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
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$80k - $93k
...government agencies, and 70+ healthcare organizations. More... ...based sales or other remote-by-design positions —... ...can be found here. Fraud Investigations Analyst Role Overview... ..., and leverage data to inform investigations... ...machine learning-driven fraud detection systems...Remote workDataFull timeTemporary workWork at officeFlexible hours- Fraud Analyst, Fraud Investigations United States - Remote Operations - Fraud / Full Time / Remote About... ...Product, Engineering, Data and ML teams to execute... ...A proactive, ownership‑driven mindset—you identify problems... ...schedule. Private Healthcare benefits. Enhanced...Remote workDataPermanent employmentFull timeImmediate startWorldwideHome office
- ...Investigating allegations of potential healthcare fraud and abuse, the full-time SIU Investigator will conduct claims investigations, perform data analysis, and prepare detailed reports while working remotely from various locations. Key responsibilities Conduct investigations...Remote workDataFull time
$85k - $105k
...Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level CGS is seeking a Healthcare Fraud Investigator to provide legal support... ...Responsibilities will include: Review, sort, and analyze data using computer software programs such as Microsoft Excel....Remote workDataFull timeWork experience placementWork at officeLocal area- ...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
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- ...Corporation is hiring for a Fraud Prevention Analyst... .... Youll combine investigation, analytics, and... ..., WI office or remotely from Wisconsin,... ...delivering consumer-driven benefit solutions.... ...vendor tools, and data sources to... ...benefits administration, healthcare, or another regulated...Remote workDataWork at officeFlexible hours
- CGS seeks a Healthcare Fraud Investigator to provide legal support on a large government project in Nashville, TN. The role requires initiative, rigorous data review, and the ability to perform under pressure while maintaining accuracy. The ideal candidate will have 4+...DataFull time
$70k - $120k
## Senior Bank Fraud Investigator .### General informationCareer areaDeposits... ..., (2) hybrid, or (3) fully remote. Hybrid roles are generally... ...fraudulent activities.* Analyze data to detect patterns and... ...with employer contributions, Healthcare FSA, critical illness, accident...Remote workDataFull timeTemporary workPart timeWork experience placementWork at officeRelocation packageFlexible hours- ...client objectives with consumer behavior. The position involves conducting in-depth market research and using AI tools to develop data-driven media plans. Ideal candidates will have 1-2+ years of media planning experience, a solid grasp on traditional and digital...Remote jobDataFlexible hours
- ...eligible for Sponsorship. MedImpact Healthcare Systems, Inc. is looking for... ...Description Summary: The Fraud, Waste, and Abuse Investigations Manager handles the operational activities... ...prescription and medical claim data to generate clinical recommendations...Remote workDataContract workLocal areaMonday to FridayFlexible hoursNight shiftWeekend work
- A leading health data exchange company is seeking an Inpatient Auditing Specialist... ...and provide education in a fully remote setting. The ideal candidate will have... ...and valuable experience in transforming healthcare through data-driven solutions. #J-18808-Ljbffr DatavantRemote jobDataFlexible hours
- ...seeks a seasoned Success Insights Manager to design and execute data‑driven content that demonstrates value to customers post‑sale. You... ...insights, scale AI workflows, and communicate outcomes that support renewal and upsell opportunities. #J-18808-Ljbffr 3M HEALTHCARERemote jobData
- ...Team. This dynamic role focuses on data analytics and finance, requiring analytical... ...compensation, equity grants, and a remote-first culture, making it an attractive opportunity for data-driven professionals looking to influence healthcare operations. #J-18808-Ljbffr Omada...Remote jobData
- WelbeHealth, LLC is looking for a Director of Analytics to work remotely and drive data-driven decision-making in healthcare. This full-time role involves collaborating with business and clinical stakeholders, utilizing advanced analytics to solve complex challenges and...Remote jobDataFull time
- A healthcare provider group in Nashville is seeking a Vice President of Marketing to lead their... .... Responsibilities include developing data-driven marketing programs, managing budgets,... ...work model, enabling flexibility between remote work and office collaboration. #J-18808-...Remote workDataWork at office
- Location: Remote (Occasional Travel May Be Required) Clearance... ...support complex financial investigations involving fraud, waste, abuse, and... ...working alongside investigators, data scientists, investigative analysts... ..., unemployment insurance, healthcare programs, disaster relief...Remote workDataWork at office
$65k - $88.6k
...our caring community The Fraud and Waste Professional conducts investigations of allegations of... ...make an impact WORK STYLE: Remote/Work at Home (minimal travel... ...At least 3 years of healthcare fraud investigations and... ...with ability to analyze data to metrics Computer literate...Remote workDataWeekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday$61.91k - $118.25k
...UMG Fraud Prevention Analyst UMG's fraud prevention... ...be responsible for investigating and documenting ongoing... ...European office locations or remote. How You'll Create... ...streaming and social data to identify patterns of... ...anomalies. Develop data-driven insights to inform anti...Remote workDataSummer workWork at officeImmediate startFlexible hours- ...Risk Adjustment, you will lead on-site and remote education sessions and analyze coding quality trends. The role emphasizes data-driven materials, cross-functional collaboration, and influencing provider performance within a healthcare setting. #J-18808-Ljbffr HumanaRemote jobData
- 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
$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 jobDataFull timeFlexible hours$70 per hour
...Meadows Experience in a long‑term care or healthcare setting with Medicare and Medicaid highly... ...belonging, and contribution. Full‑time Data Annotation - Independent Contractor... ...creating high‑quality AI. Flexibility of remote work and schedule. Hourly: $70.00, Remote...Remote workDataHourly payFull timePart timeFor contractorsWork at office$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$84.6k - $130k
...based in Chicago, IL. The ideal candidate will oversee occupancy data management and develop innovative space solutions, requiring a... ...a salary range of $84,600 - $130,000 per year, with benefits including 401(k) matching and comprehensive healthcare. #J-18808-Ljbffr...Remote workData- Jobtailor in Miami seeks an ACE investigator to generate and manage fraud investigations across healthcare, contracting, and federal... ...will review documents, perform data analyses, gather evidence, and... ...communication are essential in a deadline-driven, team environment. #J-18808-...Data
- ...government agencies, and 70+ healthcare organizations. More than 60... ...learn more, visit Senior Fraud Investigations Analyst Role Overview ID.me... ..., signal development, and data-driven decision making. This role... ...field‑based sales or other remote‑by‑design positions — may have...Remote workDataFull timeWork at office
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- ...Fraud Decisioning Analyst At U.S. Bank, we're on a journey to do our best. Helping... ...organization. This role applies advanced, data-driven analysis to evaluate how fraud... ...accommodations for applicants. Benefits: ~ Healthcare (medical, dental, vision) ~ Basic term...DataTemporary workWork experience placementWork at officeShift work3 days per week
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