Remote Dental Fraud & Waste Lead Investigator
Humana Inc
- Remote job
Humana Inc is seeking an experienced Dentist for a remote position as the Dental Fraud and Waste Lead. You will investigate complex dental cases and perform clinical reviews related to fraud and abuse. The role also involves educating a team on dental standards. Required qualifications include a DDS or DMD degree, minimum of five years of clinical experience, and strong communication skills. The position offers flexibility in work hours and a competitive benefits package. #J-18808-Ljbffr Humana Inc
- Humana Inc is seeking an experienced Dentist to join their Dental SIU Team as a Fraud and Waste Lead. In this remote position, you will investigate dental fraud and produce comprehensive reports, while providing education to a team of investigators. With a Doctor of Dental...Remote jobDentalFraud
$86.3k - $118.7k
...Atlanta, Georgia is seeking an experienced Dentist for a remote position with the Dental Fraud and Waste Team. The role involves conducting clinical reviews... ...fraud and providing education to a team of dental investigators. The ideal candidate must have a DDS or DMD degree,...Remote jobDentalFraud$86.3k - $118.7k
...is looking for an experienced Dentist to join their Dental Fraud and Waste Lead team. This remote position involves conducting thorough clinical reviews... ...dental cases and collaborating with a team of investigators. The ideal candidate will possess a DDS degree, at least...Remote jobDentalFraud$86.3k - $118.7k
...is looking for an experienced Dentist to join their Dental SIU Team focused on fraud and waste investigations. The role involves conducting clinical reviews,... ...clinical experience are required. This position is remote, with occasional travel for training. Benefits start...Remote jobDentalFraud- Humana Inc is looking for an experienced Dentist to join their Dental SIU Team as a Fraud and Waste Lead. This remote role involves conducting clinical reviews, preparing reports, and providing education on dental standards. The ideal candidate must have a DDS or DMD and...Remote jobDentalFraud
$86.3k - $118.7k
Humana Inc is looking for an experienced Dental Fraud and Waste Lead to join their remote team. The role involves investigating complex dental cases, completing clinical reviews, and educating a team on dental standards. Candidates should have a DDS or DMD and at least...Remote jobDentalFraudWork at office$70k - $90k
...partner is looking for a Senior Investigator - Lead Validation (Healthcare FWA)... ..., and analyzing potential fraud, waste, and abuse through advanced... ...necessary. This is a fully remote, detail-intensive role for... ...package including medical, dental, vision, disability, and...Remote workDentalFraudFull timeFlexible hours$86.3k - $118.7k
...caring community The Humana Dental SIU Team has an exciting... ...Dentist who loves to investigate and finding solutions to complex... ...Within this position the Dental Fraud and Waste Lead for the Humana Dental SIU... ...an impact WORK STYLE: Remote/work at home. While this is...Remote workDentalFraudFull timeTemporary workFor contractorsWork from homeHome officeMonday to Friday- ...healthcare. At MedImpact, we deliver leading edge pharmaceutical and technology... ...Description Summary: The Fraud, Waste, and Abuse Investigations Manager handles the operational... ...travel. The Perks: ~ Medical / Dental / Vision / Wellness Programs ~...Remote workDentalFraudContract workLocal areaMonday to FridayFlexible hoursNight shiftWeekend work
$58.9k - $80.07k
...The Investigator within the Special Investigations Unit (SIU) will be... ...investigations of alleged misconduct and Fraud, Waste and Abuse by providers,... .... This position is 100% remote. Scope Of Responsibilities... ...benefits such as, medical, dental and vision coverage,...Remote workDentalFraudTemporary workWork experience placementLocal area$83k - $132.8k
...Job Summary: The Special Investigations Unit (SIU) Investigator Lead is the face of the SIU with external federal... ...potential FWA and support ongoing fraud investigations. Utilizes a variety... ...risks and guard against fraud, waste, and abuse by interacting with internal...Remote workFraudHourly payWork experience placementLive inWork at office- ...Point32Health is seeking an Investigator II for the Special Investigation Unit. This role involves leading investigations into fraud, waste, and abuse, requiring a Bachelor's degree and 3-5 years of experience in health insurance or fraud investigations. The Investigator...Remote workFraud
$46.99k - $112.2k
...looking for an experienced Senior Healthcare Fraud Investigator to join the Special Investigations Unit... ...investigations into healthcare fraud, waste, and abuse. Your responsibilities... ...additional benefits including medical, dental, and vision coverage. #J-18808-Ljbffr...Remote jobDentalFraudFull time$18 - $30 per hour
...Surveillance Prep Investigator/Surveillance This is a hybrid... ...capability in both remote and field environments.... ...hourly rate ~ Medical, Dental, and Vision Insurance... ...plan of action minimizing waste of time, effort and... ...Experience in insurance claims, fraud investigations, or...Remote workDentalFraudHourly payNight shiftWeekend work$70k - $90k
Senior Investigator - Pre-Pay (Healthcare FWA) Job Location: US-Remote Overview As a Senior Investigator, you will investigate... ...incidents of healthcare fraud, waste, or abuse through data analysis... ...family needs, including medical, dental, vision, disability, and life insurance...Remote workDentalFraudWork experience placementWork at officeWork from home- Profile We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA... ...a favorably adjudicated DOD background investigation for this position. Veterans, Reservists... ..., and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the...Remote workFraudContract workFor subcontractorInterim role
$97.53k - $141.42k
...Senior Fraud, Waste, Abuse (FWA) Investigator Main Office - Santa Barbara, CA 93110 Start Date 05/29/2026... ...This role may offer opportunities for remote work; however, familiarity with and... ...from external and internal sources; Leads and manages the intake referral from...Remote workFraudFull timeContract workWork at officeLocal area$63.59k - $121.53k
Life Special Investigations Unit Investigator I (Mid-Level) - Medicare Supplement Fraud Waste & Abuse Join to apply for the Life Special Investigations Unit Investigator I... ...These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life...DentalFraudFull timeContract workH1bWork at officeRelocation packageFlexible hours$66.33k - $145.86k
...contributor role supports complex investigations and contributes to... ...plays a key role in identifying fraud risks, supporting program integrity... ...losses related to fraud, waste, and abuse. Performs complex... ...this position include medical, dental, and vision coverage, paid...DentalFraudHourly payFull timeTemporary workLocal area- ...The State of Minnesota is seeking an Investigator in St. Paul to work within the Children Youth & Families Department. The successful candidate will conduct investigations and compliance monitoring regarding childcare providers. This full-time position requires a bachelor...Remote workFraudFull time
$73.35k - $122.25k
...oriented, analytical LTC Fraud Consultant to help... ...Care (LTC) Fraud, Waste & Abuse (FWA)... ...that support investigations, surface emerging... ...Responsibilities Lead targeted customer... ...Massachusetts - Full Time Remote. Salary range is... ...including health, dental, mental health, vision...Remote workDentalFraudFull timeTemporary workLocal areaFlexible hours- DelDOT is seeking an Investigator III to lead inquiries into fraud, waste, and misconduct within the state government. The role includes conducting thorough investigations, collecting evidence, and collaborating with various agencies to ensure effective outcomes. Applicants...Remote workFraudFlexible hours
- ...CalOptima is seeking a Sr. Investigator for Fraud, Waste, and Abuse in Orange, CA. This role involves performing complex investigations, ensuring compliance with regulations, and engaging with community partners to enhance health service delivery. The ideal candidate has...Remote workFraud
$216.41k
...prevention, and digital fraud solutions. This person... ...leader and visionary Leads the development of innovative... ...streamlining Fraud, waste and abuse Data and... ...starting pay range for this remote role is $216,405 - 480,... ...may include medical, dental, and vision insurance,...Remote workDentalFraudTemporary workWork experience placementFlexible hours$90k - $118.65k
...Position Summary The Investigator, Corporate Security & Global Investigations is responsible... ...conducting investigations involving theft, fraud, cargo theft, inventory loss, workplace... ...role: tuition reimbursement; medical, dental, and vision insurance; prescription drug...DentalFraudTemporary workLocal area$30 - $35 per hour
A leading investigative firm based in Nashville seeks experienced part-time SIU Investigators to join... ...role involves investigating potential fraud in insurance claims, conducting interviews... ...additional benefits including medical, dental, and retirement plans. #J-18808-Ljbffr...Remote jobDentalFraudHourly payPart timeWork at office$62k - $78k
...Shut down Trump's bogus "voter fraud" commission. Revealed the... ...Reporting to the Director of Investigations, American Oversight is... ...that includes 80% of health, dental, and vision premiums paid by... ...a matching contribution, and remote office reimbursements for personal...Remote workDentalFraudFull timeWork experience placementWork at officeLocal area$51k - $80.07k
Healthfirst is looking for an Investigator within the Special Investigations Unit (SIU) to conduct complex investigations of alleged misconduct and fraud in a fully remote position. The ideal candidate must possess an Associate's degree in criminal justice or equivalent...Remote jobFraud$63k - $84.42k
...position is accountable for analytical and investigative activities (external and internal)... ...to detect, receive and review suspected fraud and to complete cases with all information... ...Comprehensive health benefits (Medical/Dental/Vision) Retirement Plans Generous...Remote workDentalFraudLive inLocal area$70.5k - $94.4k
...requisite documentation to conduct low level investigations. The incumbent will also support the... ..., receive and review suspected fraud and to complete cases with all information... ...Comprehensive health benefits (Medical/Dental/Vision) Retirement Plans Generous...Remote workDentalFraudLive inLocal area
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