Senior Investigator - Fraud, Waste, and Abuse to plan, conduct, and manage investigations of health care claims,... ...policies. The role requires at least 4 years of experience in healthcare fraud investigations, use of OSINT tools, and collaboration...
- ...processes in Idaho. The role involves conducting audits and investigations into customer claims, analyzing data, and communicating... ...minimum Bachelor's Degree and 0-2 years of experience, with healthcare fraud experience preferred. This position offers a chance to contribute...
- CVS Health is seeking an experienced investigator to handle complex health care fraud cases within a prepayment environment. You will research, prepare,... ...referrals, while coordinating with law enforcement and healthcare providers across Florida. The role requires 3+ years...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Healthcare Fraud Investigator. Be the first to apply!
Related searches
- remote data entry no experience Lansing, MI
- remote accounts receivable Lansing, MI
- remote insurance Lansing, MI
- junior data engineer remote Lansing, MI
- remote data analyst intern Lansing, MI
- remote 3d animation Lansing, MI
- remote from anywhere Lansing, MI
- tableau developer remote Lansing, MI
- remote writer editor Lansing, MI
- help desk remote Lansing, MI