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

Remote Healthcare Fraud Investigator

Centene Corporation

Brooklyn, NY
  • Remote job

Centene Corporation is seeking an investigator to conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, and medical records to identify misconduct and support case resolution. Responsibilities include documenting investigations, preparing reports, and collaborating with compliance, legal, and external agencies to support corrective actions, recoveries, and case resolution while ensuring compliance with laws and company standards. #J-18808-Ljbffr Centene Corporation

Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Remote Healthcare Fraud Investigator in Brooklyn, NY vacancy
  •  ...Conducting detailed investigations into potential fraud, waste, and abuse in healthcare claims, the full-time remote Special Investigator will review medical records and claims data, collaborate with internal teams, and prepare comprehensive reports for compliance and... 
    Remote work
    Full time

    Virtual Vocations Inc

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

     ...Healthcare Investigator Humana is looking for an experienced Healthcare Investigator to join its...  ...all do you have a passion for combating Fraud, Waste, and Abuse in the Health Care...  ...information. Travel: While this is a remote position, occasional travel to Humana'... 
    Remote work
    Temporary work
    Work at office
    Local area
    Work from home
    Home office

    Humana

    United States
    5 days ago
  • A leading health organization seeks an investigator for healthcare fraud allegations. Responsibilities include conducting investigations, analyzing...  ...a minimum of 5 years in fraud investigations. This is a remote role with a strong preference for residents of New York.... 
    Remote work

    Centene Corporation

    New York, NY
    1 day 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
    4 days ago
  •  ...Centene Corporation seeks an Investigator to conduct fraud, waste, and abuse investigations across healthcare programs. You will review referrals, claims data, and medical records, document findings, and support case resolution while ensuring regulatory and contractual... 
    Remote work

    Centene Corporation

    Raleigh, NC
    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
    5 days ago
  •  ...Centene Corp. seeks an SIU Investigator to conduct fraud, waste and abuse investigations across referrals, claims data and medical records. You will...  ...in the U.S. without visa sponsorship now or in the future. Remote options are available within the U.S. #J-18808-Ljbffr... 
    Remote work
    Visa sponsorship

    Centene Corporation

    Brooklyn, NY
    4 days ago
  •  ...Leading complex fraud investigations in healthcare billing, coding, and claims, the full-time remote Senior Fraud Investigator will analyze large data sets to identify patterns of fraud, prepare detailed reports, and collaborate with clients and internal teams while mentoring... 
    Remote work
    Full time

    Virtual Vocations Inc

    United States
    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
    1 day 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... 
    Remote work
    Full time
    Contract work
    Work at office
    Local area
    Monday to Friday
    Flexible hours
    Shift work

    Mass General Brigham

    Somerville, MA
    6 days ago
  • UnitedHealth Group is seeking a Coding Consultant to investigate and resolve healthcare fraud and provider abuse using CPT coding guidance. You will mentor investigators, review claims against medical records, and coordinate with internal and external stakeholders to ensure... 
    Remote job

    Colorado Psychiatric

    Brooklyn, NY
    6 days ago
  • $97.7k - $162.8k

     ...Do As a Project - Consultant, Forensics and Investigations on the project, you will address the threats that perpetuate fraud, waste, and abuse, our clients look to our team...  ...investigations and referrals of suspected healthcare fraud for potential action. Utilize... 
    Local area

    Deloitte

    Rosslyn, VA
    3 days ago
  •  ...Healthcare Fraud Investigator Employment Type: Full-Time, Experienced Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Oxford, MS. The candidate must take the initiative to... 
    Full time
    For contractors
    Interim role
    Local area
    Flexible hours

    Contact Government Services, LLC

    Oxford, MS
    2 days ago
  •  ...Highmark Health is seeking an experienced professional to develop and maintain an anti-fraud program, conduct investigations into fraud, waste and abuse, and coordinate training and reporting across the organization. The role involves interviews, field investigations,... 

    Highmark Health

    Des Moines, IA
    13 hours ago
  •  ...A healthcare organization is looking for a Special Investigations Unit Investigator II to investigate fraud and abuse in the healthcare environment. This role conducts thorough investigations leveraging data analytics, ensuring compliance with regulations, and supports... 

    IEHP

    Rancho Cucamonga, CA
    1 day ago
  • $85k - $105k

     ...Healthcare Fraud Investigator 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 questions to successfully complete tasks, perform detailed work consistently... 
    Work experience placement
    Work at office
    Local area

    Contact Government Services LLC

    Austin, TX
    4 days ago
  •  ...Ardelle Associates is seeking paralegals with experience in healthcare fraud and criminal and civil cases to support the U.S. Attorney's...  ...using various databases and sources; identifies subjects to investigate and develops leads; conducts interviews; collects and processes... 
    Full time
    For contractors
    Work experience placement
    Interim role
    Work at office
    Local area
    Monday to Friday

    Ardelle Associates

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

    Ascensus

    Tampa, FL
    22 hours ago
  •  ...State of Colorado’s Department of Law seeks a Compliance Investigator II for the Medicaid Fraud Control Unit to lead complex civil and criminal investigations into healthcare fraud, abuse, and neglect. You will analyze financial, medical, and investigative data, develop... 

    State of Colorado

    Denver, CO
    1 day ago
  •  ...Blue Shield of CA invites applications for the Special Investigations Investigator, Consultant role in our SIU. You will conduct investigations into healthcare fraud, waste, and abuse, report findings to the SIU manager, and ensure compliance with policies and laws. The... 
    Work at office
    2 days per week

    Blue Shield of CA

    Rancho Cordova, CA
    1 day 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 work
    Work at office
    Work from home

    Whatnot

    Phoenix, AZ
    1 day ago
  •  ...CVS Health is seeking a Senior Investigator for the Aetna Special Investigations Unit to lead high-level investigations into healthcare fraud and abuse. The role spans national scope with multi-line investigations and collaboration with medical directors and law enforcement... 
    Full time

    CVS Health

    Lansing, MI
    3 days ago
  •  ...CVS Health is seeking a Senior Investigator for the Aetna Special Investigations Unit to lead complex healthcare fraud investigations on a national scale. You will conduct proactive data mining, analyze claims in depth, and collaborate with Medical Directors to determine... 

    CVS Health

    Florida, NY
    2 days ago
  •  ...Conducting comprehensive fraud, waste, and abuse (FWA) investigations, the full-time SIU Investigator will analyze...  ...compliance with regulations in a remote work environment. Key responsibilities...  ...in Business, Criminal Justice, Healthcare Administration, Public Health, or... 
    Remote work
    Full time

    Virtual Vocations Inc

    United States
    1 day ago
  •  ...professional to develop and maintain the organization’s anti-fraud program, conduct investigations into fraud, waste, and abuse, and coordinate with law...  .... The ideal candidate will have at least 3 years in healthcare fraud investigations, strong data-mining capability,... 

    Highmark Health

    New York, NY
    1 day ago
  •  ...Employment Type: Full‑Time, Experienced Department: Litigation Support Job Overview CGS is seeking a Healthcare Fraud Investigator to provide legal support for a large government project in Oxford, MS. The candidate must take the initiative to ask questions to successfully... 
    Full time
    For contractors
    Interim role
    Local area
    Flexible hours

    CGS Federal (Contact Government Services)

    Oxford, MS
    1 day ago
  •  ...Highmark Health seeks a dedicated investigator to develop and maintain an anti-fraud program, conduct investigations into fraud, waste and abuse, and coordinate with law enforcement and regulatory bodies. This role requires field work, interviews with providers and members... 

    Highmark Health

    Saint Paul, MN
    13 hours ago
  •  ...Blue Shield of CA is seeking a Special Investigations Investigator, Consultant to join the SIU team in Oakland. You will conduct investigations into health care fraud, waste, and abuse, adhering to company policies, legal requirements, and applicable regulations. The role... 

    Blue Shield of CA

    Oakland, CA
    1 day 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...  ...stronger policies and controls to reduce risk. This is a remote position , offering flexibility to work from home. However,... 
    Remote work
    Hourly pay
    Local area
    Work from home

    Salal Credit Union

    Seattle, WA
    1 day ago
  •  ...Medica is seeking an experienced SIU Investigator IV to lead complex fraud, waste, and abuse investigations involving members, providers, and employees. The role also covers onsite audits, collaboration with legal and law enforcement, and guiding investigative processes... 
    Work at office

    Medica

    Hopkins, MN
    3 days ago

Do you want to receive more vacancies?

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