Remote Healthcare Fraud Investigator | Data-Driven
$56.2k - $101kCentene Management Company LLC
- Remote job
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 or related fields is required, along with at least 1 year of related experience. This role offers a competitive pay range of $56,200 – $101,000 per year, along with benefits like health insurance and a flexible working environment. #J-18808-Ljbffr Centene Management Company LLC
- 4004 Aetna Medicaid Administrators is looking for an Investigator to conduct high-level investigations into healthcare fraud and abuse. This role involves preventing payment of dubious claims and collaborating with stakeholders on clinical issues. Ideal candidates should...Data
- ...Description Healthcare Fraud Investigator - Medicaid Remote, U.S. Based @Orchard LLC is retained by a not-for-profit corporation that partners with... ...processes and protocols. This role involves collecting data for audits/investigations into claims, utilizing a...Remote workData
$49.7k - $88.8k
UnitedHealthcare is seeking an Investigator to identify and prevent healthcare fraud, waste, and abuse. This role involves... ...investigations and analyzing data to detect fraudulent practices, requiring... .... Flexibility to work remotely is offered, and the salary ranges...Remote jobData- ...LLC is seeking candidates for a position dedicated to investigating allegations of healthcare fraud and abuse within the Kentucky Medicaid Program. The ideal... ...ensuring compliance. The role includes tasks such as data analysis, audit organization, and preparing...Remote jobData
- 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 jobData
$49.7k - $88.8k
UnitedHealthcare is seeking an Investigator to oversee the identification, investigation, and prevention of health care fraud, waste, and abuse. The role involves analyzing claims data to detect aberrant billing practices and conducting related field investigations. Successful...Remote jobDataWork at office- 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... ...claims investigations, utilizing your expertise in data mining and report creation. The ideal candidate will...Remote jobDataFlexible hours
$50k - $55k
...simple - we strive to bend the cost curve in healthcare for all. Our dedication to service... ...towards becoming a leading technology, data, and innovation voice in healthcare. Onward... ...of direct experience in medical claims investigation or data mining / coordination of benefits...Remote workDataTemporary workWork at officeFlexible hours- ...A healthcare innovation firm in Raleigh is seeking a Customer Success leader to enhance healthcare delivery through data-driven engagement strategies. This role involves building relationships... ...initiatives, and collaborating closely with remote teams. The ideal candidate will...Remote workDataLocal area
- ...A healthcare technology company is seeking a Data Engineer to design and scale their data infrastructure. This remote role involves collaborating with teams to build reliable data solutions... ...in BigQuery, Postgres, and AI-driven analytics. The company offers competitive...Remote workData
$160k - $220k
...A leading healthcare technology company is seeking a Staff Product Manager to enhance patient and... ...product management, strong UX intuition, and a data-driven approach. The salary range is $160,000 - $220,000 per year, with remote options available within the United States....Remote workData$175k - $210k
...seeking a Software Architect to evolve platform architecture across services and contribute to the healthcare data platform. This remote position emphasizes event-driven architecture and API design. The ideal candidate has significant experience in large-scale distributed...Remote workData- ...A healthcare provider group in Nashville is seeking a Vice President of Marketing to lead... ...healthcare. Responsibilities include developing data-driven marketing programs, managing budgets,... ...model, enabling flexibility between remote work and office collaboration. #J-18808-...Remote workDataWork at office
- ...Interoperability platform that enhances healthcare data retrieval processes. The ideal candidate... ...interoperability standards like FHIR. This remote position leads a small team, emphasizing... ...values contributions and promotes a results-driven culture. #J-18808-Ljbffr...Remote workData
$86.3k - $118.7k
...Clinical Advisor who will work to combine clinical expertise with data-driven strategies. This role involves advising leaders and... ...candidates will hold a Bachelor's degree, have over 5 years in healthcare, and demonstrate strong analytical skills. Salary ranges from...Remote jobData$86.3k - $118.7k
...Senior Pharmacy Clinical Advisor to lead interventions and strategies in a remote setting. Candidates should hold a Bachelor's degree with over 5 years of healthcare experience, focusing on data-driven decision-making and project management. Responsibilities include...Remote jobData$200k
$200k + equity – Principal Product Manager – AI-Driven Healthcare Platform – Remote $200k + equity – Principal Product Manager – AI-Driven Healthcare... ...scale, and user value in a dynamic environment. Drive the Data Flywheel: Design and optimize data systems that fuel AI models...Remote workDataFull timeFlexible hours$86.3k - $118.7k
...leaders to enhance clinical outcomes. This remote position requires a Bachelor's degree and at least 5 years in healthcare, with strong analytical skills and proficiency... ...decisions and constructing compelling data-driven value propositions, while also working across...Remote jobDataWork at office$86.3k - $118.7k
...involves advising and collaborating with leaders to enhance healthcare outcomes through data-driven methods. The successful candidate must have over 5... ...healthcare experience and a Bachelor’s degree. The position is remote with occasional travel to Humana's offices. The salary...Remote jobData$81.7k - $113.4k
...Digital Fraud Investigator At Municipal Credit Union, we believe that an incredible culture helps... ...complex fraud schemes. Utilize tools, data analytics, and expert judgment to... ...working knowledge of AI and machine learning-driven detection tools, including...Remote workDataLocal areaFlexible hours- A leading healthcare solutions provider in Phoenix, AZ, is seeking a dedicated professional to manage medical case investigations. The role involves ensuring compliance with healthcare regulations... ...and a hybrid work model, combining remote and on-site work to support...Remote workData
- A healthcare provider organization is looking for a Senior Actuary to lead financial and actuarial analyses critical to strategic decision-making. Responsibilities include forecasting, cost analysis, and ensuring financial sustainability. The ideal candidate has a minimum...Remote workDataWork from home
$90k - $125k
...The Internal Security Investigator is an important risk‑mitigation... ...security alerts and data loss events ranging... ...certifications such as Certified Fraud Examiner (CFE) a plus... ...through Thursday, with remote flexibility on Mondays... .... Being a values‑driven organization is at the...Remote workDataFull timeFor contractorsSummer workWork at officeLocal areaMonday to Friday$33.5 - $38.5 per hour
...In this role, you’ll be responsible for collecting data from insured businesses, scheduling and conducting remote audit interviews, and compiling thorough audit... ...preferred. ~ Experience in a fast-paced, deadline-driven environment is beneficial. ~ A strong understanding...Remote workDataHourly payContract workFor contractorsWork experience placementLive outLocal area- A healthcare technology company is seeking a Virginia licensed Clinical Pharmacist to enhance patient care through medication management... ...with clinical teams. Responsibilities include evaluating patient data, conducting medication reviews, and leading process...Remote workData
- ...Command Investigations, LLC is looking for a Claims Investigator to become... ...thrive in a focused, detail‑driven, and repetitive environment Strong... ...be required to enter text or data into a computer or other... ...firm offering surveillance, remote investigations, desktop intelligence...Remote workDataFull timePart timeWork at officeFlexible hours
$62 - $96 per hour
...certified Psychiatric Mental Health Nurse Practitioner to conduct remote psychiatry assessments and manage psychiatric medications. You... ...with a supportive clinical team to deliver exceptional mental healthcare. The role offers competitive pay ($62-$96/hour), a flexible...Remote workDataFlexible hours$175k - $275k
...Managing Principal, AI-Driven Commercial Effectiveness ODAIA delivers... ...for life sciences - unifying data, accelerating results, and... ...meaningful interactions with healthcare providers, through human-centric... ...and flexible time off Remote-First Flexibility ~ WFH flexibility...Remote workDataWork at officeLocal areaImmediate startWork from homeFlexible hoursShift work$86.3k - $118.7k
...Clinical Advisor to collaborate with leaders and drive clinical outcomes. This role requires strong analytical skills, proficiency in healthcare data, and decision-making in complex situations. As part of a dynamic team, you will influence strategies and contribute to health...Remote workData- ...Regions Bank is looking for a Data and Analytics Analyst who will transform data for decision-making purposes. The analyst will work... ...gather and interpret data to support management in making data-driven decisions. This position requires a Master's or Bachelor's degree...Remote workDataWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Healthcare Fraud Investigator | Data-Driven. Be the first to apply!
- fraud investigator Florida, NY
- bank fraud investigator Florida, NY
- program coordinator remote Florida, NY
- procurement specialist remote Florida, NY
- remote prior authorization pharmacist Florida, NY
- remote customer service chat Florida, NY
- remote html Florida, NY
- remote coding part time Florida, NY
- security analyst remote Florida, NY
- part time remote medical coder Florida, NY


