Remote Healthcare Fraud Investigator
Centene Corporation
Centene Corporation in Kansas is looking for a motivated individual to investigate healthcare fraud and abuse allegations. The role involves conducting thorough investigations, analyzing medical claims, and documenting all activities. The ideal candidate will have a Bachelor's Degree in Business or related fields, with at least one year of experience in fraud investigations. The position offers competitive pay and a comprehensive benefits package, including flexible work options. #J-18808-Ljbffr
$65k - $88.6k
...of our caring community The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and... ...We are fortunate to offer a remote opportunity for this job. Our Fortune... ...2 years of experience in healthcare fraud investigations Knowledge...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday$56.2k - $101k
...Centene Management Company LLC is seeking a Fraud Investigator to investigate allegations of healthcare fraud and abuse. The role is remote but prefers candidates from Texas. The investigator will conduct detailed claims investigations, assist with audits, and prepare...Remote work- ...Humana is seeking a Fraud and Waste Professional to investigate fraudulent and abusive healthcare practices. The role involves coordinating with law enforcement, gathering... ...guidelines. The position may include remote work with minimal travel and requires strong analytical...Remote work
- ...Centene Corporation is seeking an investigator to tackle healthcare fraud and abuse, essential for transforming health in communities. This remote role requires a bachelor's degree and at least one year of experience in medical claim investigations. You'll conduct thorough...Remote workFlexible 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 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
$56.2k - $101k
...Centene Management Company LLC is looking for a skilled investigator to focus on potential healthcare fraud and abuse activities. The candidate will analyze claims, conduct investigations, and prepare detailed reports for regulatory agencies. A Bachelor's degree in Business...Remote workFlexible hours- ...CVS Health is seeking an experienced Senior Healthcare Fraud Investigator to join the Special Investigations Unit (Aetna SIU), Self-Funded investigations team. This remote, full-time role conducts high-level investigations to prevent fraudulent claims and supports legal...Remote workFull time
- Centene Corporation seeks a candidate to investigate allegations of potential healthcare fraud and abuse. This role involves conducting thorough investigations... ...in the field is required. The position offers a remote working option for candidates residing within Ohio and...Remote job
- Centene Management Company LLC is seeking candidates for a position dedicated to investigating allegations of healthcare fraud and abuse within the Kentucky Medicaid Program. The ideal applicant will have a Bachelor's Degree in a related field and a minimum of three years...Remote job
- We are seeking a Senior Healthcare Fraud Investigator to support our program integrity efforts through hands‑on investigation of potential fraud, waste, and abuse (FWA). This role is ideal for someone who thrives on digging into data, managing complex cases, and driving...Remote workWork at office
$60k - $92k
...Levels (Investigator, Sr. Investigator, etc) will depend on experience and qualifications... ...detection, investigation and prevention of healthcare fraud, waste and abuse (FWA). We are growing... ...to work independently within a remote team, under minimal supervision Benefits...Remote workFull time$46.99k - $122.4k
...The Hispanic Alliance for Career Enhancement is hiring for a full-time position focused on healthcare fraud investigation in South Dakota. The role requires handling complex cases and necessitates 3 years of experience in health care fraud, waste, and abuse audits. The...Full timeWork at office- ...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 timeFor contractorsWork experience placementInterim roleWork at officeLocal areaMonday to Friday
- ...Meritain Health, an independent subsidiary of CVS Health, seeks an SIU Investigator to support the Network Cost Management team in pursuing healthcare fraud prevention and recovery of funds. The role involves investigations of known or suspected fraud, liaison with law...Work at office
$46.99k - $122.4k
...The Hispanic Alliance for Career Enhancement is seeking a dedicated professional to handle investigations into healthcare fraud, waste, and abuse, focusing on complex cases and cooperation with law enforcement. This full-time position requires a bachelor's degree, with...Full time- ...The Hispanic Alliance for Career Enhancement is seeking a dedicated individual to join their team focusing on healthcare fraud investigations. This role involves managing complex cases, preventing fraudulent claims, and collaborating with law enforcement. Ideal candidates...Full time
- ...business needs. This position is hybrid and remote eligible for up to 40% of the time. The... ...ensure the 24/7 online functionality of fraud systems are operative and in compliance... ...absence of Manager, Fraud Prevention & Investigation. In addition, position is responsible...Remote workFull timeWork at officeLocal areaMonday to FridayFlexible hours
$85k - $105k
...Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level 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...Full timeWork experience placementWork at officeLocal area$46.99k - $122.4k
...The Hispanic Alliance for Career Enhancement is seeking a dedicated investigator for healthcare fraud cases based in Missouri, Louisiana. The role requires extensive knowledge of healthcare fraud prevention and the ability to interact effectively with various stakeholders...- ...seeking a qualified candidate for a position focused on investigating health care fraud. Responsibilities include handling complex cases, preventing... ...role requires at least three years of experience in healthcare fraud and a Bachelor's degree, emphasizing knowledge in...Full time
- ...Job Description Job Description Fraud Investigator / Fraud Analyst / Fraud Specialist Location - Remote and Onsite Thrice a week --- Pensacola, FL / Winchester... ...Our expertise spans industries from providing healthcare information systems to developing E-Remit software...Remote workHourly payLocal areaImmediate startWorldwide
- ...PacificSource is seeking a Senior Investigator – Fraud, Waste, and Abuse to plan, conduct, and manage investigations of health care claims... ...policies. The role requires at least 4 years of experience in healthcare fraud investigations, use of OSINT tools, and collaboration...
$46.99k - $122.4k
...The Hispanic Alliance for Career Enhancement is looking for a dedicated professional to handle complex healthcare fraud cases. You will investigate fraud claims, prepare cases for review, and document activities in our tracking system. A Bachelor's or Associate's degree...- ...A government services contractor is seeking a Healthcare Fraud Investigator to support legal efforts on a large government project. The role involves analyzing data, preparing legal documents, and advising attorneys on fraud cases. Applicants must have a four-year degree...Full timeFor contractorsWork at office
$46.99k - $122.4k
...CVS Health in the United States is looking for a dedicated professional to manage complex health care fraud investigations. This full-time role involves preventing fraudulent claims, preparing cases for review, and cooperating with law enforcement. Applicants should have...Full time- ...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...
- ...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 timeFor contractorsInterim roleLocal areaFlexible hours
- ...A government services contractor is seeking a Healthcare Fraud Investigator to provide legal support for a high-profile government project. The candidate will analyze data, review financial records, and assist in developing fraud referrals, while collaborating closely...For contractors
$46.99k - $122.4k
...The Hispanic Alliance for Career Enhancement is seeking a qualified candidate for a full-time role focused on health care fraud investigation. This position involves investigating and preventing fraud, preparing cases for legal review, and providing expert testimony as...Full time
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Healthcare Fraud Investigator. Be the first to apply!
- business development manager remote Topeka, KS
- help desk remote Topeka, KS
- remote nurse auditor Topeka, KS
- senior accountant remote Topeka, KS
- remote utilization review nurse part time Topeka, KS
- remote healthcare recruiter Topeka, KS
- remote recruitment consultant Topeka, KS
- remote job for students Topeka, KS
- college summer internship remote Topeka, KS
- companies hiring remote Topeka, KS

