Healthcare Fraud SIU Investigator - Remote/Hybrid
$56.2k - $101kCentene
- Remote job
Centene in La Palma, CA, is hiring an investigator to focus on identifying potential healthcare fraud and abuse. This role requires a Bachelor’s Degree and at least 1 year of relevant experience. Candidates will be responsible for conducting investigations, analyzing data, and preparing reports on findings. The position offers a competitive salary range from $56,200 to $101,000 per year, along with comprehensive benefits including health insurance, 401K plans, and flexible work arrangements. #J-18808-Ljbffr Centene
- Veracity Research Company is seeking experienced SIU Field Investigators to join their Special Investigations Unit in Atlanta, Georgia. This hybrid role involves investigating insurance fraud across multiple lines of business, requiring travel within the region. The ideal...Remote job
$70.29k - $117.16k
Capital Insurance Group is looking for an SIU Investigator based in Phoenix, AZ. The role involves... ...claims, identifying potential fraud, and providing training to claims staff.... ...communication skills. The position offers a hybrid work environment and a competitive salary...Suggested- UnitedHealth Group in Omaha, Nebraska, seeks an investigator to assess fraud and misconduct allegations. You will conduct investigations, analyze data, and ensure compliance with regulations while collaborating with internal and external partners. The ideal candidate has...Remote job
$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 workWork at office2 days per week1 day per week- 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
$30 - $35 per hour
Veracity Research Company in Newark, New Jersey is seeking experienced Part-Time SIU Investigators to join their Special Investigations Unit. This hybrid position combines work-from-home opportunities with some required travel for investigations. The ideal candidate will...Hourly payPart timeWork from home$30 - $35 per hour
VRC Investigations is seeking experienced, self-determined Part-Time SIU Investigators to join their Special Investigations Unit. This hybrid position involves investigating potential insurance fraud and conducting interviews with insureds, claimants, and witnesses. Applicants...Hourly payPart time$65k - $88.6k
...our caring community The Fraud and Waste Professional 2 conducts investigations of allegations of... ...are fortunate to offer a remote opportunity for this job... ...years of experience in healthcare fraud investigations Knowledge... ...will provide Home or Hybrid Home/Office associates...Remote workBi-weekly payWeekly payFull timeTemporary workApprenticeshipWork from homeHome officeMonday to Friday- ...Seeking a full-time remote Healthcare Fraud Investigator, the successful candidate will manage complex investigations into healthcare fraud, waste, and... ...transactions Provide expert guidance and training to other SIU Investigators and contribute to policy development...Remote workFull time
$67.64k - $101.46k
Elevance Health is seeking an Investigator II in Tampa, Florida, to identify and investigate healthcare fraud cases effectively. This hybrid role balances office presence with work-from-home flexibility, ensuring collaboration while prioritizing work-life balance. The...Work at officeWork from home$61.2k - $76.5k
Elevance Health is seeking an Investigator I to investigate assigned cases and analyze claim data for potential fraud in a hybrid work environment. The role includes reviewing claims, drafting recommendations, and preparing reports. The ideal candidate will have a BA/BS...- Elevance Health is seeking an Investigator I to analyze cases and investigate fraudulent activities. The ideal candidate should have at least 2 years' experience in healthcare insurance or a related field. This hybrid role involves in-office attendance 1-2 days a week,...Work at office2 days per week1 day per week
- 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... ...experience. The position offers a hybrid work schedule and includes benefits...
$67.64k - $101.46k
Elevance Health in Indianapolis is seeking an Investigator II responsible for investigating healthcare fraud to recover funds lost to fraudulent claims. This hybrid role requires applicants to be in the office 1-2 days a week for collaboration. The ideal candidate will...Work at office2 days per week1 day per week$21.82 - $42.55 per hour
Molina Healthcare is looking for a skilled individual to provide investigative support for the special investigation unit (SIU) focused on medical provider coding fraud, waste, and abuse. The suitable candidate will need to independently evaluate medical claims and maintain...Hourly pay- Elevance Health is seeking an Investigator I to join our team, based in... ...analyzing claim data to detect fraud, and drafting investigation... ...least 2 years of experience in healthcare-related investigation or... ...roles. The position offers a hybrid work model, requiring in-office...Work at office2 days per week1 day per week
$61.2k - $76.5k
Elevance Health is seeking an Investigator I in Columbus, OH, to investigate claims and analyze... ...activities. This role promotes hybrid work, requiring in-office presence 1-2... ...2 years of investigative experience in healthcare. The position offers a competitive salary...Work at office2 days per week1 day per week- ...Services LLC is seeking a Sr. BSA Fraud Analyst to support AML/CFT and... ...prevention efforts through investigation of suspicious activity and transaction... ...analysis. The role offers a hybrid work model, three days in-office and two days remote, balancing collaboration with...Remote workWork at office
- Yoh Services LLC is seeking a Fraud Specialist / Fraud Operations Specialist... .... In this role, you will conduct investigations and analyze data to combat fraud,... .... The position offers a hybrid work model, combining office and remote work, and requires strong analytical...Remote workWork at office
$56.2k - $101k
Centene, located in Topanga, California, seeks a healthcare fraud investigator to conduct thorough investigations of potential fraud and abuse... ...range of $56,200 to $101,000 annually, with various work schedule options including remote and hybrid. #J-18808-Ljbffr CenteneRemote work$46.99k - $112.2k
...Senior Healthcare Fraud Investigator We're building a world of health around every individual — shaping a more connected, convenient and compassionate... ...to join our Special Investigations Unit (Aetna SIU), Self-Funded investigations team. In this role, you will...Remote workHourly payFull timeTemporary workWork experience placementLocal areaWork from home- A healthcare solutions provider is seeking a Health Claim Investigation Representative in Louisville, KY. This hybrid position involves communicating with plan members and insurance carriers to determine potential sources of recovery. The ideal candidate will have strong...Work at office
$30 - $35 per hour
VRC Investigations is looking for experienced, self-determined Part-Time SIU Investigators in Newark, NJ. The role includes conducting insurance fraud investigations and requires strong communication skills and analytical abilities. Investigators will work partially from...Hourly payPart timeWork from home- Zurich North America is seeking an experienced Claims Fraud Investigator to join its Claims Fraud and Investigation team. This role offers a hybrid work model with options for remote work from several states, including California. You will conduct investigations into insurance...Remote jobWork at office
- Join to apply for the SIU Investigator role at Command Investigations . Overview Command Investigations, LLC is looking for a Claims Investigator... ...recognized investigations firm offering surveillance, remote investigations, desktop intelligence, and specialty services...Remote workFull timePart timeFlexible hours
- Employee Benefits Corporation is seeking a Fraud Prevention Analyst to identify and... ...and operations. This role involves investigation, analytics, and risk management, providing... ...position offers flexibility to work hybrid or remotely from several states, including North Carolina...Remote job
- Lighthouse Credit Union in Dover, NH is hiring a Fraud Analyst I to support fraud prevention efforts. This entry... ..., and a willingness to learn. The role offers a hybrid work arrangement, blending in-office and remote work to fit individual needs. #J-18808-Ljbffr Lighthouse...Remote workWork at office
- Riverrun is seeking a Senior BSA Fraud Analyst to support AML/CFT and... ...efforts. The role involves investigating suspicious activities, analyzing... .... This position offers a hybrid work model, requiring three days in-office and two days remote. Qualified candidates will have...Remote workWork at office
- ...Investigating allegations of potential healthcare fraud and abuse, the full-time SIU Investigator will conduct investigations, perform data analysis, and prepare detailed reports while working remotely, preferably from Ohio. Key responsibilities Conduct investigations...Remote workFull time
$56.2k - $101k
...Position Purpose Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations... ...off plus holidays Flexible approach to work with remote, hybrid, field, or office schedules Additional incentives...Remote workWork at officeFlexible hours
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