Remote SIU Investigative Analyst III - Healthcare Fraud
The Intersect Group
- Remote job
The Intersect Group is seeking a SIU Investigative Analyst III for a remote, West Coast-aligned contract opportunity focused on healthcare fraud intake, triage, and regulatory reporting. You will analyze leads across multiple systems, develop cases, and prepare clear investigative reports to support investigations. Responsibilities include overseeing reporting processes, collaborating with regulators, mentoring juniors, and ensuring compliance with Medicare/Medicaid reporting requirements while #J-18808-Ljbffr The Intersect Group
- 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 jobFraudFlexible hours
- ...your job application. Healthcare Fraud Shield will not contact... ...Clinical Coder/Fraud Investigator to join our team. RESPONSIBILITIES... ...Work with SIU Team (Clinical... ...CPCs, Investigators, Analysts-including performing quality... ...development initiatives ~ Remote work eligible...Remote workFraudFull timeFlexible hours
$60k - $87.4k
...Description This job is responsible for investigating and analyzing complex, multi-... ...to the special investigation unit (SIU) for potential fraud. This role typically handles a... ...Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing...Remote workFraudContract workWork at officeWork from homeVisa sponsorshipWork visa- ...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... ...skills, and MS Office proficiency. Remote work from the Chicago area is preferred...Remote jobFraud
- A leading company in healthcare fraud prevention is seeking a talented Coder or Clinical Coder/Fraud Investigator. This full-time role involves analyzing patient medical records... ...compliance with coding guidelines. The position is remote work eligible, requiring a CPC...Remote jobFraudFull time
$28.1 - $42.15 per hour
...hours / Days Hybrid or Remote Join a mission‑driven... ...ensuring integrity in healthcare claims, this is your opportunity... ...Internal Audit and the Fraud, Waste and Abuse (FWA) Committee for investigations and provider... ...schemes and ensures the SIU processes and procedures...Remote workFraudDaily paidFull timeTemporary workFlexible hours$57.8k - $78.2k
...Cambia’s dedicated team of SIU Investigators are living our mission to make... ...into allegations of fraud and abuse. Responsibilities... ...analytical skills to ensure every healthcare dollar is spent appropriately... ...Investigations Unit (SIU) Investigator III Oregon, Washington, Utah,...FraudWork at officeLocal areaImmediate startWork from homeRelocationFlexible hours3 days per week- ...The OT Cyber Risk Specialist III is responsible for identifying... ...-party vendors, OEMs, and remote maintenance access to manufacturing... ...Defense (GRID)BE AWARE OF FRAUD: When applying for a job at... ...contact the Federal Bureau of Investigations internet crime hotline ( the...Remote workFraudFull timeWork at officeLocal areaWorldwide
- ...A national investigative services firm seeks a meticulous SIU Investigator to conduct thorough investigations into potential fraud. Responsibilities include scene recreations, witness statements, obtaining documents, and compiling detailed reports. Ideal candidates will...Fraud
- ...Safepoint Insurance is seeking an SIU Examiner in Louisiana to identify and handle all aspects of fraud investigations within the Claims Department. You will review SIU reported... ..., and the ability to work independently in a remote home-office environment. #J-18808-Ljbffr...Remote workFraudHome office
- ...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 workFraud
- ...seeking skilled and experienced Field Investigators for a fully remote, as needed position. This role... ...investigating various insurance claims including fraud and liability, offering flexible... ...and Special Investigations Unit (SIU) assignments, ensuring adherence to instructions...Remote workFraudFlexible hours
- VRC Investigations seeks experienced SIU investigators to support multi-line insurance fraud investigations. Work from home options are available with a hybrid model and travel within the advertised city and state is required. You will interview insureds and witnesses,...Remote jobFraudWork from home
- SafePoint Insurance is seeking a seasoned SIU Investigator to manage fraud investigations across our claims portfolio. You will review referrals, conduct... ...626 requests, and stay current with state regulations. Remote work from a home office is supported with a professional...Remote jobFraudWork from homeHome office
$155k - $165k
...transforming the healthcare space by building... ...Program Integrity Analyst is a key member of... ...responsible for identifying fraud, waste, and abuse... ...intersection of investigative analysis, product... .... This is a remote opportunity for candidates... ...integrity, SIU investigation, or...Remote workFraudFull timeLocal areaNight shift- Argo Group is seeking a highly capable SIU Analyst to support investigative teams across Argo and Farm Family brands. The role can be based in multiple... ...role emphasizes investigative analytics, data-driven fraud detection, and collaboration with claims, underwriting,...FraudWork at office
- A national investigative services firm is seeking an experienced SIU Investigator to conduct thorough investigations into potential fraud and misconduct. The ideal candidate will gather evidence through various methods including interviews and document retrieval, while...Fraud
$149k - $160k
...mission to transform the U.S. healthcare system — and we’re the only... ...exceptional AI-Native Data Analyst III to join our Reporting team.... ...ambiguous questions. Run deep-dive investigations into complex business... ...Teladoc Health and more. Fraud and Security Notice: Please...FraudFull timeWork at officeWork visaFlexible hours3 days per week- ...Group is partnering with a mission driven healthcare organization to recruit a Special Investigation Unit Investigator III- Healthcare. This remote opportunity on the West Coast hours... ...program integrity by investigating complex fraud, waste, and abuse in healthcare. You...Remote jobFraud
- SIU Investigative Analyst Company: Combined, a Chubb Company We are seeking a dedicated Investigative Analyst to join our Special Investigations... ...procedures. Regulatory Reporting Submit required fraud referrals and case updates to State Departments of Insurance...FraudFull timeWork at officeLocal area
- ...CVS Health is hiring an SIU Investigator in New Jersey to conduct investigations aimed at preventing and prosecuting healthcare fraud and abuse, and to help recover funds while complying with federal and state regulations. Ideal candidates have 1–3 years of experience,...Fraud
- National General Insurance is seeking an experienced SIU Field Investigator to join the Special Investigations Unit in New York. This field-based role will cover Bronx, Manhattan, Westchester and surrounding areas, performing surveillance, site inspections, witness interviews...Remote jobFraud
- ...CVS Health is seeking a SIU Investigator to conduct investigations into healthcare fraud and abuse, pursuing prevention, investigation, and prosecution. You will help recover funds and ensure compliance with federal and state regulations, while leveraging open-source...Fraud
- ...Director - Behavioral Health for the Special Investigations Unit (SIU). This remote, full-time role supports investigators nationwide, providing clinical expertise in fraud risk assessment and data-driven monitoring of healthcare claims. The position requires a Board...Remote jobFraudFull time
- ...CVS Health is seeking an SIU Investigator to conduct investigations aimed at preventing, detecting, and prosecuting healthcare fraud and abuse. This role supports compliance with federal and state regulations and helps recover funds. The position requires 1–3 years in...Fraud
$62.1k - $92.7k
...SIU Field Investigator National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us... ...Investigator responsibilities include investigating suspected fraud, conducting detailed case reviews, and handling complex BI fraud...Remote workFraud- ...CVS Health seeks an SIU Investigator to conduct investigations into healthcare fraud and abuse, pursue prevention and prosecution, and recover funds while ensuring regulatory compliance. The role requires 1–3 years of investigative experience and proficiency with Word...Fraud
- ...of Electronic Health Record Analyst III - BID to, under minimal supervision... ..., with both on-site and remote work based on business need... .... Experience working in a healthcare setting, preferably government... ...enterprise requirements. Investigate, design, develop, test, and...Remote workWork experience placement
$160k - $185k
Knowesis is seeking a Senior Investigative Analyst to support the Pandemic Response Accountability Committee (PRAC) Analytics Center. The role... ...j and link analysis platforms is preferred. The position is remote with occasional visits to PRAC sites, requires Public Trust...Remote jobFraud$165.9k - $295.3k
...Investigative Analyst Unlock the secrets of intelligence with MANTECH! Join a dynamic team at the... ...of the Sponsor's mission Detecting fraud, waste, abuse, and misuse of information... ...specified role, geographic location (For Remote Opportunities), education and...Remote workFraudHourly payContract workTemporary workWork experience placementWork at officeLocal area
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