Remote Senior Healthcare Fraud Investigator
Hispanic Alliance for Career Enhancement
- Remote job
The Hispanic Alliance for Career Enhancement is seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit. This role involves managing complex investigations into suspected healthcare fraud, waste, and abuse while enabling remote work anywhere in the United States. The ideal candidate will have 3-5 years of investigative experience, solid research skills, and proficiency with Microsoft Office products. This position offers a comprehensive benefits package and is designed to support colleagues' well-being. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$46.99k - $112.2k
Hispanic Alliance for Career Enhancement is looking for an experienced Senior Healthcare Fraud Investigator to join the Special Investigations Unit in the United States. In this full-time position, you will manage complex investigations into healthcare fraud, waste, and...Remote jobSeniorFull time- Centene Management Company LLC is seeking a skilled investigator to handle allegations of healthcare fraud and abuse in New York. In this role, you'll plan, organize, and execute claims investigations, utilizing your expertise in data mining and report creation. The ideal...Remote jobSeniorFlexible hours
- UnitedHealthcare is seeking a Senior Investigator Pharmacy to identify, investigate and prevent healthcare fraud, waste, and abuse. This role focuses on utilizing claims data and conducting field investigations. Applicants must reside within commutable distance to Los...Remote jobSeniorWork experience placementWork at office
- ...Focusing on fraud and risk operations within financial products, the full-time remote Senior Fraud Investigator will manage investigations related to identity verification, account misuse, and fraud prevention while collaborating with cross-functional teams to enhance...Remote workSeniorFull timeShift work
$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...Senior- ...Seeking a full-time remote Healthcare Fraud Investigator, the successful candidate will manage complex investigations into healthcare fraud, waste, and abuse, utilizing data analysis techniques and serving as a subject matter expert while collaborating with various stakeholders...Remote workFull time
- River Run Services LLC is seeking a Sr. BSA Fraud Analyst to support AML/CFT and fraud prevention efforts through investigation of suspicious activity and transaction analysis... ...model, three days in-office and two days remote, balancing collaboration with flexibility. The...Remote workSeniorWork at office
$77k - $97k
West Bend Insurance Company is seeking a Fraud Investigator to work remotely but may require occasional travel to Arizona for team activities. This role involves investigating suspected insurance fraud across various lines including auto and property. The ideal candidate...Remote jobSenior- Verity Credit Union is looking for a Senior AML/Fraud Investigator to support fraud and anti-money laundering initiatives. This fully remote role based in Seattle, WA requires extensive investigative skills, compliance knowledge, and collaboration with law enforcement....Remote jobSenior
- ...New York is seeking a motivated Specialist to enhance player experience by providing accurate assistance with payments and fraud investigations. Responsibilities include analyzing financial transactions, validating customer documentation, and creating internal controls...Remote jobSenior
$46.99k - $122.4k
CVS Health is seeking a dedicated professional for the role focused on healthcare fraud investigation. The successful candidate will handle complex cases, prevent fraudulent claims, and cooperate with law enforcement. Qualifications include 3 years of experience in fraud...SeniorFull time$46.99k - $122.4k
The Hispanic Alliance for Career Enhancement is seeking a Health Care Fraud Investigator to manage complex cases and aid in preventing fraudulent claims. The role demands 3 years of experience in health care fraud investigations, familiarity with comprehensive coding standards...SeniorFull time$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...SeniorFull time- Medica seeks an SIU Investigator IV to lead advanced investigations into suspected fraud, waste, and abuse. This role is pivotal in managing complex cases, conducting specialized audits, and ensuring compliance with legal standards. The ideal candidate will have over 7...SeniorWork at office
$46.99k - $122.4k
CVS Health, located in Town of Florida, New York, is seeking a Fraud Investigator with experience in healthcare fraud and abuse investigations. The role involves handling complex cases, conducting investigations, and documenting findings efficiently. The ideal candidate...SeniorFull time$61.5k - $136.1k
A healthcare organization is seeking a Fraud Investigator to join its team in Chicago, IL. This role requires the incumbent to identify and manage complex healthcare fraud investigations, prepare detailed reports, and work closely with law enforcement. Ideal candidates...SeniorWork at office3 days per week$70.2k - $105.32k
Medica is looking for an SIU Investigator IV to lead advanced investigations into fraud, waste, and abuse. This role requires overseeing complex cases, conducting audits, and collaborating with law enforcement. Candidates should have a bachelor’s degree and over 7 years...Senior$46.99k - $112.2k
...Hartford, Connecticut, is seeking an experienced investigator to analyze Pharmacy and Prescriber behavior, preventing Fraud, Waste, and Abuse. This role is crucial for... ...enforcement. The ideal candidate will have 3-5 years in healthcare fraud investigation, proficiency in data...SeniorFull timeLocal area- CVS Health in Pennsylvania is seeking a skilled professional to manage complex cases involving health care fraud. The candidate will investigate claims, collaborate with law enforcement, and ensure adherence to health care regulations. Interested individuals must hold a...SeniorFull timeWork at office
$55.9k - $123.5k
...in Chicago is seeking an experienced individual to join its Fraud Investigations team. The role involves developing investigation tools,... ...should have a Bachelor's degree and at least three years of healthcare fraud investigative experience. This position offers a hybrid...SeniorWork at office3 days per week$61.5k - $136.1k
HCSC is seeking a Fraud Investigator to lead complex investigations into healthcare fraud. The candidate will conduct detailed analyses and prepare reports for legal authorities, while mentoring junior investigators. This hybrid role requires in-office presence three days...SeniorWork at office3 days per week- A government agency is seeking a Law Enforcement Investigator II in West Palm Beach, Florida. Candidates must possess a high school diploma... ....S. citizen, and pass a physical examination. Experience in healthcare fraud investigations and a solid background in law enforcement are...Senior
$78.8k - $131.3k
...LexisNexis Risk Solutions is seeking a Sr Fraud Analyst to provide analytical support to... ...experience in data analysis and fraud investigation. The position offers a base pay range of... ...78,800 - $131,300 and the possibility of remote work within the U.S. #J-18808-Ljbffr...Remote workSenior$78.32k - $128.16k
Elevance Health seeks an Investigator II in Los Angeles to investigate healthcare fraud cases, requiring a BA/BS and at least 3 years of experience. The role entails... ...collaboration while providing the flexibility of remote work. The salary range is $78,320 to $128,160,...Remote work- Centene Corporation is looking for a dedicated investigator to monitor healthcare fraud activities. You will utilize your investigation skills to ensure... ...benefits package and a flexible work environment including remote options. #J-18808-Ljbffr Centene CorporationRemote jobFlexible hours
$67.64k - $101.46k
Elevance Health is seeking an Investigator II in Atlanta, Georgia, to lead investigations into healthcare fraud. The role combines in-office collaboration 1-2 days a week with remote flexibility. Responsibilities include conducting claim reviews, developing investigations...Remote workWork at office2 days per week1 day per week- 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
- UnitedHealth Group in Omaha, Nebraska, seeks an investigator to assess fraud and misconduct allegations. You will conduct investigations, analyze data, and ensure compliance with regulations while collaborating with internal and external partners. The ideal candidate has...Remote job
- Crains Cleveland is seeking an experienced fraud investigator for a role focused on analyzing behaviors related to fraud, waste, and abuse (FWA) in healthcare. The position requires 5+ years of experience in fraud investigations, a high school diploma, and relevant certifications...Remote jobSenior
- ...Corporation in Austin is seeking a candidate for the role of Investigator to support healthcare fraud investigations. This position requires a bachelor's... ...activities, and providing detailed reports. This remote role offers competitive pay, a comprehensive benefits package...Remote jobFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Senior Healthcare Fraud Investigator. Be the first to apply!
- program coordinator remote Hartford, CT
- remote prior authorization pharmacist Hartford, CT
- remote customer service chat Hartford, CT
- remote html Hartford, CT
- remote coding part time Hartford, CT
- security analyst remote Hartford, CT
- part time remote medical coder Hartford, CT
- claim representative (remote) Hartford, CT
- junior python remote Hartford, CT
- remote technician Hartford, CT

