Remote SIU Investigator: Fraud, Waste & Abuse
$51k - $80.07kHealthfirst
- Remote job
Healthfirst is looking for a remote Investigator within the Special Investigations Unit (SIU) responsible for conducting thorough investigations into alleged misconduct, fraud, waste, and abuse. This role requires an Associate's degree or equivalent experience and knowledge of fraud statutes. Candidates will be expected to compile reports, present findings, and establish relationships with various stakeholders. The hiring range for this position is between $51,000 and $80,070, depending on the location and experience. #J-18808-Ljbffr Healthfirst
$51k - $74.88k
Healthfirst is seeking an Investigator for the Special Investigations Unit responsible for conducting complex investigations into alleged misconduct and Fraud, Waste, and Abuse. This fully remote position requires an Associate's degree or related experience. Candidates...Remote jobFraud$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 jobFraud- 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 jobFraudWork at office
- Healthfirst is seeking an Investigator within the Special Investigations Unit. This remote position involves conducting complex investigations of alleged misconduct, compiling data into written reports, and presenting findings to relevant committees. The ideal candidate...Remote jobFraud
- 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 workFraudContract workFor subcontractorInterim role
$61.88k - $103.13k
...to continue for many years to come. LTC Fraud Waste and Abuse Team is responsible for preventing, detecting, evaluating, investigating, and remediating cases of fraud against these... ...you want to see. Working Arrangement Remote (Full Time) Salary & Incentives Base salary...Remote jobFraudFull timeFlexible hours$60.2k - $107.4k
A leading health care company seeks a Senior Investigator in Columbus, Ohio to identify and investigate healthcare fraud and abuse. The role requires analyzing data, conducting field investigations, and maintaining compliance with regulations. Qualifications include a Bachelor...Remote jobFraudFlexible hours- UnitedHealthcare is seeking a Senior Investigator to identify and prevent healthcare fraud, waste, and abuse. The position involves conducting investigations and developing strategies to address complex cases. Candidates should possess a Bachelor's degree or equivalent...Remote jobFraudFull timeFlexible hours
- We are seeking an experienced SIU Investigator with a proven background... ...complex investigations involving fraud, suspicious activity, and high... ...fraud, misrepresentation, abuse, misconduct, or other suspicious... ...with minimal oversight. Remote, hybrid, or field work may be...Remote workFraudWork at office
$56.2k - $101k
...of California* Position Purpose Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning,... ...Conduct investigations of potential waste, abuse, and fraud Document... ...flexible approach to work with remote, hybrid, field or office work schedules...Remote workFraudFull timePart timeWork at officeFlexible hours$41.25 - $43.79 per hour
Howard County Government in Columbia, Maryland is seeking Investigators for the Office of Inspector General to conduct complex investigations related to fraud, waste, and abuse within County programs. Candidates must hold a Bachelor’s degree and have four years of investigative...FraudHourly payWork at officeTrial period$71.1k - $97.8k
...part of our caring community. The Senior Fraud and Waste Investigator conducts investigations of allegations of fraudulent and abusive practices. Work assigned to the Senior Fraud... ...make an impact Work Style: Work at home, remote. While this is a remote position,...Remote workFraudBi-weekly payTemporary workApprenticeshipWork from homeHome officeMonday to Friday- ...Data Analyst Fraud Waste & Abuse Minnetonka, MN - Remote Job Description Description - The Fraud, Waste, and Abuse (FWA) Analyst plays a critical role in safeguarding state Medicaid programs by identifying, analyzing, and preventing fraudulent...Remote workFraud
$71.1k - $97.8k
...a part of our caring community The Senior Fraud and Waste Investigator conducts investigations of allegations of fraudulent and abusive practices. Work assigned to the Senior Fraud... ...make an impact WORK STYLE: Work at home, remote. While this is a remote position,...Remote workFraudBi-weekly payWeekly payFull timeTemporary workApprenticeshipWork from homeHome officeMonday to Friday- ...Job Description JOB DESCRIPTION Provides investigative support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA). Investigates and resolves instances of health care fraud and abuse investigations of...Remote workFraudContract workWork at officeLocal area
- A.N. Investigations Inc. is seeking an experienced SIU Investigator to conduct comprehensive investigations involving fraud and suspicious activities. This role is ideal for individuals with... ...deadlines. The position may involve remote, hybrid, or field work based on investigative...Remote jobFraud
- Safepoint MGA, LLC is seeking a highly motivated SIU Examiner to work remotely in Louisiana. This role requires expertise in handling claims fraud investigations, including analysis and recommendation of actions. The examiner will conduct interviews, coordinate with SIU...Remote jobFraud
- Kelley Alliance is seeking a part-time SIU Investigator for field and remote investigations involving insurance claims. This role requires expertise in insurance principles and fraud indicators. Flexibility with schedule is essential as the position includes fieldwork and...Remote jobFraudPart timeHome officeFlexible hours
$30 - $35 per hour
A leading investigative firm based in Nashville seeks experienced part-time SIU Investigators to join their team. The role involves investigating potential fraud in insurance claims, conducting interviews, and preparing investigative reports. Candidates should have 5-10...Remote jobFraudHourly payPart timeWork at office$60.2k - $107.4k
...Senior Investigator At UnitedHealthcare, we're simplifying the health care experience... ...investigation and prevention of healthcare fraud, waste and abuse. The Senior Investigator will utilize... ...in the Special Investigations Unit's (SIU's) case tracking system Collect and...Remote workFraudMinimum wageFull timeTemporary workWork experience placementLocal areaMonday to Friday$56.2k - $101k
Centene Corporation is looking for a dedicated individual to investigate allegations of healthcare fraud in California. The role involves conducting... ...findings, and analyzing claims for potential fraud or abuse. A Bachelor's Degree in Business, Criminal Justice, or...Remote jobFraudFlexible hours- The Investigator within the Special Investigations Unit (SIU) will be responsible for effectively carrying out complex... ...of alleged misconduct and Fraud, Waste and Abuse by providers, representatives,... ...others. This position is 100% remote. Scope of Responsibilities Conduct...Remote workFraudLocal area
- * Responsible for fraud and abuse detection activities for the TennCare PBA Programs, including... ...be responsible for day-to-day Provider investigation-related inquiries.* Utilizes... ...and remediating allegations of fraud, waste and abuse involving providers. Primary...FraudContract workLocal area
- ...Manager Fraud, Waste, and Abuse (FWA) Negotiations The Manager Fraud, Waste, and Abuse (FWA) Negotiations... ...~ Prior experience identifying or investigating fraud, waste, and abuse is highly... ...to work in an office and/or at-home, remote office environment. Schedule...Remote workFraudWork at office
- ...your job application. Healthcare Fraud Shield will not contact you... ...talented Coder or Clinical Coder/Fraud Investigator to join our team. RESPONSIBILITIES Work with SIU Team (Clinical Reviewers, CPCs,... ...career development initiatives Remote work eligible REMOTE WORK...Remote workFraudFull timeFlexible hours
- The SIU Investigator will conduct field as well as desk investigations of insurance claims referred... ...Special Investigator will function as a remote investigator working from her/his... ...SIU contacts, the Department of Insurance Fraud Division, NICB, and various law enforcement...Remote workFraudWork experience placementWork at office
$58.9k - $80.07k
The Investigator within the Special Investigations Unit (SIU) will be responsible for effectively carrying out complex... ...of alleged misconduct and Fraud, Waste and Abuse by providers, representatives,... ...others. This position is 100% remote. Scope Of Responsibilities Conduct...Remote jobFraudTemporary workWork experience placementLocal area- Howard County Government is seeking Investigators for the Office of Inspector General to conduct complex investigations related to fraud, waste, and misconduct. The position requires a Bachelor's degree and four years of relevant experience. Investigators will analyze various...FraudWork at office
- Aspire General Insurance Company is looking for a Pre-SIU Adjuster to investigate automobile claims with potential fraud. This full-time role, structured as a career... ...and decision-making skills. The position offers a remote work option and various benefits including...Remote jobFraudFull time
$25 - $50 per hour
...strategy & scheduling Paid travel for field investigations when required Job Summary The SIU Investigator conducts field and remote investigations involving insurance claims... ...principles, compensability analysis, fraud indicators, and investigative...Remote workFraudHourly payPart timeWork at officeHome officeAfternoon shift
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