Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Healthcare Fraud Investigator

Centene Corporation

Centene Corporation seeks a candidate to investigate allegations of potential healthcare fraud and abuse. This role involves conducting thorough investigations and collaborating with Health Plans to ensure accurate resolutions. A Bachelor's degree or equivalent experience in the field is required. The position offers a remote working option for candidates residing within Ohio and provides a competitive pay range along with a comprehensive benefits package including health insurance and a 401K plan. #J-18808-Ljbffr

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Healthcare Fraud Investigator in Lansing, MI vacancy
  • $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...  ...Minimum 2 years of experience in healthcare fraud investigations... 
    Remote work
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Work from home
    Home office
    Monday to Friday

    Humana

    Dover, DE
    4 days ago
  • $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

    Centene Management Company LLC

    Wausau, WI
    22 hours ago
  •  ...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 work
    Flexible hours

    Centene Corporation

    Wausau, WI
    2 days ago
  •  ...Job Opportunity Council Capital is a healthcare-focused private equity firm based in...  ...analytics with expert review to surface fraud, waste, and abuse across Medicare, Medicaid...  ...but you will not manage anyone. Strong investigators here come from healthcare payer/vendor... 
    Remote work

    City of Groton

    United States
    2 days ago
  • 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

    New York, NY
    3 days ago
  •  ...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 work
    Flexible hours

    Centene Corporation

    Little Rock, AR
    2 days ago
  • $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 work
    Flexible hours

    Centene Management Company LLC

    Florida, NY
    4 days ago
  • 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

    Centene Management Company LLC

    Brooklyn, NY
    2 days ago
  • 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 work
    Work at office

    Community Care Plan

    Florida, NY
    3 days ago
  • $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 work
    Full time

    HireAligned

    Remote
    more than 2 months ago
  • $33.5 - $38.5 per hour

     ...insurance policy premiums. In this role, you’ll be responsible for collecting data from insured businesses, scheduling and conducting remote audit interviews, and compiling thorough audit reports for insurance providers. We contract the best because we believe great... 
    Remote work
    Hourly pay
    Contract work
    For contractors
    Work experience placement
    Live out
    Local area

    ReSource Pro

    Salt Lake City, UT
    1 day ago
  •  ...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 time
    For contractors
    Work experience placement
    Interim role
    Work at office
    Local area
    Monday to Friday

    Ardelle Associates

    Cedar Rapids, IA
    1 day ago
  •  ...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

    CVS Health

    Helena, MT
    3 days ago
  • $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 time
    Work at office

    Hispanic Alliance for Career Enhancement

    Sioux Falls, SD
    3 days ago
  •  ...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

    Hispanic Alliance for Career Enhancement

    Topeka, KS
    3 days ago
  • $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

    Hispanic Alliance for Career Enhancement

    Wausau, WI
    2 days ago
  •  ...Anticipated End Date: 2026-07-31 Position Title: Clinical Fraud Investigator II Job Description: Clinical Fraud Investigator II...  ...and medical records prior to payment. Researches new healthcare related questions as necessary to aid in investigations.... 
    Temporary work
    Work at office
    Local area
    Day shift
    2 days per week
    1 day per week

    Elevance Health

    Atlanta, GA
    10 hours ago
  • $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... 

    Hispanic Alliance for Career Enhancement

    Louisiana, MO
    3 days ago
  • $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 time
    Work experience placement
    Work at office
    Local area

    Contact Government Services LLC

    Baltimore, MD
    4 days ago
  •  ...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... 

    PacificSource

    Sunriver, OR
    2 days ago
  •  ...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

    Hispanic Alliance for Career Enhancement

    Nashville, TN
    3 days ago
  •  ...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 time
    For contractors
    Work at office

    CGS Federal (Contact Government Services)

    Baltimore, MD
    2 days ago
  • $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

    Hispanic Alliance for Career Enhancement

    Annapolis, MD
    3 days ago
  •  ...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... 

    IEHP

    Rancho Cucamonga, CA
    3 days ago
  •  ...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 time
    For contractors
    Interim role
    Local area
    Flexible hours

    CGS Federal (Contact Government Services)

    Oxford, MS
    3 days ago
  •  ...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

    CGS Federal (Contact Government Services)

    Charlotte, NC
    3 days ago
  • $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

    Hispanic Alliance for Career Enhancement

    Helena, MT
    3 days ago
  • $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... 

    Hispanic Alliance for Career Enhancement

    Virginia, MN
    2 days ago
  •  ...To enhance customer security, the full-time Fraud Investigator will focus on investigating account takeover (ATO) incidents and third-party fraud, managing high-risk cases remotely while providing empathetic support to customers during critical recovery events. Key responsibilities... 
    Remote work
    Full time

    Virtual Vocations Inc

    United States
    3 days ago
  •  ...Vouched Inc. in Seattle is hiring a Fraud Investigator to tackle identity fraud at scale and contribute to product development. This role engages...  ...a strong understanding of cybersecurity. The position is a remote role based in the US, offering competitive compensation and... 
    Remote work

    Vouched Inc.

    Seattle, WA
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Healthcare Fraud Investigator. Be the first to apply!