Remote Clinical Investigator, Behavioral Health Audits
Virtual Vocations Inc
- Remote job
Virtual Vocations Inc. is seeking a full-time Licensed Clinical Investigator in Behavioral Health to conduct comprehensive reviews of medical records, identify fraud risks, and collaborate with the Special Investigations Unit while working remotely. The role focuses on coding and billing reviews, duties include analyzing claims, responding to regulatory guidance, and contributing to internal policies to prevent fraud. #J-18808-Ljbffr Virtual Vocations Inc
- Oscar Health Insurance is seeking a Senior Analyst, SIU Clinical Investigator to detect and audit aberrant billing patterns in claims and clinical documentation. You will review... ...recovery or referrals. This is a remote role with NYC/Tempe office options. #J-18...Remote jobWork at office
$75.35k - $98.89k
...Senior Analyst, Special Investigations Unit Clinical Investigator to join... ...Oscar is the first health insurance company built... ...detects and audits aberrant billing patterns... ...will analyze provider behavior to identify schemes such... ...Location: This is a remote position, open to candidates...Remote workFull timeWork at officeWork from homeFlexible hours3 days per week- ...technology and data analytics firm, is seeking a Registered Nurse Clinical Auditor with extensive Behavioral Health experience to support IHCP medical record reviews and billing compliance audits remotely. Responsibilities include reviewing records, preparing...Remote job
- RADcube is seeking a Registered Nurse Clinical Auditor with extensive Behavioral Health experience to support IHCP medical record reviews and billing compliance audits. This fully remote role includes occasional travel to Downtown Indianapolis, IN (expenses covered) to...Remote job
$150 per hour
...Principal Investigator (MD/DO) Hawthorne Health is seeking an experienced Principal Investigator... ...-I on sponsor-initiated clinical trials. This role will... ...oversight. Conduct remote review of patient... ...visits, monitoring visits, audits, and inspections. Maintain...Remote workContract workPart timeFor contractorsFlexible hours- ...digital initiatives and more. Job Description This is a remote position. RN Clinical Auditor - Behavioral Health Location: Fully Remote, with occasional travel to... ...medical record reviews and billing compliance audits for the Indiana Health Coverage Programs (IHCP). This...Remote workContract work
$54.1k - $81.2k
...Headquarters: U.S. Employees (Remote) URL: Sun Life U.S. is one... ..., life, supplemental health, medical stop-loss insurance... ...of Iowa. The Opportunity The Clinical Investigator is responsible for the retrospective... ...and defensible. Assure all audit decisions are in compliance...Remote workWork at officeLocal areaFlexible hours$90k - $110k
...BCBAs can focus on delivering excellent clinical care while receiving the support, flexibility... ..., and balance.Being a Board Certified Behavior Analyst (BCBA) is more than a profession... ...the perfect blend of in-clinic and remote workStay Current: Keep up with the latest...Remote workFull timeWork from homeMonday to FridayWeekend work2 days per week- ...Services (subject to change): Outpatient: 5 weekly half-day clinic sessions. Inpatient: consultative services on equal rotating... ...required to be performed in-person at an Emory University location. Remote work from home day options may be granted at department...Remote workWork from home
$90k - $110k
...BCBAs can focus on delivering excellent clinical care while receiving the support, flexibility... ..., and balance. Being a Board Certified Behavior Analyst (BCBA) is more than a profession... ...the perfect blend of in-clinic and remote work Stay Current: Keep up with the latest...Remote workFull timeWork from homeRelocation packageMonday to FridayFlexible hoursWeekend work2 days per week1 day per week- Healthcare Fraud Shield is seeking a Clinical Coder/Fraud Investigator to join our SIU team at headquarters. You will analyze medical records, abstract... ...to detail and the ability to work independently. Remote work eligibility is available. #J-18808-Ljbffr HcfraudshieldRemote job
$90k - $100k
...Description Job Summary The Clinical Center Director (BCBA)... ...expertise in Applied Behavior Analysis, ensuring high... ..., and behavioral health fields. Provide... ...programs through supervision, audits, and outcome monitoring... ...: Combination of remote, clinic, home, and community...Remote workWork from home- ...to the excellence of our academic community. Hematologist Clinical Investigator Emory University Department of Hematology and Medical... ...to be performed in-person at an Emory University location. Remote work-from-home day options may be granted at department discretion...Remote workTraineeshipWork from home
- ...Hybrid Clinical Supervisor In-Training / Behavior Analysis Trainee - Full Time In-Person and Remote The ABA Clinical Supervisor Trainee will serve clients throughout Arizona... ...service delivery Proficiency with electronic health record systems and telehealth platforms...Remote jobFull timeTraineeshipWork at officeWork from homeFlexible hoursWeekend workAfternoon shift
- ...schedule ~ Free uniforms ~ Health insurance ~ Opportunity for... ...resources Autonomous Behavior Solutions (ABS) is a progressive... ...passionate and skilled BCBA Clinical Supervisor to join our... ...year of experience providing remote supervision. A commitment...Remote workPart timeWork from homeFlexible hoursNight shift
- ...Care in Miami, FL, is expanding into the clinical research field. Our mission is to... ...cardiologist to join our team as a Principal Investigator in our clinical research program. The... ...flexibility, with some tasks performed remotely, but requires on-site participation at...Remote workFlexible hours
$79.72k - $119.57k
...Anticipated End Date: 2026-09-08 Position Title: Behavioral Health Clinical Quality Audit Analyst Sr. Job Description: Behavioral Health Clinical... ...and CPG compliance. Conducts quality of care investigations and using criteria closes case appropriately or refers...Full timeContract workTemporary workWork experience placementWork at officeLocal areaWork from homeMonday to Friday1 day per week$53.25k - $88.75k
...) Overview: Sentara Health Plan is currently hiring... ...Senior Fraud and Abuse Investigator/CPC/CFI/CFS/CHC/CFE/AHFI - Remote! Status: Full-time,... ...coding in routine desk audits as well as occasional on... ...programs, and integrated clinical and behavioral health services—all to...Remote workPermanent employmentFull timeTemporary workCurrently hiringWork at officeShift work$115k - $125k
...Job Description Job Description Clinical Psychologist – Behavioral Health Location: Bronx, NY Salary: $115,000–$125,000/year Job Type:... ...Time (Hybrid) Schedule: Hybrid (1 Day Onsite | 4 Days Remote) Job Summary We are seeking a licensed Clinical Psychologist...Remote jobFull time- A national health organization seeks a Behavioral Health Clinical Advocate to telephonically engage with members and provide necessary resources. You will manage... ...Master’s in social work and independent licensure. Remote work is available within the U.S. Flexible hours are...Remote jobFlexible hours
- UnitedHealth Group is seeking a Clinical Wellbeing Specialist to provide telephonic and digital engagement with members, conducting... ...-term problem resolution within a clinical team focused on behavioral health and emotional wellbeing navigation. Qualified candidates are...Remote jobTemporary work
- Jobtailor in Phoenix is seeking a quality auditor to conduct remote and onsite audits of Behavioral Health Agencies, review clinical documentation, and verify regulatory compliance. You will coordinate audit scheduling, provide real-time feedback, and develop action plans...Remote work
- Child Mind Institute, Inc. is seeking a Clinical Psychologist for the ADHD & Behavior Disorders Center in New York, NY. This full-time, professional, hybrid... ...requires at least four days in-office and one day remote. You will perform diagnostic evaluations and deliver evidence...Remote workFull timeWork at office
- WellSense Health Plan is seeking a Behavioral Health Utilization Manager to ensure appropriate, effective delivery... ...services. The role functions as a clinical decision-maker, managing complex... ...a focus on quality and compliance. Remote work is supported. #J-18808-Ljbffr...Remote job
- A healthcare solutions provider is seeking a remote Clinical Psychologist to deliver virtual counseling for military personnel. This role... ...and at least two years of experience in providing behavioral health services using virtual platforms. The candidate must possess...Remote job
- Brave Health is seeking a part-time Quality Assurance Specialist to ensure documentation... ...and regulatory compliance across behavioral health services. This remote role emphasizes independent work, collaboration with clinical teams, and ongoing coaching to improve records...Remote jobPart time
$111.09 per hour
...Licensed Clinical Social Worker (LCSW) Up to $111.09/hour Fully Remote or In-Person Flexible Schedule Pay & Flexibility... ...your practice with insured mental health clients. What Headway... ...: Stay protected with built-in audit support and ongoing compliance resources...Remote workBi-weekly payHourly payExtra incomeFull timePart timePrivate practiceFlexible hours$122 per hour
...Licensed Clinical Social Worker (LCSW) Up to $122/hour Fully Remote or In-Person Flexible Schedule Pay & Flexibility... ...your practice with insured mental health clients. What Headway... ...: Stay protected with built-in audit support and ongoing compliance resources...Remote workBi-weekly payHourly payExtra incomeFull timePart timePrivate practiceFlexible hours- Optum, a global health care organization, seeks a Clinical Wellbeing Specialist to join a behavioral health navigation team. This role conducts telephonic risk assessments, crisis support, and solution-focused consults to guide members to appropriate benefits and resources...Remote job
- The Wilkinson Firm is seeking an independent consultant to provide senior clinical advisory on complex HR engagements in the behavioral health sector. This remote position allows for continued involvement in other roles and offers competitive hourly rates ranging from...Remote jobHourly pay
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Clinical Investigator, Behavioral Health Audits. Be the first to apply!
- defense investigator New York, NY
- workplace investigator New York, NY
- corporate security investigator New York, NY
- work from home background investigator New York, NY
- ethics investigator New York, NY
- human rights investigator New York, NY
- healthcare investigator New York, NY
- security investigator New York, NY
- employee relations investigator New York, NY
- lead investigator New York, NY




