Remote Healthcare Fraud Investigator | Data-Driven
$56.2k - $101kCentene Management Company LLC
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
$65k - $88.6k
...caring community The Fraud and Waste Professional 2 conducts investigations of allegations of... ...are fortunate to offer a remote opportunity for this job... ...years of experience in healthcare fraud investigations... ...with ability to analyze data to metrics Computer...Remote workDataBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...Humana is seeking a Fraud and Waste Professional to investigate fraudulent and abusive healthcare practices. The role involves coordinating... .... The position may include remote work with minimal travel and requires... ...in healthcare payment systems and data #J-18808-Ljbffr...Remote workData
- ...leading health organization seeks an investigator for healthcare fraud allegations. Responsibilities include... ...conducting investigations, analyzing claims data, and preparing reports. A bachelor's... ...in fraud investigations. This is a remote role with a strong preference for...Remote workData
- ...Centene Corporation is seeking an investigator in Arkansas to tackle healthcare fraud and abuse activities. The role involves conducting thorough investigations, performing data analysis, and preparing reports for federal and state agencies. The ideal candidate should...Remote workDataFlexible hours
- ...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
$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$78.8k - $131.3k
...insights from complex data sets, improving operation... ...decisions to enhance investigations. You can learn more about... ...About the Job: The Sr Fraud Analyst will be... ...Manager. This role can be remote in the US with the ability... ...research and support customer-driven fraud investigations...Remote workDataFull timeLocal area- ...time Description Command Investigations LLC is seeking an Insurance... ...thrive in a focused, detail-driven, and repetitive environment.... ...be required to enter text or data into a computer or other machine... ...firm offering surveillance, remote investigations, desktop intelligence...Remote workDataPart timeWork at officeFlexible hoursNight shift
- CVS Health is seeking a Senior Investigator to lead high-level investigations of healthcare fraud and abuse with national scope. You will conduct data-driven analyses, coordinate with Medical Directors, and prepare cases for clinical and legal review. You will train junior...DataLocal area
$60k - $92k
...Levels (Investigator, Sr. Investigator, etc) will depend on experience... ...and prevention of healthcare fraud, waste and abuse (FWA). We are... ...other applications to perform data mining or track investigative... ...work independently within a remote team, under minimal supervision...Remote workDataFull time- ...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 parental...Remote workDataPermanent employmentFull timeImmediate startWorldwideHome office
$53.96k - $86.18k
...Fraud Team Support Analyst Responsible for analytical... ...of transactional data for fraud trend evaluations... ...think creatively. Highly‑driven and self‑motivated with... ...Perks Comprehensive healthcare coverage, including Medical... ...indicated as fully remote, reporting into a designated...Remote workData$70k - $105k
...chance to join a mission-driven fintech at an... ...banking has a distinct fraud profile. Minor cardholders... ...and suspicious activity investigation, reporting directly to... ...working with transaction data, identifying patterns,... ...Flexible time off Remote-first, NYC preferred for...Remote workDataH1bVisa sponsorshipWork visaFlexible hours- ...We are searching for a passionate Staff Fraud Risk Analyst who is highly self-motivated... ...analyst will help SoFi develop better data driven fraud decisioning by: Architect and... ...coverage issues, we are unable to accommodate remote work from Hawaii or Alaska at this time....Remote workDataWork experience placement
$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$85k - $97.5k
...Summary The Senior Fraud Analyst supports the... ...program by monitoring, investigating, analyzing, and escalating... ...account opening, remote deposit capture, card-not... ...working knowledge of AI/ML-driven fraud detection... ...digital risk signals, data enrichment tools, and case...Remote workDataFull timePart timeWork at officeFlexible hours- ...roadmaps aimed at enhancing customer outcomes in the healthcare sector. Candidates should have a strong background in SaaS products and data analytics, with experience in Agile methodologies. This position is fully remote, with an emphasis on collaboration with cross-...Remote jobData
- ...can say is that we’re a driven, progressive, and,... ...Role We are looking for a Fraud Analyst to join Pleo’s... ...changes are justified by data. Monitoring post‑deployment... ...Comprehensive private healthcare - depending on your... ...both hybrid and fully remote working options. We use...Remote workDataWork at officeLocal area
- ...offering a fully remote option for anyone... ...are looking for a Fraud Risk Analyst to help... ...early performance data to identify fraud... ...identify potential fraud‑driven losses.... ...production systems. Investigate emerging fraud trends... ...provide: Comprehensive healthcare including medical,...Remote workDataWork at office
$33.5 - $38.5 per hour
...policy premiums. Responsibilities include collecting data from insured businesses, scheduling and conducting remote audit interviews, and compiling thorough audit... ...preferred. Experience in a fast-paced, deadline-driven environment beneficial. Strong understanding of audit...Remote workDataContract workFor contractorsLocal areaImmediate start$33.5 - $38.5 per hour
...Contractor) - 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 payFor contractorsWork experience placementLocal area$61.91k - $118.25k
...of legal counsel.Streaming Fraud Data Research & Analyst page is loaded##... ...will be responsible for investigating and documenting ongoing... ...European office locations or remote.**How You'll Create*** Monitor... ...traffic anomalies.* Develop data-driven insights to inform anti-...Remote workDataSummer workWork at officeImmediate startFlexible hours$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 payFor contractorsWork experience placementLocal area$33 - $41 per hour
A leading U.S. healthcare provider is looking for a Senior Business Analyst to manage revenue... ...processes and extract business insights through data analysis. The ideal candidate will... ...storytelling through data. This full-time remote role offers compensation ranging from $33...Remote jobDataHourly payFull time- ...This position is hybrid and remote eligible for up to 40% of the... ...24/7 online functionality of fraud systems are operative and in... ...Manager, Fraud Prevention & Investigation. In addition, position is responsible... ...and external fraud loss data reporting to monitor risk...Remote workDataFull timeWork at officeLocal areaMonday to FridayFlexible hours
- ...Description Job Description Fraud Investigator / Fraud Analyst / Fraud Specialist Location - Remote and Onsite Thrice a week ---... ...and/or improved processes, data, or technology; provide clear... ...spans industries from providing healthcare information systems to...Remote workDataHourly payLocal areaImmediate startWorldwide
$89k - $133.4k
...About The Team The mission of Fraud Operations is to act as... ...takeover, and financial partner investigation requests. We strive to improve... ...Demonstrated ability to leverage data to propose solutions for both... ...either in an office or a remote location (35+ miles or 56+ km...Remote workDataWork at officeWork from homeRelocation- ...transactions identified through fraud operations and strategy to... ...losses. Additionally, the Fraud Investigator Specialist will quarterback... ..., cash, wire transfers, remote deposit capture and loans. Conduct... ...Snowflake, Python, SAS for data queries desired. Seniority level...Remote workDataContract workFlexible hours
$56.2k - $101k
...Centene Management Company LLC is seeking a Fraud Investigator to investigate allegations of healthcare fraud and abuse. The role is remote but prefers candidates from Texas. The investigator will conduct detailed claims investigations, assist with audits, and prepare...Remote work- ...willing to consider a fully remote employee for the right... ...prompt and effective investigation of workers'... ...Plastics Group, we are driven by a mission to deliver... ...Solutions, a leading healthcare organization dedicated... ...amazon work from home data entry online warehouse...Remote workDataPermanent employmentFull timePart timeLocal areaWork from homeMonday to Friday
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