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

Remote Investigator II — Fraud, Waste & Abuse

Point32Health

Canton, MA
  • Remote job

Point32Health is seeking an Investigator II for the Special Investigation Unit. This role involves leading investigations into fraud, waste, and abuse, requiring a Bachelor's degree and 3-5 years of experience in health insurance or fraud investigations. The Investigator will document findings, recommend educational strategies for providers, and develop methods to prevent future loss. Excellent communication and documentation skills are vital. Comprehensive benefits include medical coverage, retirement plans, and paid time off. #J-18808-Ljbffr Point32Health

Vacancy posted 14 hours ago
Similar jobs that could be interesting for youBased on the Remote Investigator II — Fraud, Waste & Abuse in Canton, MA vacancy
  • Profile We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS...  ...favorably adjudicated DOD background investigation for this position. Veterans,...  ...development, 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
    2 days ago
  • $58.9k - $80.07k

     ...Healthfirst is looking for an Investigator within the Special Investigations Unit (SIU) to conduct investigations of alleged misconduct and fraud. This 100% remote role entails compiling data, writing reports, and presenting findings. Candidates must possess an Associate... 
    Remote work
    Fraud

    Healthfirst

    New York, NY
    5 days ago
  • $51k - $80.07k

    Healthfirst is looking for an Investigator within the Special Investigations Unit (SIU) to conduct complex investigations of alleged misconduct and fraud in a fully remote position. The ideal candidate must possess an Associate's degree in criminal justice or equivalent... 
    Remote job
    Fraud

    Healthfirst

    Florida, NY
    4 days ago
  • Healthfirst is hiring a Remote Investigator for the Special Investigations Unit. This role involves conducting complex investigations of alleged misconduct, compiling data into reports, and presenting findings to the Marketing Incidents Committee. Essential qualifications... 
    Remote job
    Fraud
    Work at office

    Healthfirst

    Hartford, CT
    1 day ago
  • Humana Inc is seeking an experienced Dentist for a remote position as the Dental Fraud and Waste Lead. You will investigate complex dental cases and perform clinical reviews related to fraud and abuse. The role also involves educating a team on dental standards. Required... 
    Remote job
    Fraud

    Humana Inc

    Washington DC
    4 days ago
  • $86.3k - $118.7k

     ...Dentist to join their Dental SIU Team. The role involves investigating dental fraud, waste, and abuse cases, conducting clinical reviews, and providing...  ...experience and an active dental license. This position is remote, with minimal travel expected. The salary range is... 
    Remote job
    Fraud

    Humana Inc

    Albany, NY
    4 days ago
  • $66.33k - $145.86k

     ...individual contributor role supports complex investigations and contributes to organizational...  ...plays a key role in identifying fraud risks, supporting program integrity efforts...  ...financial losses related to fraud, waste, and abuse. Performs complex investigations related... 
    Fraud
    Hourly pay
    Full time
    Temporary work
    Local area

    Hispanic Alliance for Career Enhancement

    New York, NY
    2 days ago
  •  ...As a full-time remote Fraud Investigator II, the successful candidate will be responsible for identifying and resolving fraudulent activity across various products and services, engaging with members to mitigate risk, and managing end-to-end investigations to safeguard... 
    Remote work
    Fraud
    Full time

    Virtual Vocations Inc

    United States
    5 days ago
  • $65k - $88.6k

    Become a part of our caring community The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste...  ...Humana Offers We are fortunate to offer a remote opportunity for this job. Our Fortune 100... 
    Remote work
    Fraud
    Bi-weekly pay
    Weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work from home
    Home office
    Monday to Friday

    Humana

    United States
    2 days ago
  • Neier Inc. seeks a Technical Abuse Investigator to detect and disrupt malicious use of its platform. Responsibilities...  ..., with expertise in domains like AI misuse or fraud, as well as proficiency in SQL and Python. Remote work is available for candidates within the U.S.... 
    Remote work
    Fraud

    Neier Inc.

    San Francisco, CA
    4 days ago
  •  ...Fraud, Waste, and Abuse Investigations Manager The Fraud, Waste, and Abuse Investigations Manager handles the operational activities related to Pharmacy Compliance, FWA. This will require close partnership and collaboration with a cross-functional group of leaders.... 
    Fraud
    Local area

    MedImpact

    Nacogdoches, TX
    2 days ago
  • Golden1 is seeking an experienced Investigator II in Sacramento, CA, responsible for investigating...  ...suspicious activities related to fraud. This role includes analyzing evidence,...  ...prevention or investigations. The position is remote within California only and offers competitive... 
    Remote job
    Fraud
    Hourly pay

    Golden1

    Sacramento, CA
    4 days ago
  • $78.32k - $128.16k

    Elevance Health seeks an Investigator II in Los Angeles to investigate healthcare fraud cases, requiring a BA/BS and at least 3 years of experience. The role entails...  ...collaboration while providing the flexibility of remote work. The salary range is $78,320 to $128,160,... 
    Remote work
    Fraud

    Elevance Health

    Los Angeles, CA
    4 days ago
  • $86.3k - $118.7k

     ...Atlanta, Georgia is seeking an experienced Dentist for a remote position with the Dental Fraud and Waste Team. The role involves conducting clinical reviews...  ...fraud and providing education to a team of dental investigators. The ideal candidate must have a DDS or DMD degree,... 
    Remote job
    Fraud

    Humana Inc

    Atlanta, GA
    4 days ago
  • $33.86 - $37 per hour

     ...TITLE: INVESTIGATOR II STATUS: NON-EXEMPT REPORTS TO: SUP- FRAUD OPERATIONS DEPARTMENT: FRAUD PREVENTION AND RISK INVESTIGATIONS JOB CODE: 1145...  ...PAY RANGE: $33.86 - $37.00 HOURLY LOCATION: Remote in CA only GENERAL DESCRIPTION: The Investigator... 
    Remote work
    Fraud
    Hourly pay
    Work at office
    Local area

    Golden 1

    Sacramento, CA
    1 day ago
  •  ...sponsorship. Responsibilities Responsible for fraud and abuse detection activities for the state...  ...be responsible for day‑to‑day Provider investigation-related inquiries. Utilizes...  ...regulatory agencies. Cooperates with fraud, waste and abuse efforts with external business... 
    Fraud
    Contract work
    Local area
    Monday to Friday
    Night shift
    Weekend work

    MedImpact

    Nacogdoches, TX
    2 days ago
  • $67.64k - $101.46k

    Elevance Health is seeking an Investigator II in Atlanta, Georgia, to lead investigations into healthcare fraud. The role combines in-office collaboration 1-2 days a week with remote flexibility. Responsibilities include conducting claim reviews, developing investigations... 
    Remote work
    Fraud
    Work at office
    2 days per week
    1 day per week

    Elevance Health

    Atlanta, GA
    1 day ago
  • $86.3k - $118.7k

     ...looking for an experienced Dentist to join their Dental Fraud and Waste Lead team. This remote position involves conducting thorough clinical reviews...  ...complex dental cases and collaborating with a team of investigators. The ideal candidate will possess a DDS degree, at... 
    Remote job
    Fraud

    Humana Inc

    Providence, RI
    4 days ago
  • Humana Inc is looking for an experienced Dentist to join their Dental SIU Team as a Fraud and Waste Lead. This remote role involves conducting clinical reviews, preparing reports, and providing education on dental standards. The ideal candidate must have a DDS or DMD and... 
    Remote job
    Fraud

    Humana Inc

    Phoenix, AZ
    4 days ago
  •  ...experienced Dentist for their Dental Fraud and Waste Lead role. This position involves conducting...  ...on industry standards. Though mainly remote, occasional travel to offices is...  ...communication skills, and have both clinical and investigative experience. Benefits include 401k... 
    Remote job
    Fraud

    Humana Inc

    Raleigh, NC
    4 days ago
  • $86.3k - $118.7k

    Humana Inc is looking for an experienced Dental Fraud and Waste Lead to join their remote team. The role involves investigating complex dental cases, completing clinical reviews, and educating a team on dental standards. Candidates should have a DDS or DMD and at least... 
    Remote job
    Fraud
    Work at office

    Humana Inc

    Austin, TX
    4 days ago
  • A financial institution is seeking a Fraud Investigator II to safeguard members from financial crime. This remote position requires strong analytical and investigative skills. Candidates should have over three years of banking experience and two years in fraud or financial... 
    Remote job
    Fraud

    Salal Credit Union

    Seattle, WA
    1 day ago
  • $80.74k - $121.11k

     ...Investigator II Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality...  ...for leading complex provider investigations related to fraud, waste, and abuse, and developing action plans to address the investigative... 
    Fraud
    Contract work
    Work at office
    Work from home
    Flexible hours

    Tufts Health Plan

    Canton, MA
    1 day ago
  • $80.06k - $106.06k

    Special Investigations Unit Investigator II (Healthcare) The SIU Investigator II is responsible for investigating and analyzing suspected cases of fraud, waste, and abuse within the healthcare environment. This role conducts comprehensive investigations, leveraging data... 
    Fraud
    Work experience placement
    Work from home
    Monday to Friday

    IEHP

    Rancho Cucamonga, CA
    14 hours ago
  •  ...Investigator II The School District of Philadelphia is committed to becoming the fastest improving District in the country...  ...investigations related to allegations of corruption, fraud, criminal activity, waste, abuse, mismanagement, misconduct, conflicts of interest and... 
    Fraud
    Full time
    Contract work
    For contractors
    Work experience placement
    Work at office
    Local area

    The School District Of Philadelphia

    Philadelphia, PA
    5 days ago
  • $63k - $68k

    Coventbridge-Group is seeking a Medicaid/Medicare Program Integrity Analyst II for a remote position based in Grove City, OH. This role necessitates evaluating potential fraud cases and documenting findings, requiring excellent research and analytical skills. The ideal... 
    Remote job
    Fraud

    Coventbridge-Group

    Grove City, OH
    3 days ago
  • $29.37 - $41.12 per hour

    Fraud Investigator II Salal Credit Union is seeking a Fraud Investigator II to play a vital role in safeguarding our members and organization...  ...shape stronger policies and controls to reduce risk. This is a remote position , offering flexibility to work from home. However,... 
    Remote work
    Fraud
    Hourly pay
    Local area
    Work from home

    Salal Credit Union

    Seattle, WA
    2 days ago
  • $63.59k - $121.53k

    Life Special Investigations Unit Investigator I (Mid-Level) - Medicare Supplement Fraud Waste & Abuse Join to apply for the Life Special Investigations Unit Investigator I (Mid-...  ...Investigations LAW ENFORCEMENT INVESTIGATOR II - 41000697 1 Criminal Investigator (Special... 
    Fraud
    Full time
    Contract work
    H1b
    Work at office
    Relocation package
    Flexible hours

    USAA

    Tampa, FL
    2 days ago
  •  ...Investigating allegations of potential healthcare fraud and abuse, the full-time SIU Investigator will conduct investigations,...  ...detailed reports while working remotely, preferably from Ohio. Key responsibilities...  ...investigations of potential waste, abuse, and fraud in healthcare... 
    Remote work
    Fraud
    Full time

    Virtual Vocations Inc

    United States
    5 days ago
  •  ...Providing investigative support for special investigation unit (SIU) activities, the full-time Healthcare Investigator...  ..., detection, and investigation of healthcare fraud, waste, and abuse (FWA), while working remotely to analyze information and ensure compliance with... 
    Remote work
    Fraud
    Full time

    Virtual Vocations Inc

    United States
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Investigator II — Fraud, Waste & Abuse. Be the first to apply!