Remote Program Integrity Investigator - Healthcare FWA
Nashville Public Radio
- Remote job
Nashville Public Radio seeks a Program Integrity Investigator to identify and analyze fraud cases under Department of Defense guidelines. Applicants require 2 years of relevant experience and a High School diploma. This role emphasizes remote work across various states, ensuring compliance with both federal regulations and TriWest's ethical standards. The position offers benefits including health coverage, a 401(k), and paid time off. #J-18808-Ljbffr Nashville Public Radio
- A healthcare organization is seeking a PI Investigator responsible for investigating fraud, waste,... ...experience and can be performed remotely in several U.S. states.... ...and documenting FWA issues, ensuring... ...guidelines, and supporting the Program Integrity objectives. #J-18808-...Remote work
- Profile We offer remote work opportunities (AK, AR... ...DOD background investigation for this position. Veterans... ...of the Director, Program Integrity and reports directly... ...fraud, waste and abuse (FWA) cases as defined by... ...Veterans Affairs (VA), the Healthcare Finance...Remote workContract workFor subcontractorInterim role
$70k - $90k
...is looking for a Senior Investigator – Lead Validation (Healthcare FWA) based in the United States... ...on protecting the integrity of the healthcare system... ...necessary. This is a fully remote, detail-intensive role for... ...employee support programs ~ Flexible remote work...Remote jobFull timeFlexible hours$70k - $90k
...Senior Investigator - Pre-Pay (Healthcare FWA) Job Location: US-Remote Overview As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through data analysis (a high level of proficiency with Excel is required). This is not...Remote workWork experience placementWork at officeWork from home$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... ...years of experience in healthcare FWA investigations, and advanced Excel...Remote work- ...job application. Healthcare Fraud Shield will... ...prevention and payment integrity solutions, is... ...Clinical Coder/Fraud Investigator to join our team.... ...specialties) pertaining to FWA investigations as... ...Assistance Program (EAP) Professional... ...initiatives Remote work eligible REMOTE...Remote workFull timeFlexible hours
- ...a dynamic role focused on advocacy and program integrity through compliance management. Here, you... ...the quality of care, and influence healthcare outcomes on a meaningful scale. Enjoy the... ...outcomes for vulnerable populations Remote work enjoy the convenience and balance...Remote jobWork from home
$97.53k - $141.42k
...Fraud, Waste, Abuse (FWA) Investigator Main Office - Santa... ...opportunities for remote work; however, familiarity... ...and Abuse (FWA) program. The FWA Investigator... ...current awareness of healthcare and health plan compliance... ...confidential to with integrity and confidentiality...Remote workFull timeContract workWork at officeLocal area- ...a dynamic role focused on advocacy and program integrity through compliance management. Here, you... ...the quality of care, and influence healthcare outcomes on a meaningful scale. Enjoy the... ...outcomes for vulnerable populations Remote work – enjoy the convenience and balance...Remote workFull timeTemporary workWork at officeWork from home
$60k - $92k
...Levels (Investigator, Sr. Investigator, etc) will depend on experience... ...and qualifications. Integrity Advantage is a small... ...investigation and prevention of healthcare fraud, waste and abuse (FWA). We are growing and... ...work independently within a remote team, under minimal...Remote workFull time- ...seeking a Senior Project Manager in Integrations who will lead various healthcare integration projects. The role... ...Applicants should have at least 8 years of program management experience and 4 years... ...standards. Benefits include remote work options, health insurance, a...Remote work
- ...efficient processes to program and patient health.... ...Responsibilities Payment Integrity & FWA Domain Expertise... ...payment recovery, SIU investigations, and provider fraud and... ...Bachelor’s degree in healthcare administration,... ...functions. This is an office/remote position. While...Remote workWork at officeShift work
$65k - $68k
...We offer remote work opportunities (AK, AR, AZ,... ...adjudicated DOD background investigation for this position.... ...of the Director, Program Integrity and reports directly... ...Fraud, Waste and Abuse (FWA) case development activities... ...Specialist utilizes healthcare billing, claim...Remote workContract workTemporary workInterim roleWork at officeLocal areaShift work$130k - $155k
...about transforming the healthcare space by building the... .... The Sr Program Integrity Analyst is a key member... ...the intersection of investigative analysis, product development... .... This is a fully remote opportunity for... ...knowledge of how FWA manifests in Medicaid...Remote workFull timeLocal areaNight shift$60.2k - $107.4k
A leading healthcare organization seeks a Senior Investigator Pharmacy to prevent and investigate healthcare fraud and abuse. Responsibilities include assessing misconduct complaints and analyzing trends. Required qualifications include a degree and relevant experience...Remote job- UnitedHealth Group is seeking a Senior Investigator responsible for identifying and preventing healthcare fraud, waste, and abuse. This role offers telecommuting flexibility and requires investigating complex fraud cases, analyzing data trends, and collaborating with regulatory...Remote job
- ...Description Healthcare Fraud Investigator - Medicaid Remote, U.S. Based @Orchard LLC is retained by a not-... ...of health care and human services programs. We have multiple lines of business... ...program who will ensure the integrity and accuracy of claims processes...Remote work
$45.3k
...inspections, evaluations, and complaint investigations for the Rabies Prevention Program. Provides knowledge and... ...IMMUNIZATION: All new employees who are healthcare providers are required to provide... ...: The option to work partially remote or adjusted work hours may be...Remote workPermanent employmentFull timeTemporary workWork experience placementH1bWork at officeFree visaMonday to FridayFlexible hoursNight shift$93.5k - $126.5k
...to better enable healthcare organizations to identify... ...a Nurse Analyst / Investigator joining our team... ...and Medicaid programs. The contract is part... ...for Program Integrity (CPI). At GDIT, we... ...waste, and abuse (FWA) across the Medicare... ...Telecommuting Options: Remote Work Location: Any...Remote workFull timeContract workTemporary workFor contractorsImmediate startWorldwideFlexible hours$71.3k - $124.5k
...RI, CT, NY, NJ, PA, MD, DE). Remote position but must reside in... ...adoption of best practices, integrating our solutions into curricula... ...nurses for a rapidly evolving healthcare landscape Qualifications... ...of competitive benefits and programs to help meet your needs and...Remote work- The Commonwealth of Massachusetts is hiring a Program Integrity Compliance Specialist in Boston. This full-time role focuses on supporting early childhood programs by investigating complaints and non-compliance issues. Candidates must have extensive experience in program...Full time
- ...adynamic role focused on advocacy and program integrity through compliance management. Here, you... ...safeguard the quality of care, and influence healthcare outcomes on ameaningful scale. Enjoy... ...outcomes for vulnerable populations Remote work - enjoy the convenience and...Remote workFull timeTemporary workWork at office
$63k - $68k
...Overview Medicaid/Medicare Program Integrity Analyst II - REMOTE The Medicaid/Medicare Program Integrity... ...development of leads, complaints, and/or investigations to verify allegations of potential... ...and contribute to improved healthcare delivery by identifying and eliminating...Remote workFor contractorsWork at officeLocal areaWorldwideHome office$63k - $68k
Coventbridge-Group is seeking a Medicaid/Medicare Program Integrity Analyst II for a remote position based in Grove City, OH. This role necessitates evaluating potential fraud cases and documenting findings, requiring excellent research and analytical skills. The ideal...Remote job$48k - $53k
...Healthcare Investigator - State of Ohio Work Location: Remote – Must be a licensed LSW, RN, or LPC in the State of Ohio. Pay Range: $48,000.00 - $53,000.00... ...under the federal laws relating to the F-1 STEM EAD program, this position is not eligible to support a STEM...Remote workH1bWork at officeWork from homeFlexible hours- ...the onsite engineers conduct investigations of suspected non-conforming... ...accommodation for this Office/Remote position. How we work... ...everywhere has access to the quality healthcare that we all deserve. Do the... ...Total Rewards benefits program, which includes a generous PTO...Remote workHourly payFull timeWork at officeImmediate startWork visaRelocation package
- ...State-of-Washington is seeking a Medical Program Specialist 3 to ensure compliance in medical coding and prevent fraud in healthcare programs. The role involves training staff, analyzing complex data, and acting as a subject matter expert. Candidates should possess relevant...Remote workFlexible hours
- ...The State of Washington is seeking a Lead Medical Coder to serve as an expert in medical coding and Medicaid program integrity. This position focuses on ensuring compliance with coding standards and reducing fraud, waste, and abuse. As the subject matter expert, you...Remote work
- ...CVS Health is seeking a Sr. Analyst, Fraud, Waste, and Abuse to help detect and investigate incidents of FWA. This role will involve extensive analysis of claims data, preparing detailed investigative reports, and collaborating across departments. The ideal candidate...Full time
- ...Alliance for Career Enhancement in Michigan is looking for a Sr. Analyst specializing in Fraud, Waste, and Abuse (FWA). This role entails investigating healthcare claims and ensuring compliance with coding guidelines. The ideal candidate will have 3-5 years of experience,...Full time
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Program Integrity Investigator - Healthcare FWA. Be the first to apply!
- investigator Phoenix, AZ
- case investigator Phoenix, AZ
- forensic investigator Phoenix, AZ
- research investigator Phoenix, AZ
- security investigator Phoenix, AZ
- housing investigator Phoenix, AZ
- human rights investigator Phoenix, AZ
- clinical investigator Phoenix, AZ
- compliance investigator Phoenix, AZ
- special investigator Phoenix, AZ


