Remote Leader, Fraud, Waste & Abuse Investigations
BCBS Global Solutions
King of Prussia, PA
- Remote job
BCBS Global Solutions is hiring a Manager for Fraud, Waste and Abuse Special Investigations. This pivotal role leads efforts to detect and prevent fraud in international healthcare claims while overseeing a team of investigators. The ideal candidate has over 5 years of insurance industry experience, preferably with a strong understanding of international health claims. Flexibility for remote work is available, and strong problem-solving skills are essential for success in this fast-paced environment. #J-18808-Ljbffr BCBS Global Solutions
Vacancy posted 10 hours ago
Similar jobs that could be interesting for youBased on the Remote Leader, Fraud, Waste & Abuse Investigations in King of Prussia, PA vacancy
$51k - $74.88k
Healthfirst is seeking an Investigator for the Special Investigations Unit responsible for conducting complex investigations into alleged misconduct and Fraud, Waste, and Abuse. This fully remote position requires an Associate's degree or related experience. Candidates...Remote jobFraud$71.1k - $97.8k
...Humana is seeking a Senior Fraud and Waste Investigator to conduct comprehensive investigations into allegations of fraud and misconduct. This remote position requires strong analytical skills and at least 3 years of relevant experience. The ideal candidate will lead...Remote workFraudHumana
Columbia, SC4 days ago$90k - $120k
...Executive Sales – Healthcare Fraud, Waste and Abuse (FWA) Investigation Services Due to our continuing growth, we are seeking an executive level sales... ...Sales role will be seen as an experienced professional leader in the healthcare service space, represent the company...Remote workFraudShift workCoventBridge Group
United States1 day ago- The Manager- Fraud, Waste and Abuse Special Investigations leads the organization’s efforts to detect, investigate and prevent fraud, waste and abuse across... ...Flexibility to work in an office and/or at-home, remote office environment. Schedule flexibility is occasionally...Remote workFraudWork at office
- ...Profile We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL,... ...favorably adjudicated DOD background investigation for this position. Veterans, Reservists... ...development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the...Remote workFraudContract workFor subcontractorInterim role
TriWest Healthcare Alliance
Phoenix, AZ2 days ago $64k - $68k
...We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA,... ...favorably adjudicated DOD background investigation for this position. Veterans,... ...development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the...Remote workFraudContract workTemporary workFor subcontractorInterim roleLocal areaShift workTriwest Healthcare
United States2 days ago- ...Management solution! Job Description Summary: The Fraud, Waste, and Abuse Investigations Manager handles the operational activities related to... ...and collaboration with a cross-functional group of leaders. It will be essential to have outstanding program...Remote workFraudContract workLocal areaMonday to FridayFlexible hoursNight shiftWeekend work
MedImpact
United States2 days ago - A healthcare management company based in California is looking for a Fraud Investigation Manager who will be responsible for conducting thorough investigations of potential healthcare fraud and abuse. The ideal candidate must possess strong analytical skills, excellent...Fraud
$51k - $80.07k
Healthfirst is looking for an Investigator within the Special Investigations Unit (SIU) to conduct complex investigations of alleged misconduct and fraud in a fully remote position. The ideal candidate must possess an Associate's degree in criminal justice or equivalent...Remote jobFraud- Healthfirst is hiring a Remote Investigator for the Special Investigations Unit. This role involves conducting complex investigations of alleged misconduct, compiling data into reports, and presenting findings to the Marketing Incidents Committee. Essential qualifications...Remote jobFraudWork at office
$61.88k - $103.13k
...to continue for many years to come. This is a Remote role open to candidates in any US state or Canadian province. The LTC Fraud Waste and Abuse Team is responsible for preventing, detecting, evaluating, investigating, and remediating cases of fraud against these policies...Remote workFraudFull timeFlexible hours$86.8k - $124k
...Advisor Business Analyst - Fraud, Waste & Abuse Date: Apr 13, 2026 Work Mode... ...our clients identify and investigate healthcare fraud and abuse.... ...expect in this role Fully Remote from Contiguous US locations... ...Gainwell Company, an industry leader. You’ll be joining a...Remote workFraudFull timeFlexible hoursAfternoon shiftGainwell Technologies
Saint Paul, MN11 hours ago$71.1k - $97.8k
...part of our caring community. The Senior Fraud and Waste Investigator conducts investigations of allegations of fraudulent and abusive practices. Work assigned to the Senior Fraud... ...make an impact Work Style: Work at home, remote. While this is a remote position, occasional...Remote workFraudBi-weekly payTemporary workApprenticeshipWork from homeHome officeMonday to FridayHumana
Des Moines, IA2 days ago$97.53k - $141.42k
...California Salary Range: $97,534 - $141,424Job SummaryAs a member of our Compliance team, the Sr. Fraud, Waste, Abuse Investigator will help ensure CenCal Health’s compliance with applicable laws, rules, and regulations, with specific responsibility for the ongoing administration...FraudContract workLocal areaCencal Health
Santa Barbara, CA1 day ago$71.1k - $97.8k
Humana Inc is seeking a Senior Fraud and Waste Professional to conduct investigations of fraudulent practices. The role includes coordinating with law enforcement... ...offers a salary range of $71,100-$97,800 annually, remote working options, and comprehensive benefits...Remote jobFraud$71.1k - $97.8k
Humana Inc is seeking a Senior Fraud and Waste Investigator to join their dedicated team. This remote role involves conducting extensive investigations into fraudulent activities affecting the organization and stakeholders. The ideal candidate will have a Bachelor’s degree...Remote jobFraud- ...Data Analyst Fraud Waste & Abuse Minnetonka, MN - Remote Job Description Description - The Fraud, Waste, and Abuse (FWA) Analyst plays a critical role in safeguarding state Medicaid programs by identifying, analyzing, and preventing fraudulent...Remote workFraud
RIT Solutions, Inc.
Minnetonka, MN5 days ago $66.33k - $145.86k
...individual contributor role supports complex investigations and contributes to organizational... ...plays a key role in identifying fraud risks, supporting program integrity efforts... ...financial losses related to fraud, waste, and abuse. Performs complex investigations related...FraudHourly payFull timeTemporary workLocal area- * Responsible for fraud and abuse detection activities for the TennCare PBA Programs, including... ...be responsible for day-to-day Provider investigation-related inquiries.* Utilizes... ...and remediating allegations of fraud, waste and abuse involving providers. Primary...FraudContract workLocal area
MedImpact
San Diego, CA2 days ago $71.1k - $97.8k
Humana Inc is seeking a Senior Fraud and Waste Investigator to conduct detailed investigations of allegations of fraud and misconduct. This role... ...with legal and compliance teams. The position allows for remote work, with the need for occasional travel to Humana's offices...Remote jobFraud$71.1k - $97.8k
Humana is seeking a Senior Fraud and Waste Professional who will investigate claims of fraudulent practices and coordinate with law enforcement. The position... ...in healthcare fraud investigations. This is a remote position with occasional travel required for training...Remote jobFraud$54k - $83k
The Louisiana Legislative Auditor in Baton Rouge is seeking Investigative Auditors to join their team. Successful candidates will investigate complaints of fraud and abuse involving public funds, demonstrating strong verbal and written communication skills. Applicants must...Fraud- ...Technical Abuse Investigator OpenAI's mission is to ensure that general-purpose artificial intelligence... ...This role will work PST and is open to remote work within the United States, though... ...; automation; encryption; terrorism; fraud; violence; child exploitation; data...Remote workFraud
OpenAI
United States3 days ago - Howard County Government is seeking Investigators for the Office of Inspector General to conduct complex investigations related to fraud, waste, and misconduct. The position requires a Bachelor's degree and four years of relevant experience. Investigators will analyze various...FraudWork at office
$68k - $88k
...Medical Review Auditor (Fraud Waste and Abuse) Join to apply for the Medical Review Auditor (Fraud Waste and Abuse) role at Cotiviti Medical... ...$20.00-$25.00 1 week ago Elite Premium Insurance Auditor - Remote Remote: Full Time Profee General Surgery Coder Medical Coder...Remote workFraudHourly payFull timeContract workPart timeWork experience placementImmediate startWork from homeCotiviti
New York, NY4 days ago- ...A healthcare organization is seeking a PI Investigator responsible for investigating fraud, waste, and abuse. This role requires 2 years of relevant experience and can be performed remotely in several U.S. states. The ideal candidate will have a background in healthcare...Remote workFraud
TriWest Healthcare Alliance
Phoenix, AZ1 day ago $70k - $90k
...A leading healthcare analytics firm is seeking a Senior Investigator to investigate incidents of healthcare fraud, waste, and abuse through data analysis. This remote position requires a Bachelor's degree, 5-8 years of experience in healthcare FWA investigations, and...Remote workFraudCotiviti
New York, NY4 days ago- ...sponsorship. Responsibilities Responsible for fraud and abuse detection activities for the state... ...be responsible for day‑to‑day Provider investigation-related inquiries. Utilizes... ...regulatory agencies. Cooperates with fraud, waste and abuse efforts with external business...FraudContract workLocal areaMonday to FridayNight shiftWeekend work
- We are seeking a Senior Healthcare Fraud Investigator to support our program integrity efforts through hands‑on investigation of potential fraud, waste, and abuse (FWA). This role is ideal for someone who thrives on digging into data, managing complex cases, and driving...Remote workFraud
$45 - $55.53 per hour
Mitchell Martin Inc. is seeking a SIU Clinical Healthcare Fraud Investigator III. This remote contract role involves leading complex investigations into healthcare fraud, waste, and abuse. The ideal candidate will have at least 4 years of coding experience and 3 years of...Remote jobFraudHourly payContract work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Leader, Fraud, Waste & Abuse Investigations. Be the first to apply!
Related searches
- key team leader King of Prussia, PA
- quality assurance team leader King of Prussia, PA
- clinical team leader King of Prussia, PA
- team lead full time King of Prussia, PA
- school leader King of Prussia, PA
- integration team lead King of Prussia, PA
- talent management leader King of Prussia, PA
- team lead King of Prussia, PA
- focus group leader King of Prussia, PA
- recruitment team leader King of Prussia, PA