Kentucky Medicaid Fraud Investigator — Remote
Centene Management Company LLC
- Remote job
Centene Management Company LLC is seeking candidates for a position dedicated to investigating allegations of healthcare fraud and abuse within the Kentucky Medicaid Program. The ideal applicant will have a Bachelor's Degree in a related field and a minimum of three years of relevant experience, fully committing to addressing fraud and ensuring compliance. The role includes tasks such as data analysis, audit organization, and preparing investigative reports. A comprehensive benefits package is offered, demonstrating the company's commitment to employee welfare and flexibility in work arrangements. #J-18808-Ljbffr Centene Management Company LLC
$30 per hour
...A legal support network is seeking a remote Kentucky Medicaid Paralegal to handle 10+ hours of work per week. Candidates should have at least 5 years of experience, a strong understanding of Kentucky Medicaid processes, and a track record of planning and filing applications...Remote workContract work10 hours per week$30 per hour
...of freelance legal professionals is seeking a qualified Medicaid Paralegal based in Kentucky. The candidate should have a minimum of 5 years of experience... ...planning. The role involves approximately 10+ hours of remote work per week, offering a starting pay of $30/hour. This...Remote workFreelance10 hours per week$30 per hour
...Remote, Contract-based Kentucky Medicaid Paralegal - 10+ Hours/Week Bardstown, United States | Posted on 12/29/2025 We are a national network of experienced, high-level, freelance attorneys and paralegals who provide remote, on-demand support for both short-term and long...Remote workContract workTemporary workFreelance10 hours per week$71.1k - $97.8k
...our caring community The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and... ...impact WORK STYLE: Work at home, remote. While this is a remote position,... ...life for people with Medicare and Medicaid, families, individuals, military...Remote workBi-weekly payWeekly payFull timeTemporary workApprenticeshipWork from homeHome officeMonday to Friday$73.35k - $122.25k
...for a detail-oriented, analytical LTC Fraud Investigator to help strengthen our Long-Term Care... ...investigations/SIU and familiarity with Medicaid and/or commercial LTC benefits and fraud... ...USA, Massachusetts - Full Time Remote Working Arrangement Remote Salary...Remote workFull timeTemporary workLocal areaFlexible hours$50 per hour
Georgia Piedmont Technical College is seeking a Fraud Investigator to join their Medicaid Fraud Division. The role involves conducting health care fraud investigations, preparing thorough reports, and providing assistance to law enforcement agencies. The ideal candidate...$50 per hour
The Georgia Department of Law is seeking an Investigator for the Medicaid Fraud Division to conduct health care fraud investigations. The selected candidate will work closely with various criminal justice personnel and participate in the planning and execution of investigations...$51k - $55k
Agomo is seeking an Investigator for its Medicaid Fraud Control Unit based in Jefferson City, Missouri. This role involves investigating Medicaid fraud and abuse through interviews, evidence collection, and report preparation. Ideal candidates will possess strong analytical...$60k - $62.43k
The State of Florida is seeking a Law Enforcement Investigator II for the Office of the Attorney General in Miami. This role involves investigating Medicaid fraud and patient abuse, requiring a certified law enforcement officer. Candidates must possess strong investigation...Work at office$60 per hour
The Georgia Department of Law is seeking an Investigator for the Medicaid Fraud Division. The ideal candidate will conduct health care fraud investigations and assist in prosecutions, requiring active Georgia POST Certification and law enforcement background. This position...- The State of Hawai'i is seeking a permanent, full-time Investigator IV for its Medicaid Fraud Unit within the Department of the Attorney General. This role demands performance of independent investigations in various criminal and civil fraud cases related to State Medicaid...Permanent employmentFull time
$50k - $55k
...along with two (2) years of direct experience in medical claims investigation or data mining / coordination of benefits auditing.... ...state and federal healthcare guidelines, i.e. Medicare and State Medicaid Programs Familiarity with automated medical claims payment systems...Remote workTemporary workWork at officeFlexible hours$57.78k
...Supreme Court of the United States. Position Summary This Medicaid Fraud Analyst II position is in the Office of the Attorney General... ...Qualifications Five (5) years of experience in research, investigations, investigative analysis or statistics; or A Bachelor degree...Work at officeFlexible hours- Fraud Analyst Location US- ID 2026-1567 Remote Yes Overview JOB TITLE: Fraud Analyst AGENCY SUPPORTED... ...specific subject matter helpful - Medicare and Medicaid claims, student loan programs, DoD contracting, etc...Remote workFull timeContract workInterim roleWork from homeHome officeFlexible hours
- Great American Insurance Group seeks a Special Claims Desk Investigator for their Major Case Unit in Kentucky. This remote role involves conducting investigations on suspected fraud cases, preparing reports, and coordinating with law enforcement. Candidates should have...Remote job
- ...Management solution! Job Description Summary: The Fraud, Waste, and Abuse Investigations Manager handles the operational activities related to... ...routine interaction, referrals, and coordination with Medicaid, CMS, NICB, MEDIC, local, state and federal law...Remote workContract workLocal areaMonday to FridayFlexible hoursNight shiftWeekend work
$57.78k
The State of Florida in Tampa seeks a Medicaid Fraud Analyst II for the Office of the Attorney General. The role involves extensive research, data manipulation, and supporting Medicaid fraud attorneys. Candidates should have at least five years of relevant experience or...Work at office- ...seeks an Audit Evaluation & Review Analyst to work in the Office of the Attorney General’s Medicaid Fraud Control Unit, focusing on auditing complex healthcare fraud investigations. Candidates should possess six years of auditing experience or relevant degrees....Work at office
$60.94k
...Audit Evaluation & Review Analyst works within the Office of the Attorney General’s Medicaid Fraud Control Unit, auditing complex multi‑million‑dollar healthcare fraud investigations that can result in criminal and/or civil litigation. The role requires professional auditing...Work at officeFlexible hours$73.35k - $122.25k
...detail-oriented, analytical LTC Fraud Consultant to help strengthen... ...into insights that support investigations, surface emerging fraud... ...investigations/SIU and familiarity with Medicaid and/or commercial LTC... ...USA, Massachusetts - Full Time Remote. Salary range is expected to...Remote jobFull timeTemporary workLocal areaFlexible hours- **This is a 100% remote work-from-home position** TITLE: Sr. Reimbursement Analyst / Medicare Medicaid Cost Reports DEPT: Reimbursement SHIFT: Days-Remote... ...manner. • Submits documentation for the Kentucky Workers' Compensation Hospital Fee Schedule...Remote workWork from homeShift work
$174.07k - $374.92k
...6 company? Checkout this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid managed care plans in multiple states: Arizona, California, Florida, Illinois, Kentucky, Louisiana, Maryland, Michigan, New York, Ohio, Pennsylvania, Texas, Virginia and West...Hourly payFull timeTemporary workLocal areaWork from home$96.1k - $128.1k
...Overview Join AIR as a Researcher focused on Medicaid policy and programs with our Healthcare Innovations team. Our team works collaboratively... ...transformation. This position has the flexibility to work remotely within the United States (U.S.) or from one of AIR\'s U.S....Remote workFull timeFixed term contractH1bWork at office- ...The State of Delawar is seeking an investigator to conduct fraud investigations for public assistance programs. This position involves collecting and analyzing evidence, preparing reports, and presenting findings in hearings. Candidates should have at least one year of...Remote workFlexible hours
$89k - $133.4k
...Payments Fraud Investigator Stripe is a financial infrastructure platform for businesses. Millions of companies—from the world's largest... ...visualizations This role is available either in an office or a remote location (35+ miles or 56+ km from a Stripe office)....Remote workWork at officeLocal areaWork from homeRelocation- ...Providing investigative support for special investigation unit activities, the full-time Healthcare Fraud Investigator will focus on the prevention, detection, investigation, and... ...healthcare fraud, waste, and abuse while working remotely. Key responsibilities Develop leads and...Remote workFull time
- ...To support the investigation of healthcare fraud, the full-time Certified Fraud Investigator will conduct confidential inquiries, analyze trends,... ...and collaborate with various stakeholders while working remotely from anywhere within the U.S. Key responsibilities: Perform...Remote workFull time
- ...Conducting research and data analysis, the full-time salaried Fraud Investigator IV will identify potential fraud, waste, and abuse (FWA) through extensive data mining and reporting, while working remotely. Key responsibilities: Identify trends and patterns in healthcare...Remote workFull time
- ...As a full-time remote Fraud Investigator II, the successful candidate will be responsible for identifying and resolving fraudulent activity across various products and services, engaging with members to mitigate risk, and managing end-to-end investigations to safeguard...Remote workFull time
- ...Conducting financial crimes investigations remotely, the full-time Fraud Investigator will analyze external and customer activity, write detailed reports, and communicate with various teams to address identified risks. Key responsibilities Conduct financial crimes investigations...Remote workFull time
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