Remote Fraud Program Analyst - Healthcare Compliance
Piper Companies
Zachary Piper Solutions is seeking a Program Analyst to support the DDVA VHA program in establishing and operating a high-visibility Fraud Rapid Response Center through a 100% remote work arrangement. The role focuses on detecting and responding to healthcare FWA while safeguarding taxpayer dollars. The Analyst will develop evidence packages, risk assessments, and SOPs, coordinating with VA leadership and ERM teams. Requires Public Trust clearance and US work eligibility. #J-18808-Ljbffr
- ...Highmark Inc. seeks an anti-fraud program professional responsible for developing and maintaining the anti-fraud program, training, and... ...field investigations, data coordination, audits for regulatory compliance, and managing recovery of misappropriated funds in...Suggested
- ...investigations professional to develop and maintain an anti-fraud program, conduct field investigations, and coordinate with law enforcement... ...and members, prepares cases for referrals, and ensures compliance with HIPAA and internal policies. Required are a Bachelor's degree...Suggested
- ...experienced operations and program professional to own a... ...work closely with the Fraud and Risk Program Lead... ...Fraud Investigations, Compliance, Risk, Legal and other... ...schedule: work fully remotely or from your nearest... ...the office ~ Private healthcare benefits: to protect...Remote workFull timeWork at officeHome officeFlexible hours
$85.04k - $162.55k
...spouses. USAA roles may offer remote or hybrid flexibility for... ...a dedicated Mid-Level Fraud Strategy Analyst, you will be accountable for... ...strategy engines to enforce compliance policies and proceduresWhat... ...assistance, paid time off program with paid holidays plus 16...Remote workFull timeH1bWork at officeHome officeRelocation package$72k - $120k
We are a hybrid, remote-office company dedicated to growing our talent... .... About the Role: Within the Fraud Risk Management and... ...investigation, escalation, and overall program performance. What You Will Do... ...and BSA/AML Operations, Compliance, Risk, Product, and Technology...Remote workWork experience placementWork at officeLocal area- ...Health seeks an investigator to develop and maintain an anti-fraud program, conduct investigations of fraud, waste, and abuse, and coordinate... ...as needed. You will also conduct audits to ensure regulatory compliance and contribute to recovery/savings of misappropriated funds,...
$77.5k - $99k
...by states and managed healthcare organizations to better... ...Job Summary The Program Integrity Fraud Audit & Investigations Analyst conducts fraud, waste,... ...restrictions, and EVV compliance Partner with the analytics... ...Working Conditions: Remote work with occasional...Remote workLocal area$65k - $88.6k
...caring community The Fraud and Waste Professional... ...Carolina's Medicaid Program. The Fraud and Waste... ...Analyze healthcare payment methodologies,... ...documentation integrity, and compliance with applicable policies... ...Work Style Fully remote in the contiguous US,...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...OverviewThis is a remote role that may only be hired in the following... ...communicates analysis output.Fraud Prevention - Investigates... ...to stop further loss. Ensures compliance with Bank regulations... ...designed and quality benefits program to meet the needs of our associates...Remote workMonday to Friday
$60.2k - $107.4k
...Fraud AnalystOptum is a global organization that... ...scale. Join us in making healthcare work better for... ...Growing together.The Fraud Analyst will be responsible for... ...carries out strategies and programs to reduce risk and... ...with Operations, Compliance, and IT teams to resolve...Minimum wageFull timeWork experience placementLocal area$100k - $135k
...Fraud Analyst (Sat-Weds)Palo Alto, CA; New York, NYSpaceXAI's mission... ...Saturday–Wednesday schedule. Remote work is permitted on Saturdays... ...reviews of the BSA/AML program.Provide guidance and training... ...OFAC sanctions, and related compliance frameworks.Experience using...Remote workPermanent employmentFull timeTemporary workWork at officeWeekend work- ...Financial Management Service provider, seeks a Program Integrity Fraud Audit & Investigations Analyst to oversee FWA investigations, quality... ...plans, and internal teams to ensure compliance and case readiness. The role involves remote work with occasional travel, handling...Remote work
- ...Solutions LLC supports the VA War Room and provides analytical and operational support for fraud, waste and abuse leads, case development and governance reporting. The Program Analyst helps prepare decision packages, maintains tracking tools, drafts SOPs and reports, and...Remote work
$91k - $169k
...Analytics & Strategy Specialist (Fraud Model Analyst) within PNC's Technology... ...audit, and regulatory compliance partners. This communication... ...multiple model developers in remote locations, including... ...Operational Risks, Python (Programming Language), Quantitative Models...Remote workFull timeTemporary workPart timeWork experience placementWork at office- ...periodThe Risk Management and Accreditation Program Manager serves as a highly visible champion of regulatory compliance and managing clinical risk throughout the region... ...be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row...Daily paidFull timeTemporary workWork at officeMonday to FridayShift work
$70k - $105k
...banking has a distinct fraud profile. Minor cardholders... ...scale. As Till's Fraud Analyst, you will own fraud... ...directly to the Head of Compliance. This is a hands-on role... ...in our fraud detection program and propose process... ...leave Flexible time off Remote-first, NYC preferred for...Remote workH1bVisa sponsorshipWork visaFlexible hours- ...Focusing on real-time fraud monitoring and investigations, the full-time Fraud Risk Analyst will engage with clients, support dispute/chargeback processes... ...internal teams to protect cardholders and program funds in a fully remote environment. Key Responsibilities Monitor...Remote workFull timeWork at office
- ...Senior Healthcare Fraud InvestigatorArlo Solutions is supporting the Department... ...) Office of Integrity and Compliance (OIC) in standing up and... ...Government personnel.Location: REMOTE - Local to Washington,... ...years of federal healthcare program integrity and fraud investigations...Remote workContract workFor contractorsWork at officeLocal area
$59.47k
...Description: At Regions, the Fraud Data and Analytics Analyst transforms data into a... ...questions Ensures compliance by performing quality data... ...analytical software and programming such as Structured Query... ...the role may currently be remote, associates may be required...Remote workFull timeWork at officeWork from homeVisa sponsorshipWork visaFlexible hours3 days per week- ...Pharmacy Technician to triage clinical program calls, schedule consultations, and perform... ...issues as needed while ensuring HIPAA compliance and adherence to SOPs. Ideal candidates... ..., at least 1 year in a clinical healthcare setting, and strong customer service and...Remote work
- ...Kellermeyer Bergensons Services, LLC (KBS) seeks a Program Manager, Healthcare to lead the rollout and ongoing success of its... ..., standardized execution, and regulatory compliance across multiple accounts in a remote environment. The role emphasizes transition management...Remote work
$93k - $156k
...PATRIOT Ground Support Equipment Product Office is seeking a Program Analyst to serve as the Product Office Risk Manager. In this... ...initiatives for the DoD to highly assured and compliant solutions for healthcare, we understand that digital transformation is key to your...Contract workWork experience placementH1bWork at office- ...Keeper Security, Inc. is seeking a Senior Compliance Program Manager to lead regulatory compliance and governance across enterprise and federal environments. This remote role supports audit readiness, policy governance and third-party risk management with collaboration...Remote work
- ...Lead Enterprise Fraud Risk Analyst - RemoteThe Lead Enterprise Fraud Risk Analyst is responsible... ...mature Amtrak's fraud risk management program. The Analyst is a member of the Fraud... ...controls using data analysis to assess compliance with applicable laws, regulations, and...Remote workHourly payContract workTemporary workWork experience placement
- ...Government Programs Actuarial Analyst IIMass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are at the forefront... ...Job Details (if applicable):This is a remote role that can be done from most US...Remote workFull timeWork at officeMonday to FridayFlexible hoursShift work
- ...Zachary Piper Solutions is seeking a Program Analyst to support a Government Consulting company providing services to the Department... ...Health Administration (VHA) Office of Integrity and Compliance (OIC) through 100% remote work. Responsibilities include supporting FWA case...Remote workWork at office
- Humana Inc. is seeking a Fraud and Waste Professional to conduct comprehensive... ...suspected fraud within Medicaid-related programs. The role emphasizes evidence... ...coordination with law enforcement to ensure compliance and integrity. Fully remote in the contiguous US with some...Remote job
$85k - $97.5k
...Description: Summary The Senior Fraud Analyst supports the Credit Union’s digital fraud prevention program by monitoring, investigating,... ..., digital account opening, remote deposit capture, card-not-... ...IT, Cybersecurity, Payments, Compliance, and BSA/AML during fraud...Remote workFull timePart timeWork at officeFlexible hours- ...Pathward Financial, Inc. is seeking a Business Risk Program Director (Commercial Credit Advisor) to serve as a first line BRG advisor embedded within the business. The role identifies, assesses, and mitigates commercial finance risks that could affect Pathward’s strategic...Remote work
- ...Avalon Healthcare Solutions seeks a Clinical Policy & Government Programs Specialist to support regulatory and compliance functions, including NCD/LCD enforcement and state Medicaid alignment. The ideal candidate is a licensed Nurse Practitioner with coding credentials...Remote work
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