Healthcare FWA SIU Investigator — Data-Driven
Martin’s Point Health Care
Martin’s Point Health Care is seeking an SIU Investigator to lead end-to-end fraud, waste and abuse investigations across Medicare Advantage and US Family Health Plan programs. You will analyze data, review medical records, conduct interviews, and coordinate with Compliance and external investigators. The role requires 5+ years in healthcare fraud, Medicare Advantage experience, and strong evidence-based writing. This is a start-up SIU environment with growth potential and rigorous PHI handling. #J-18808-Ljbffr Martin’s Point Health Care
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Healthcare FWA SIU Investigator — Data-Driven in Salem, OR vacancy
$74k - $91k
Overview As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through data analysis (a high level of proficiency with Excel is required). This is not a physical investigator role. This role aligns with our post-pay Fraud...DataWork experience placementWork at officeImmediate startRemote workWork from home$75.58k - $93.37k
Position Summary SIU Investigator looks into suspected fraud, waste and abuse (FWA) by providers, suppliers, members, and other entities. The work covers both of Martin... ...from intake through resolution. That includes data analysis, medical record review, interviews,...DataRemote jobFor contractorsWork at officeLocal area$46.99k - $112.2k
...effectively pursue the prevention, investigation and prosecution of Fraud,... ...Qualifications3-5 years of healthcare fraud investigations experienceExperience... ...proceedingsProficient in data analysis and... ...electronic documentation.Clinical or FWA Dental experienceEducationBachelor...DataHourly payFull timeTemporary workLocal areaOak St. Health
Salem, OR4 days ago- ...innovative and established organization looking for Insurance Fraud Investigator (SIU) to join our team. Family-owned, UAIC, is one of the largest... ..., or other entities. Collect, utilize, and interpret data from a variety of computer-generated reports and other sources...DataTemporary workWork experience placementWork at officeFlexible hours
$68.3k - $113.9k
...applications and next steps. Our partner is looking for a Healthcare Fraud Investigator based in the United States. In this role, you will help protect... ...responsibilities will include reviewing complex claims data, conducting interviews, preparing evidence packages, and...DataContract workWork at officeRemote workJobgether
Salem, OR2 days ago- ...Jobgether, on behalf of a partner company, seeks a Healthcare Fraud Investigator in the United States. You will protect healthcare resources by investigating suspected fraud, reviewing claims data, and preparing evidence packages within a Special Investigations Unit, collaborating...DataRemote work
Jobgether
Salem, OR2 days ago $46.99k - $102k
...at a time. Position Summary As a Senior Investigator you will conduct high level, complex... ...investigations of known or suspected acts of healthcare fraud and abuse. Routinely handles cases... ...clinical findings Initiates proactive data mining to identify aberrant billing...DataHourly payFull timeTemporary workWork at officeLocal area- ...DescriptionCommand Investigations LLC is seeking an Insurance Claims Investigator... ...for individuals with prior SIU experience who demonstrate... ...thrive in a focused, detail-driven, and repetitive environment.... ...be required to enter text or data into a computer or other...DataPart timeWork at officeRemote workFlexible hoursNight shift
Command Investigations
Salem, OR2 days ago - Cotiviti is hiring a Senior Investigator to analyze data and investigate suspected healthcare fraud, waste, and abuse from a remote/home-based position aligned with the post-pay Fraud Waste & Abuse team. The role involves interviews, reporting findings, and may require...DataRemote jobCasual workWork from home
- ...Program Integrity Analyst II to evaluate leads, complaints, and investigations, and to recommend administrative actions. The role reports to... ...from a home office. Responsibilities include reviewing claims data, detecting fraudulent patterns, and developing fraud alerts...DataRemote jobHome office
- ...They must confidently analyze and interpret data and medical records/documentation on a... ...to the provider. They are responsible to investigate, review and provide clinical and/or coding... ...and monthly metrics in a production driven environment and ensure they are meeting all...DataContract workRemote workRelocation package
$4,881.76 per month
...on the Benefits of Working at HHS webpage. Functional Title: Investigator V Job Title: Investigator V Agency: Health & Human Services Comm... ...and interviews potential witnesses and complainants. Collects data and conducts field studies. Assists in performing undercover or...DataFull timeContract workTemporary workPart timeFor contractorsWork at officeLocal areaRemote workShift work$65k - $70k
...meaningful progress. The Opportunity The Fraud Investigator plays a critical role in protecting the... ...through the review of transactional data, case alerts, and non-alert-based... ...under pressure in a high‑volume, deadline‑driven environment. What You Will Own Lead end...DataWork at officeLocal areaRemote workFlexible hours- United Automobile Insurance Company is seeking a Remote Insurance Fraud Investigator (SIU) to conduct field and desk investigations on auto claims, including complex cases. The role requires bilingual English/Spanish abilities, strong analytical skills, and experience with...Remote job
- ...mat and putting it into practice in life. OVERVIEW The Internal Investigator is responsible for conducting timely, objective, and thorough... ...leads, and support efficient case resolution while maintaining data accuracy, confidentiality, and appropriate human review. Analyze...DataRemote workNight shift
Alo
Salem, OR1 day ago - ...8 Position Type Employee Position Title Investigator 3 - Civil Enforcement Division (Portland... ...Collect, evaluate, and analyze computerized data and other evidence (e.g., medical... ...communication, and organizational skills. Healthcare related background. Experience interviewing...DataPermanent employmentFull timeLocal area
- ...Range: $5,193 - $7,968 Position Type: Employee Position Title: Investigator 3 - Charitable Activities Section The Oregon Department of Justice... ...rewarded. Opportunity to expand your government auditing and data analysis skills. Excellent medical, dental, and vision benefits...DataPermanent employmentFull time
$25 - $30 per hour
DescriptionCommand Investigations, LLC is looking for Surveillance Investigators to become part of a dynamic team. This is a great opportunity... ...at a time. * The employee will be required to enter text or data into a computer or other machine by means of a traditional...DataHourly pay16 hoursFull timeWork at officeRemote workFlexible hoursShift workNight shiftWeekend work- ...authorized for the duty location of the position. Duties Diversion Investigators enforce the Controlled Substances Act (CSA) and the Chemical... ...that includes performing the following duties: 1) Gathering data to prepare reports; 2) Evaluating priorities to develop a...DataFull timePart timeLocal areaRemote workRelocationTrial periodRelocation package
$25 - $35 per hour
...names, verify CMS IDs, and ensure accuracy across hospital profiles. The role offers a remote arrangement within the U.S. with an hourly pay rate of $25.00-$35.00, and opportunities to contribute to editorial content and data entry tasks as needed. #J-18808-Ljbffr ForbesDataRemote jobHourly pay- United Auto Insurance Company is seeking an Insurance Fraud Investigator I (SIU) to conduct field and desk investigations into high complexity auto fraud cases, including staged accidents and medical fraud. The role requires bilingual English/Spanish capabilities, strong...
- Nymbus, Inc. is seeking a Fraud Investigator to protect client assets and reputations by leading high impact investigations across multiple payment channels. You will review data, identify patterns, present findings to clients, and collaborate with internal teams to implement...DataRemote job
- CVS Health is seeking a Senior Investigator in Oregon to conduct high level investigations of healthcare fraud and abuse. You will manage complex cases, coordinate with clinical and legal teams, and help recover funds while maintaining rigorous documentation and compliance...Full time
$60k - $80k
...interactions, and emerging AI-driven interactions. Pindrop... ...institutions, insurers, and healthcare organizations. Its technology... ..., and associated interaction data to support the development, evaluation... ...will also support targeted investigations by reviewing interactions, identifying...DataWork experience placementRemote workFlexible hours$140k - $175k
...tirelessly address the most pressing needs in healthcare. We empower millions to digitally connect... ...future. Job Description The Senior Data Engineer will be responsible for building... ...platforms and metrics Build metadata driven pipeline solutions Monitor and...DataFull timeTemporary workWork experience placementWork visaFlexible hoursFuze Health
Salem, OR2 hours ago$145.46k - $193.94k
...the trusted network for the AI‑powered world, connecting people, data, and applications through our expansive fiber network and... ...infrastructure, and campaigns. Build repeatable AI-assisted and automation-driven methods to accelerate detection, prioritization, and...DataFull timeTemporary workRemote workLumen
Salem, OR16 hours ago- ...part-time schedules and company benefits. Applicants should bring extensive Property & Casualty insurance audit experience, strong data analysis skills, and the ability to evaluate classifications and exposures from client records. High-demand in general liability and...DataRemote jobFull timePart timeWork from home
- ...policies by evaluating the insured's business operation, including examining, verifying, and recording pertinent classification-related data from financial/business records. Review and summarize submitted information from insureds to determine correct exposures for all...DataRemote jobFull timePart timeWork experience placementWork at officeWork from home
$58k - $95k
...established authority level. Contacts agents to review audit results, prior to invoicing on large accounts. Collects all pertinent data and documents needed to calculate policyholder's premium liability. Interviews policyholders to obtain further information...DataRemote jobContract workFor subcontractorWork at officeLocal areaHome officeNight shift$65.73k - $81.19k
...2015. Position Summary The SIU Coordinator provides operational... ...support to the Special Investigations Unit (SIU) across the Generations... ...and SharePoint site, keeps the data accurate, and runs routine... ...promote pay equity, Martin's Point Healthcare has established defined...DataRemote jobFull time
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Healthcare FWA SIU Investigator — Data-Driven. Be the first to apply!
Related searches
- corporate security investigator Salem, OR
- security investigator Salem, OR
- housing investigator Salem, OR
- insurance investigator Salem, OR
- forensic investigator Salem, OR
- investigator Salem, OR
- healthcare investigator Salem, OR
- case investigator Salem, OR
- aml investigator Salem, OR
- compliance investigator Salem, OR