Senior Healthcare Compliance Investigator — Remote
Centene Corporation
- Remote job
Centene Corporation seeks a Clinical Professional to lead compliance investigations in a diverse national organization. Your role will focus on conducting thorough investigations, analyzing compliance metrics, and collaborating with various departments to ensure adherence to laws and regulations. The preferred candidate will have substantial experience in investigations within a healthcare setting. Centene provides competitive benefits, including a flexible work environment and comprehensive healthcare coverage. #J-18808-Ljbffr Centene Corporation
- Centene Corporation is seeking a clinical professional for their Compliance Investigations team. The role involves leading compliance and ethics investigations across business units, evaluating allegations, and preparing case summaries. The ideal candidate will possess...Remote jobSenior
- Centene Corporation in California is seeking a Clinical Compliance Investigator to oversee compliance investigations across business units. This... ...offers competitive pay and a flexible working environment, including remote options. #J-18808-Ljbffr Centene CorporationRemote jobSeniorFlexible hours
- Centene Corporation is seeking a Compliance Investigator to lead compliance investigations across all business units. The role involves conducting thorough investigations, collaborating with legal and other teams, and providing actionable insights based on findings. The...Remote jobSeniorFlexible hours
- Centene Corporation is seeking a Clinical Professional for its Medical Management/Health Services team to lead compliance investigations across all business units. You will prepare analyses and reports, ensuring that investigations comply with regulations and company policies...Remote jobSenior
$70.1k - $126.2k
Centene Corporation seeks a Compliance Investigator to oversee the Compliance Investigations Program. The role involves leading investigations, managing compliance processes, and documenting findings across all business units. Candidates should have a Bachelor's degree...Remote jobSeniorFlexible hours$36.43 - $44.04 per hour
...Senior Investigator Title: Senior Investigator State Role Title: Health Care Compliance Spec II Hiring Range: $36.43-$44.04/hr. commensurate... ...of the Commonwealth. Healthcare licensees with investigative... ...mobile work and to maintain a remote office with high speed...Remote workSeniorHourly payWork experience placementWork at officeNight shift- ...We are seeking a Senior Healthcare Fraud Investigator to support our program integrity efforts through hands‑on investigation of potential fraud,... ...identifying risk, analyzing claims activity, and supporting compliance with state and federal healthcare regulations—...Remote workSeniorWork at office
$107.7k - $199.3k
...York seeks a highly skilled individual to lead and manage complex internal investigations. This role requires exceptional judgment and the ability to guide senior management while ensuring compliance with federal and state regulations. The ideal candidate will have 7+...Remote workSenior- ...in Kentucky is looking for a skilled professional to lead complex internal investigations. The ideal candidate needs 7+ years of experience in investigations, proficiency in regulatory compliance, and a bachelor’s degree in a related field. Knowledge of Federal and...Remote workSeniorFlexible hours
$60.2k - $107.4k
...UnitedHealth Group is seeking a Senior Investigator for UnitedHealthcare to identify and prevent healthcare fraud, waste, and abuse. The role offers telecommute flexibility from anywhere in the U.S. to support safer, more equitable care. You will analyze claims data, conduct...Remote workSenior$98.78k - $139k
...The Office of Civil Rights Compliance at the University of Southern California (USC) is seeking a Senior Investigator to join their team. This is an exciting time at USC when the... ...grant funding, and market condition. #LI-Remote Minimum Education: Master's degree (...Remote workSeniorWork at office- Centene Corporation is seeking a skilled Investigator to lead complex internal investigations and ensure compliance with laws and regulations. This role involves evaluating allegations, conducting interviews, and managing investigation strategies. The ideal candidate will...Remote jobSeniorFlexible hours
- Centene Corporation seeks an experienced investigator to lead complex internal investigations. The role involves ensuring compliance with regulations and providing strategic advice to senior leadership. Applicants should have a Bachelor's Degree in a relevant field, substantial...Remote jobSeniorFlexible hours
$60.2k - $107.4k
...2372695 Job category: Regulatory & Compliance At UnitedHealthcare, we're simplifying... ...Connecting. Growing together. The Senior Investigator is responsible for identification, investigation and prevention of healthcare fraud, waste, and abuse. The Senior...Remote workSeniorMinimum wageFull timeTemporary workWork experience placementLocal areaMonday to Friday$98.78k - $139k
The Office of Civil Rights Compliance at the University of Southern California (USC) is seeking a Senior Investigator to join their team. This role involves assessing reports of... ...salary range: $98,776 - $139,000. Location: Remote. Equal Opportunity Employer USC is an equal...Remote workSeniorWork at office$46.99k - $122.4k
...Enhancement is looking for a full-time position in health care fraud investigation in Nebraska. This role involves handling complex fraud cases, cooperating with law enforcement, and ensuring compliance with regulations. The ideal candidate will have at least 3 years of...SeniorFull time$46.99k - $122.4k
...is looking for a dedicated individual to manage complex healthcare fraud investigations. The role demands at least 3 years of relevant experience... ...on fraud cases, document case activities, and ensure compliance with regulations. This full-time position offers a competitive...SeniorFull time$46.99k - $122.4k
...candidate for a full-time role focused on health care fraud investigation. This position involves investigating and preventing fraud, preparing... .... The role requires a commitment to ethical practices and compliance with legal standards. The pay range is $46,988.00 - $122,400....SeniorFull time$107.7k - $199.3k
...high-impact internal investigations across the organization... ..., regulatory compliance, and risk mitigation.... ...ability to influence senior leadership decisions... ...Justice/Criminology, Law, Healthcare Administration/Health... ...approach to work with remote, hybrid, field or office...Remote jobSeniorFull timePart timeWork at officeFlexible hours- ...Responsible for complex fraud and abuse investigations and data analysis to identify trends,... ...records audits, data mining, perform compliance audits of medical claims, fee screens... ...involving multiple perpetrators or intricate healthcare fraud schemes. Investigate fraud and...SeniorLocal area
- ...UnitedHealth Group in Omaha, Nebraska, seeks an investigator to assess fraud and misconduct allegations. You will conduct investigations, analyze data, and ensure compliance with regulations while collaborating with internal and external partners. The ideal candidate has...Remote work
- ...today. About The Role As our Senior Fraud Analyst for Consumer... ...automated block and manual investigation policies. Advanced Risk Tooling... ...workflows. Regulatory & Compliance Liaison: Coordinate with the... ...Health, dental, and vision plans Remote work environment, although...Remote workSenior
- ...Alignment Healthcare USA, LLC is seeking a Senior Director for Enterprise Financial Systems to lead the implementation of Oracle Cloud Financials in... ...for maintaining financial system integrity and ensuring compliance with CMS reporting requirements. The ideal candidate...Remote workSenior
$168k - $231k
...A healthcare company seeks a Senior Counsel to advise on complex legal matters related to senior-focused... ...collaborating with clinical teams, and ensuring compliance with laws. Candidates must have a... ...skills. This position allows for remote work with occasional travel for...Remote workSenior$62.5k - $115.5k
...Sr. Analyst, Fraud & Investigations Nationwide Financial, a Fortune100... ...schedule: 2 days in office, 3 days remote. Job Conditions This role... ...to ensure effectiveness and compliance. Communicate case... ...Prepare reports and metrics for senior leadership and regulatory bodies...Remote workSeniorTemporary workCasual workWork at office- ...A healthcare company is seeking a Senior Counsel to provide legal guidance on complex matters affecting primary care operations. The Senior Counsel... ...arrangements and collaborate with leadership to ensure compliance with laws. Candidates should have a Juris Doctorate, significant...Remote workSenior
$85k - $97.5k
...Description Summary The Senior Fraud Analyst supports the... ...program by monitoring, investigating, analyzing, and escalating fraud... ..., digital account opening, remote deposit capture, card-not-present... ..., Cybersecurity, Payments, Compliance, and BSA/AML during fraud...Remote workSeniorFull timePart timeWork at officeFlexible hours$130k - $160k
...Company Optain is a revolutionary healthcare company that uses... ...US. About the Job As the Senior Operations Manager, you will... ...center of that work. This is a remote, US-based position. What You... ...business and support ongoing compliance with existing customer agreements...Remote workSeniorFull timeContract work- ...health organization is seeking a Senior Counsel to provide legal... ...The role requires expertise in healthcare law, focusing on managing contracts and ensuring compliance across multiple business areas... ...independently. The position supports a remote work setup, with occasional...Remote workSenior
$168k - $231k
...A leading healthcare provider is seeking a Senior Counsel to support senior-focused primary care operations. The role involves advising on complex... ...legal matters, drafting legal agreements, and ensuring compliance with laws and regulations. The ideal candidate will hold...Remote workSenior
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