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... ...While this is a remote position, occasional... ...interruptions to protect member PHI /...Remote workFull timeTemporary workFor contractorsApprenticeshipWork experience placementWork at officeLocal areaWork from homeHome officeMonday to Friday$96.1k - $128.1k
...AIR as a Researcher focused on Medicaid policy and programs with our Healthcare Innovations team. Our team works... ...position has the flexibility to work remotely within the United States (U.S.)... ...the basis of any characteristic protected by applicable federal, state or...Remote workFull timeFixed term contractH1bWork at officeLocal area- ...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...SuggestedLocal area
- ...an exciting place to be within the healthcare industry. As a member of Mass General... ...for conducting confidential investigations of suspected fraud, waste & abuse (FWA) involving medical... ...genetic information, and/or other status protected under law. We will ensure that all...SuggestedContract workWork at officeLocal areaFlexible hours
$85k - $105k
...Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for... ...(E.g., Medicare data, Medicaid data, outlier data) Communication... ...Special Investigations Unit (SIU) - Field Investigator Full Time - Asset Protection Agent - Day Detroit, MI $51,4...Full timeWork experience placementWork at officeLocal area- ...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
$60k - $87.4k
## SIU Field InvestigatorApplyremote type: Fully Remote Location Specificlocations: NY... ...responsible for investigating and analyzing complex... ...) for potential fraud. This role... ...shape the future of protection while supporting... ...HealthCompare, AHCP, NHIC, Healthcare Solutions Team,...Remote workContract workWork at officeWork from homeVisa sponsorshipWork visa- ...Humana Inc. is seeking an experienced Healthcare Investigator to join its industry-leading Special Investigations Unit (SIU). The role involves investigating fraudulent and... ...Ideal candidates have 2+ years in healthcare fraud investigations, strong data analysis skills...Remote work
- ...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
- ...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...
- The Office of the Attorney General in Miami, Florida is seeking a Law Enforcement Investigator II to support the Medicaid Fraud Control Unit. This role conducts investigations into healthcare fraud and patient abuse, collecting evidence and coordinating with law...Work at office
- We are seeking a Senior Healthcare Fraud Investigator to support our program integrity efforts through... ...healthcare regulations—particularly within Medicaid programs. Key Responsibilities... ...when handling sensitive and protected information. Strong analytical, deductive...Remote workWork 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
- ...Corp. is seeking a dynamic professional to join the Fraud Investigations team, focusing on IL Medicaid. The role includes leading investigators, coordinating... ...in a hybrid setup with three days in office and two remote days. The ideal candidate has a criminal justice or related...Remote workWork at office
$60k - $70k
...makes our customers feel good.Omni Fraud Analyst (Asset Protection)About the roleThe Omni Fraud Analyst... ...Document and report findings from fraud investigations. Prepare detailed reports on fraud... ....We would also consider a fully remote work format within the Eastern USA.Applicants...Remote workLocal areaFlexible hours- ## Fraud Audit & Investigations AnalystApplyremote type: Remotelocations... ...those eligible Medicaid recipients to... ...and managed healthcare organizations to... ...compliance and SIU functions, and... ...Working Conditions:**Remote work with... ...any other status protected under federal, state...Remote workLocal area
- ...Corporation in Chicago seeks a Manager of Special Investigations to lead its Fraud Investigations team, oversee IL Medicaid fraud cases, supervise investigators, and... ...with in-office visibility three days a week and remote two days. Relocation and sponsorship are not offered...Remote workWork at officeRelocationFlexible hours3 days per week
- ...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...Remote work
$57.8k - $78.2k
...’s dedicated team of SIU Investigators are living our mission... ...into allegations of fraud and abuse. Responsibilities... ...for Medicare & Medicaid (CMS), HHS-OIG, OPM-OIG... ...to ensure every healthcare dollar is spent appropriately... ...important layer of protection for accessing Cambia...Work at officeLocal areaImmediate startWork from homeRelocationFlexible hours3 days per week- ...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...Remote workFlexible hours
$5,779 - $7,774 per month
...WA Job Type: Various Job Types Remote Employment: Flexible/Hybrid Job... ...Description DSHS HCLA - Adult Protective Service Investigator (Social Service Specialist 3) (APS... ...documentation practices. Familiarity with Medicaid terminology, regulations, and...Remote workFull timePart timeWork experience placementWork at officeLocal areaFlexible hoursShift work- 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
$70k - $90k
...policy and programmatic areas pertaining to healthcare delivery and Home and Community Based... ...data Develop expertise in Medicaid data, policy, and programmatic areas... ...disability or any other federal, state, or local protected class. At Mathematica, we understand...Remote workContract workLocal areaWork from home- CVS Health's Special Investigations Unit is seeking an Investigator to conduct investigations to prevent, pursue, and prosecute healthcare fraud and abuse, recover funds, and ensure compliance with fraud plans and regulations. The role requires 1-3 years of healthcare fraud...
- Staffing Solutions Organization LLC is seeking a Healthcare Investigator to safeguard Medicaid recipients across Ohio. This fully remote role investigates incidents, analyzes records, interviews involved parties, and documents findings to ensure compliance with HCBS regulations...Remote job
- Navanti Group, LLC is seeking a senior healthcare fraud investigator and OSINT analyst to support a sensitive federal law-enforcement customer. The... ...indicators of fraudulent activity. The position is fully remote, requires an active Top Secret clearance, and demands 5+ years...Remote job
- The Cigna Group in Miami, FL is hiring a Bilingual Junior Healthcare Fraud Investigator to join the Special Investigations Unit. You will support audits and investigations of potentially fraudulent claim activity by providers, using analytical and investigative skills to...Remote job
$78.8k - $131.3k
...informed decisions to enhance investigations. You can learn more about... .... About the Job:The Sr Fraud Analyst will be... ...reporting to the Civilian SIU Sr Manager.This role can be remote in the US with the ability... ...status, disability status, protected veteran status, age, marital...Remote workFull timeLocal area$60k - $92k
...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
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