Fraud & Abuse Investigator II (Remote)
Point32Health
- Remote job
Point32Health in Canton, Massachusetts is looking for an Investigator II to join their Special Investigation Unit. The role involves leading investigations related to fraud, waste, and abuse, and requires a Bachelor's degree along with relevant experience in health insurance and audit investigations. The ideal candidate will demonstrate clear document organization skills, as well as resilience and collaboration. Benefits include medical coverage, retirement plans, and a tuition program. #J-18808-Ljbffr Point32Health
$29.37 - $41.12 per hour
Fraud Investigator II Salal Credit Union is seeking a Fraud Investigator II to play a vital role in safeguarding our members and organization... ...shape stronger policies and controls to reduce risk. This is a remote position , offering flexibility to work from home. However,...Remote workHourly payLocal areaWork from home- United Cerebral Palsy of Georgia is seeking a Fraud Investigator II to play a crucial role in safeguarding its members against financial crime... ...investigations and shaping policies to mitigate risks. This remote role prioritizes candidates from the Seattle area. Key responsibilities...Remote job
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- Clinical Fraud Investigator II Locations: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity... ...that may pose potential risk associated with fraud and abuse. How you will make an Impact Performs comprehensive analysis...Temporary workWork at officeLocal area2 days per week1 day per week
- A healthcare organization is looking for a Special Investigations Unit Investigator II to investigate fraud and abuse in the healthcare environment. This role conducts thorough investigations leveraging data analytics, ensuring compliance with regulations, and supports...
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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- 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 jobFlexible hours
- Centene Corporation is seeking an Investigator to address allegations of healthcare fraud within Kentucky's Medicaid Program. The role involves planning investigations, performing data analysis, documenting findings, and providing updates to Health Plans. Qualified candidates...Remote jobFlexible hours
$57.78k
...States. Position Summary This Medicaid Fraud Analyst II position is in the Office of the... ...(5) years of experience in research, investigations, investigative analysis or statistics;... ...prosecution of Medicaid fraud and/or patient abuse to include testimony in courts of law...Work at officeFlexible hours- Affirm is seeking a Fraud Strategy Analyst for its Portland location. This role involves using data analytics to enhance fraud prevention... ...in SQL and Python, and a quantitative degree. Affirm promotes a remote-first work environment and offers comprehensive health benefits,...Remote jobFlexible hours
$140k - $190k
Affirm is looking for a full-stack analyst to join our Fraud Strategy and Analytics team. In this role, you'll leverage data analytics... ...competitive salary range of $140,000 - $190,000 for California and remote flexibility across the U.S. Come help us redefine consumer...Remote job- Affirm is seeking a full-stack analyst in New York to join their Fraud Strategy and Analytics team. In this role, you will analyze,... ...Affirm offers competitive pay, healthcare, and employee stock ownership options in a remote-first work environment. #J-18808-Ljbffr AffirmRemote work
- Position Summary The Medicaid Fraud Control Unit (MFCU) of the Office... ...compliance analysis, support investigations of Medicaid fraud, and... ...Medicaid administration and provider abuse, using data extraction,... ...required. Compliance Analyst II All of the above for Compliance...Full timeWork at officeRelocation
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Affirm is seeking a Fraud Strategy and Analytics Analyst to enhance fraud decisioning strategies. This role requires 2-4 years of experience... ...metrics to drive product improvements. Affirm offers a remote-first work environment, competitive salary, and generous benefits...Remote workFlexible hours$17.78 per hour
...Job Posting Title Forensic Officer II Agency 452 MENTAL HEALTH AND SUBSTANCE ABUSE SERV. Supervisory Organization Oklahoma Forensic Center Job Posting End Date Refer to the date listed at the top of this posting, if available. Continuous if...Hourly payFull timePart timeFlexible hoursShift workWeekend work- ...Description Healthcare Fraud Investigator I - Medicare Remote CA, AZ, OR, WA, UT, MT, ID, NV states @Orchard LLC is retained by a not-for-profit... ...is also a national leader in fighting fraud, waste and abuse for large organizations across the country. In addition...Remote work
- ...Single. Day. Aspirus Health in Wausau, WI is seeking a FRAUD WASTE ABUSE ANALYST to join our ASPIRUS HEALTH PLAN team! The FWA Analyst... ...Analysts, the SIU, and cross‑functional teams to support investigations, recommend corrective actions, and strengthen internal...Full timePart time
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$66.33k - $145.86k
...individual contributor role supports complex investigations and contributes to organizational... ...position plays a key role in identifying fraud risks, supporting program integrity efforts... ...losses related to fraud, waste, and abuse. Performs complex investigations related...Hourly payFull timeTemporary workLocal area$35.05 - $42.84 per hour
...+ Exchange Program Tuition Reimbursement Program BECU Cares volunteer time off + donation match Impact You’ll Make As a Fraud Investigator II, you’ll play a critical role in protecting members and safeguarding financial assets by identifying and resolving fraudulent...Hourly pay- The Elevance Health Companies, Inc. is seeking a Clinical Fraud Investigator II to identify potential fraud risks and perform comprehensive analysis of clinical and billing data. This role requires conducting investigations to mitigate loss and exposure. The ideal candidate...Work at office2 days per week1 day per week
- Plaid is looking for a Fraud and Abuse Operations Analyst to safeguard its platform against fraud events. The analyst will investigate incidents and collaborate with various teams to improve fraud mitigation strategies. Ideal candidates will have over 3 years of experience...
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- Elevance Health is seeking a dedicated Investigator II to join their team in Atlanta, Georgia. This hybrid role requires working in the office... ...The Investigator II will focus on cases related to healthcare fraud, leading investigations and establishing relationships with...Work at office2 days per week1 day per week
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