Senior FWA Investigator - Healthcare Claims & Compliance
$46.99k - $112.2kHispanic Alliance for Career Enhancement
Hispanic Alliance for Career Enhancement is looking for a Sr. Analyst in Fraud, Waste, and Abuse to assist in investigating incidents and ensuring compliance in healthcare services. You will leverage your analytical skills to identify patterns of fraud and manage documentations related to suspected cases. The ideal candidate has 3-5 years of healthcare experience, CPC certification, and a detail-oriented approach. Full-time role with comprehensive benefits and a salary range from $46,988 to $112,200. #J-18808-Ljbffr
$156k - $213.6k
...platform for consumers and customers. As a Senior Fraud and Abuse Operations Analyst,... ...responding to fraud and abuse events, investigating claims, and triaging incidents. We also... ...communicate effectively with internal Legal, Compliance, Comms and other risk management teams...SeniorClaimsWork experience placementLocal area$46.99k - $112.2k
...Summary We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations... ...of healthcare fraud, waste and abuse (FWA). Work Location This position can be... ...prevent payment of suspect or fraudulent claims submitted by insureds, providers,...SeniorClaimsHourly payFull timeTemporary workWork experience placementLocal areaWork from home$115.2k
...outstanding opportunity for a Senior Clinical Risk Manager... ...the review, triage, investigation, and resolution of... ...safety, quality, compliance, and other partners to... ...liability events in a healthcare risk management setting... ...professional liability claims experience. Applicants...SeniorClaimsFull timeTemporary workWork experience placementWork at officeRemote workShift workDay shift3 days per week$54.6 - $63.57 per hour
...The Seattle Office of Labor Standards is seeking a Senior Labor Standards Investigator to conduct complex workplace investigations and ensure compliance with labor standards laws. You will tackle a diverse caseload, mentor team members, and provide critical training and...SeniorHourly payFull timeWork at office- Company Overview: Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader...ClaimsWork experience placementWork at officeLocal area
$54.6 - $63.57 per hour
...social justice. The Office of Labor Standards offers two Senior Labor Standards Investigators positions in its Enforcement Division. These... ...directed, and complaint-based investigations and ensure compliance with Seattle’s labor standards ordinances, laws protecting...SeniorHourly payFull timeFor contractorsWork at officeLocal areaFlexible hoursShift work$78.32k - $128.16k
Elevance Health is looking for an Investigator II in Seattle, WA, responsible for investigating healthcare fraud and recovering corporate funds from fraudulent claims. This hybrid role requires in-office attendance 1 to 2 days per week, balancing collaboration with flexibility...ClaimsWork at office2 days per week1 day per week- Verity Credit Union is looking for a Senior AML/Fraud Investigator to support fraud and anti-money laundering initiatives. This fully remote role... ...in Seattle, WA requires extensive investigative skills, compliance knowledge, and collaboration with law enforcement. Key responsibilities...SeniorRemote job
- Kids for the Future is looking for a Senior AML/Fraud Investigator at our Seattle, WA Headquarters. This remote position involves minimizing risk... ...have strong analytical skills and experience in banking compliance and fraud detection. You will mentor staff and cross-collaborate...SeniorRemote job
$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...SeniorRemote jobFull time- ...Liberty Mutual Insurance in Seattle, WA, seeks a Surety Claims professional to manage complex claims with high autonomy. Responsibilities... ...strategies, collaborating with consultants, and ensuring compliance with legal standards. The ideal candidate has a law degree and...SeniorClaims
$85.1k - $161.58k
...Milliman, Inc is seeking a Data Engineer in Seattle, WA to develop and maintain data pipelines for healthcare claims and analytics. The ideal candidate will have over 5 years of experience in data engineering, substantial coding skills in SQL and Python, and a strong background...SeniorClaims- ...TechDigital Group is seeking a dynamic Senior Manager in Washington to lead our Complex Claims division, focusing on healthcare revenue cycle management and Third-Party Liability claims. The successful candidate must have at least 7 years of experience and leadership...SeniorClaims
$85.1k - $161.58k
...Milliman's Seattle office seeks a data professional for the VRDC analytics team. The role involves developing data pipelines for healthcare claims, ensuring data accuracy, and using strong SQL and Python skills. Candidates should have over 5 years of experience in data...SeniorClaimsWork at officeRemote work$27 - $30 per hour
Overview Claims Investigator - Full Time Seattle, WA Uncover the Truth. Protect the Integrity. Advance Your Career. At CoventBridge Group... ...‑service investigations providing: Surveillance, SIU and Compliance, Claims Investigation, Counter‑Fraud Programs, Desktop Investigations...ClaimsHourly payFull timeH1bH2bWork from homeWorldwideFlexible hoursNight shift- ...Job Description: The Senior Health Services Researcher... ...records (EMR/EHR), claims, and workforce data. The... .... Serve as Principal Investigator or Co-Investigator on... ...partners. Ensure compliance with complex reporting... ...methods to real-world healthcare data, including EMR/EHR...SeniorClaimsRemote job
$120k
...Responsibilities Ensure company standards are met in compliance with operations and servicing... ...compliance with all safety policies; investigate work‑related accidents promptly. Report... ...liability, property damage, and fidelity claims. Assist in district supply systems and ordering...SeniorClaimsHourly payContract workWork at officeLocal area$78.32k - $128.16k
...Investigator II Hybrid 1: This role requires associates to be in-office... ...cases against perpetrators of healthcare fraud in order to recover... ...client funds paid on fraudulent claims. How you will make an impact... ...May interface internally with Senior level management and legal department...ClaimsWork at officeLocal area2 days per week1 day per week- ...A leading healthcare organization in Seattle is seeking a Coding Specialist. This entry-level position involves reviewing provider claims for accuracy in coding and ensuring compliance with regulatory standards. The ideal candidate will have coding certification and experience...Claims
$140k - $240k
...Senior Legal Counsel - Labor & Employment Posted on March 3, 2026 Location Seattle, WA 98104, USA Compliance/Legal Full-Time Requisition #: SENIO003494 Description Salary range is $140... ...whistleblower complaints, wrongful discharge claims, drafting employment agreements and...SeniorClaimsFull timeContract workWork at officeLocal area$69.92k - $133.62k
...work within defined guidelines and framework, investigate, evaluate, negotiate, and settle complex property insurance claims. You will confirm and analyze coverage,... ...exposure, and negotiate equitable settlement in compliance with all state regulatory requirements. You will...SeniorClaimsH1bLocal areaAfternoon shift- ...that be you? About the Role We're seeking an experienced Senior Product Manager to join our healthcare vertical solutions team. In this role, you'll build... ..., including referral management, prior authorization, claims submissions, and denials management. You'll be responsible...SeniorClaimsFlexible hours
- ...the United States. We are seeking a Mid‑Senior Immigration Paralegal to take on meaningful... ...to strengthen extraordinary ability claims Conduct and contribute to salary analysis... ...recommendation for strategic alignment, clarity, and compliance with USCIS standards Advise clients and...SeniorClaimsPermanent employmentLocal areaRemote work
- ...The Spirit of the Position: The Senior Human Resources Business Partner (Sr. HRBP... ...Principal Job Duties: HR Processes & Compliance Administers annual HR Audits and... ...Actively manages workers compensation claims and compliance for assigned regions....SeniorClaimsHourly payWork at officeLocal areaHome office
- ...enhance patient revenue through accurate claims processing. You will interpret billing requirements... ...payer coordination, and assist with compliance and coding issues. The ideal candidate will have demonstrated experience in healthcare billing, with knowledge of state and...Claims
- ...Handles the most complex Surety claims matters with a high degree of... ...assigned accounts. Directly investigates, evaluates, and implements... ...for the implementation of, and compliance with surety claims procedures... ...with all of Surety Senior Management to ensure expedient...SeniorClaimsContract workWork at officeLocal area2 days per week
- ...About Cedarhurst Cedarhurst Senior Living is a leading provider... ...accounts management, and regulatory compliance. In addition, the Assistant... ...workers’ compensation claims, ensuring compliance with state... ...business administration, finance, healthcare administration, or related...SeniorClaimsContract workWork at officeHome office
- ...Infection Preventionist to oversee infection prevention and control programs in a healthcare facility. The role calls for a qualified RN or LPN with a strong focus on patient safety and compliance with regulations. The successful candidate will have a nursing degree,...Senior
- ...(ESi) is an engineering and scientific investigation and failure analysis firm. We are frequently... ...and product failures, personal injury claims, and damage to residential, commercial,... ...products and environments, ensuring compliance with applicable standards in a...SeniorClaimsHourly payPart timeWork at officeFlexible hours
- ...reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client specific policies, nationally recognized...ClaimsFor contractors
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior FWA Investigator - Healthcare Claims & Compliance. Be the first to apply!
- investigator Seattle, WA
- case investigator Seattle, WA
- forensic investigator Seattle, WA
- research investigator Seattle, WA
- security investigator Seattle, WA
- housing investigator Seattle, WA
- human rights investigator Seattle, WA
- compliance investigator Seattle, WA
- special investigator Seattle, WA
- senior investigator Seattle, WA

