Remote Medicaid Fraud SIU Investigator - Protect Healthcare
Ellenco Estágios e Treinamentos
- Remote job
Ellenco Estágios e Treinamentos seeks a Medicaid Fraud Investigator to join its Special Investigations Unit. This role focuses on identifying healthcare fraud, conducting audits, data analysis, and investigations in collaboration with state agencies and law enforcement. The ideal candidate has 1–2 years of FWA experience in healthcare, strong analytical and communication skills, and MS Office proficiency. Remote work from the Chicago area is preferred. #J-18808-Ljbffr Ellenco Estágios e Treinamentos
$65k - $88.6k
...for an experienced Healthcare Investigator to join its... ...passion for combating Fraud, Waste, and Abuse... ...to join Humana's SIU. The Fraud and... ...lines (Medicare, Medicaid, Commercial) o... ...interruptions to protect member PHI /... ...While this is a remote position, occasional...Remote workFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome office- CVS Health is looking for a Special Investigations Unit (SIU) Investigator in Oklahoma City, responsible for investigating allegations of Medicaid healthcare fraud. This role involves collaboration with various teams, strong analytical skills and requires candidates to...SuggestedFull time
$65k - $88.6k
...caring community The Fraud and Waste Professional 2 conducts investigations of allegations of... ...to offer a remote opportunity for this... ...of experience in healthcare fraud investigations... ...interruptions to protect member PHI / HIPAA... ...with Medicare and Medicaid, families, individuals...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday$62.1k - $92.7k
...consumers. Job Description As a SIU Field Investigator responsibilities include investigating suspected fraud, conducting detailed case... ...you can shape the future of protection while supporting causes that... ...HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star...Remote workContract workWork at officeWork from homeVisa sponsorshipWork visa$60k - $87.4k
...This job is responsible for investigating and analyzing complex,... ...special investigation unit (SIU) for potential fraud. This role typically handles... ...can shape the future of protection while supporting causes that... ..., AHCP, NHIC, Healthcare Solutions Team, North Star...Remote workContract workWork at officeWork from homeVisa sponsorshipWork visa- ...established organization looking for Insurance Fraud Investigator (SIU) to join our team. Family-owned, UAIC,... ...state where we conduct business. Remote position, and must be located in the... ...expertise to limit exposure and protect company assets. These investigations involve...Remote workFull timeTemporary workWork experience placementWork at officeFlexible hours
- ...Group, LLC Location: Remote Employment Type: Part... ...workload varying based on investigative tasking. The position... ...is seeking a senior healthcare fraud investigator and Open... ...: Medicare and Medicaid fraud Home health agency... ...supporting protective intelligence, undercover...Remote workPart timeWork at officeMonday to Friday10 hours per week
- ...your job application. Healthcare Fraud Shield will not... ...Clinical Coder/Fraud Investigator to join our team.... ...RESPONSIBILITIES Work with SIU Team (Clinical Reviewers... ...use or disclose any protected health information,... ...development initiatives ~ Remote work eligible...Remote workFull timeFlexible hours
- ...Responsible for complex fraud and abuse investigations and data analysis to... ...limit exposure and protect company assets.... ...perpetrators or intricate healthcare fraud schemes.... ...mentoring lower level SIU staff. Keeps current... ...abuse, Medicare and Medicaid regulations, etc. Requirements...Local area
- ...Opportunity Council Capital is a healthcare-focused private equity firm... ...analytics with expert review to surface fraud, waste, and abuse across Medicare, Medicaid, Commercial, and FEP lines of... ...will not manage anyone. Strong investigators here come from healthcare payer/...Remote work
$85k - $105k
...Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for... ...matters (E.g., Medicare data, Medicaid data, outlier data)... ...1.00-$128,329.00 1 day ago SIU Investigator Full Time Atlanta... ...53,000.00 1 week ago Asset Protection Associate - Arbor Place Mall...Full timeWork experience placementSummer workInternshipWork at officeLocal area- ...Medica in Minnetonka, MN is seeking an SIU Investigator IV to lead advanced fraud, waste, and abuse investigations involving members, providers, and employees. You will manage complex cases, review evidence from multiple sources, and guide actions that support legal or...
- ...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...
- ...SIU Clinical Healthcare Fraud Investigator III Lead complex investigations into suspected healthcare fraud, waste, and abuse. Independently manage investigations from intake through closure. Develop strategies and prepare evidentiary packages for referrals. Collaborate...
- Premera Blue Cross is hiring an Investigator III in our Hybrid SIU team. You will lead medium to high complexity fraud cases from start to finish, analyze claims data, and coordinate... ...enforcement as needed. The role requires healthcare fraud investigation experience, strong...
- ...Levels (Investigator, Sr. Investigator, etc) will depend on experience... ...and prevention of healthcare fraud, waste and abuse (FWA). We are... ...Support multiple clients with Medicaid, Medicare, Federal Employee... ...work independently within a remote team, under minimal supervision...Remote workFull time
$85k - $105k
...Healthcare Fraud Investigator CGS is seeking a Healthcare Fraud Investigator to provide legal support for a large government project in Nashville... ...government in civil HCF matters (E.g., Medicare data, Medicaid data, outlier data). Communication skills: Ability to...Remote jobWork experience placementWork at officeLocal area- 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
- Kemper Corporation in Dallas, TX is seeking a SIU Investigator to conduct field and desk investigations of insurance claims. This remote role supports the Downers Grove area with... ...agencies, and prepare formal reports for fraud investigations. The role requires knowledge...Remote job
- ...Job Title Fraud Investigator Job Description Summary As part of Blue... ...Investigations Unit (SIU), the Fraud Investigator conducts... ...upon member health/safety and protection of plan assets. Monitor... ...e.g., CMS, BCBSA), external healthcare anti-fraud workgroups, and other...
$62.1k - $92.7k
...consumers. Job Description As a SIU Field Investigator responsibilities include investigating suspected fraud, conducting detailed case... ...you can shape the future of protection while supporting causes that... ...HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing...Contract workWork at officeWork from homeVisa sponsorshipWork visa$107.9k - $172.64k
...is hiring a Special Investigations Unit (SIU) Manager of Audit/Clinical... ...health care fraud, waste, and abuse. This... ...supporting SIU's mission to protect and improve the... ...effective leadership for a remote workforce, including... ...of complex healthcare claims data to identify...Remote workWork at officeLocal areaFlexible hours2 days per week- Centene Corporation is seeking a seasoned Health Care Fraud Investigator to support a remote SIU team across the continental US. You will guide investigations... ...to mitigate risks. The role requires 5+ years in healthcare fraud investigations, knowledge of government programs...Remote jobFlexible hours
- 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 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
- ...Medicaid Eligibility Advocate This work from home position requires that you live and... ...of the nation's leading provider of healthcare services, HCA Healthcare, and find the... ...assistance, life insurance, supplemental health protection plans, auto and home insurance, legal...Remote workTemporary workWork at officeWork from homeFlexible hours
- ...Civil Enforcement Division seeks a Referral Investigator (Investigator 3) in Portland to join a dynamic team investigating health care fraud statewide. The position offers a hybrid... ...to handle complex cases involving Medicaid providers. Candidates must have four years...
- 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
$70.2k - $120.4k
...feels valued. The SIU Investigator IV leads advanced investigations... ...into suspected fraud, waste, and abuse... ...Examiner (CFE) Healthcare, health plan or provider... ...Managed Care and the Medicaid and Medicare programs... ..., or any other protected characteristic. Equal...Work experience placementWork at office3 days per week- Humana Inc. is seeking a Fraud and Waste Professional 2 to coordinate investigations of fraudulent and abusive practices across internal and external entities,... ...audit reports in support of adjudication. This is a remote opportunity in the United States with occasional...Remote job
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