Remote Healthcare Fraud & Waste Investigator
Humana Inc
- Remote job
Humana Inc. is seeking a Fraud and Waste Professional to conduct investigations of fraud and abuse and coordinate with law enforcement. You will assemble evidence, perform provider record audits, and prepare detailed investigative reports to support adjudication. Remote work is available with minimal travel. Typical hours are 40 per week; compensation includes a bonus plan and comprehensive benefits. Strong analytical and ethics standards are required. #J-18808-Ljbffr Humana Inc
- ...Humana Inc. is seeking a Fraud and Waste Professional to conduct investigations of fraud and abuse and coordinate with law enforcement. You will assemble evidence... ...investigative reports to support adjudication. Remote work is available with minimal travel. Typical hours...Remote work
- ...Humana is seeking a Fraud and Waste Professional to investigate fraudulent and abusive healthcare practices. The role involves coordinating with law enforcement, gathering... ...guidelines. The position may include remote work with minimal travel and requires strong analytical...Remote work
- Humana Inc. is seeking a Fraud and Waste Professional to conduct investigations of fraudulent and abusive healthcare practices and to coordinate with law enforcement. The role... ...preparing complex investigative reports. This remote position offers 40-hour weeks, possible...Remote job
- ...Investigating allegations of potential healthcare fraud and abuse, the full-time SIU Investigator will conduct claims investigations... ...detailed reports while working remotely from various locations. Key... ...investigations of potential waste, abuse, and fraud in healthcare claims...Remote workFull time
- Profile We offer remote work opportunities (AK, AR, AZ, CO, FL,... ...adjudicated DOD background investigation for this position. Veterans,... ...and reporting of suspected fraud, waste and abuse (FWA) cases as defined... ...Veterans Affairs (VA), the Healthcare Finance Administration (HCFA...Remote workContract workFor subcontractorInterim role
- Centene Corporation is looking for a dedicated investigator to monitor healthcare fraud activities. You will utilize your investigation skills to ensure... ...benefits package and a flexible work environment including remote options. #J-18808-Ljbffr Centene CorporationRemote jobFlexible hours
- Centene Corporation seeks a candidate to investigate allegations of potential healthcare fraud and abuse. This role involves conducting thorough investigations... ...in the field is required. The position offers a remote working option for candidates residing within Ohio and...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...Remote job
$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 reports...Remote job- Centene Corporation in Kansas is looking for a motivated individual to investigate healthcare fraud and abuse allegations. The role involves conducting thorough investigations, analyzing medical claims, and documenting all activities. The ideal candidate will have a Bachelor...Remote jobFlexible hours
- Centene Corporation is seeking an investigator to tackle healthcare fraud and abuse, essential for transforming health in communities. This remote role requires a bachelor's degree and at least one year of experience in medical claim investigations. You'll conduct thorough...Remote jobFlexible hours
$56.2k - $101k
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...Remote jobFlexible hours- 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 hold...Remote jobFlexible hours
- Centene Management Company LLC is seeking a skilled investigator to handle allegations of healthcare fraud and abuse in New York. In this role, you'll plan, organize, and execute claims investigations, utilizing your expertise in data mining and report creation. The ideal...Remote jobFlexible hours
$60k - $92k
...Levels (Investigator, Sr. Investigator, etc) will depend on experience and qualifications... ..., investigation and prevention of healthcare fraud, waste and abuse (FWA). We are growing and looking... ...to work independently within a remote team, under minimal supervision Benefits...Remote workFull time- ...sponsorship. Responsibilities Responsible for fraud and abuse detection activities for the... ...be responsible for day‑to‑day Provider investigation-related inquiries. Utilizes prescription... ...agencies. Cooperates with fraud, waste and abuse efforts with external business...Contract workLocal areaMonday to FridayNight shiftWeekend work
- ...an exciting place to be within the healthcare industry. As a member of Mass General... ...at identifying potential fraudulent, wasteful, or abusive claim submissions. In... ...Responsible for conducting confidential investigations of suspected fraud, waste & abuse (FWA) involving...Contract workWork at officeLocal areaFlexible hours
- ...Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in... ...for litigation Analyze data for evidence of fraud, waste and abuse Review and evaluate referrals to determine the...Full timeWork experience placementWork at officeLocal area
$46.99k - $122.4k
...Alliance for Career Enhancement is hiring for a position focused on investigating healthcare fraud cases. The ideal candidate will have a Bachelor’s degree and at least 3 years of experience in fraud, waste, and abuse investigations. Responsibilities include handling...Full time- The Hispanic Alliance for Career Enhancement is looking for an investigator focused on health care fraud, waste, and abuse. This role requires expertise in managing complex cases and collaborating with clinical and legal teams. As an integral part of our organization,...
- ...hope. Overview Responsible for complex fraud and abuse investigations and data analysis to identify trends,... ...multiple perpetrators or intricate healthcare fraud schemes. Investigate fraud and... ...validity of allegations of fraud waste and abuse. May include conversations...Local area
- CVS Health’s Meritain Health SIU is seeking an Investigator to support the Special Investigations Unit in preventing and pursuing healthcare fraud, waste, and abuse while recovering funds for self‑funded plans. This role requires strong investigative skills, collaboration...
$21.82 - $42.55 per hour
Molina Healthcare is looking for a skilled individual to provide investigative support for the special investigation unit (SIU) focused on medical provider coding fraud, waste, and abuse. The suitable candidate will need to independently evaluate medical claims and maintain...Hourly pay- PacificSource is seeking a Senior Investigator - Fraud, Waste, and Abuse to plan, conduct, and manage investigations of health care claims, documenting... .... The role requires at least 4 years of experience in healthcare fraud investigations, use of OSINT tools, and...
$46.99k - $122.4k
...Enhancement is hiring for a full-time position focused on healthcare fraud investigation in South Dakota. The role requires handling complex cases... ...necessitates 3 years of experience in health care fraud, waste, and abuse audits. The ideal candidate will have strong analytical...Full timeWork at office$97.53k - $141.42k
...4Job SummaryAs a member of our Compliance team, the Sr. Fraud, Waste, Abuse Investigator will help ensure CenCal Health’s compliance with applicable... ...plan’s FWA activities.Maintains current awareness of healthcare and health plan compliance laws and regulations, as well...Contract workLocal area$46.99k - $122.4k
The Hispanic Alliance for Career Enhancement is seeking a dedicated professional to handle investigations into healthcare fraud, waste, and abuse, focusing on complex cases and cooperation with law enforcement. This full-time position requires a bachelor's degree, with...Full time$3,000 - $4,999 per month
...available (1) - b. $3000 - $4999 per month Functional Title: Claims Investigator Job Title: Investigator II Agency: Health & Human Services... ...III is responsible for investigating referrals of fraud, waste, and abuse by HHS clients; conducting thorough research and evidence...Remote workFull timeTemporary workPart timeWork at officeShift work- ...Corporation is hiring for a Fraud Prevention Analyst. In this... ...operations. You’ll combine investigation, analytics, and risk management... ...our Middleton, WI office or remotely from Wisconsin, Arizona,... ...services, benefits administration, healthcare, or another regulated...Remote workWork at officeFlexible hours
- ...Investigating allegations of potential healthcare fraud and abuse, the full-time SIU Investigator will conduct investigations... ...detailed reports while working remotely, preferably from Ohio. Key... ...Conduct investigations of potential waste, abuse, and fraud in healthcare claims...Remote workFull time
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