Healthcare Claims Investigator
Insight Global
Senior Healthcare Claims Investigator We\'re looking for a Senior Healthcare Claims Investigator to support a high volume of claims for a leading healthcare client. In this role, you\'ll lead complex fraud, waste, and abuse investigations by reviewing claims, patient records, and billing data to identify suspicious activity. You\'ll conduct interviews, gather evidence, and produce detailed reports while partnering with legal teams and external agencies to ensure compliance with regulatory requirements. You\'ll also analyze trends across cases, support audits, and act as a subject matter expert, helping guide investigation strategy and mentor junior team members. #J-18808-Ljbffr Insight Global
- Mitchell Martin Inc. is seeking a Special Investigation Unit Investigator III for a remote, contract position. In this role, you will conduct... ...or related field and minimum of 5 years experience in healthcare fraud investigation. Strong analytical skills and proficiency...SuggestedRemote jobContract work
$85k - $105k
Contact Government Services is looking for a Healthcare Fraud Investigator to provide legal support for a major government project in Nashville, TN. The ideal candidate will analyze data, review complex legal documents, and help in developing fraud referrals. This role...SuggestedWork at office$85k - $105k
CGS Federal (Contact Government Services) is seeking a Healthcare Fraud Investigator to provide legal support for a government project. This role involves analyzing data, reviewing legal documents, and advising attorneys on fraud cases. The ideal candidate should have a...Suggested- ...provider in Los Angeles seeks a Special Investigation Unit Investigator II to conduct... ...fraud. Responsibilities include reviewing claims, preparing reports, and collaborating with... ...and at least 3 years of experience in healthcare fraud detection. Join a dedicated team...Suggested
$85k - $105k
Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level CGS is seeking a Healthcare Fraud Investigator to provide legal support for a large government project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete...SuggestedFull timeWork experience placementWork at officeLocal area$77.27k - $123.63k
A health coverage provider in Los Angeles is seeking an Investigator II for the Special Investigations Unit. This role involves conducting... ...Criminal Justice and at least three years of experience in healthcare fraud investigation. Skills in research, communication, and...$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 jobHourly payContract work- Job Description We’re looking for a Clinical Healthcare Fraud Investigator to support a high volume of claims for a leading healthcare client. This role owns full-cycle investigations from intake through closure, leveraging deep clinical, coding, and regulatory expertise...
$28 - $31 per hour
...Angeles, CA Overview Uncover the Truth. Protect the Integrity. Advance Your Career. At CoventBridge Group, every claim tells a story — and as a Claims Investigator, you’ll be the one uncovering it. Using your investigative instincts, field experience, and attention to...Hourly payFull timeH1bH2bWork from homeWorldwideFlexible hoursNight shift- Frasco Inc. is seeking an Investigator in Los Angeles, California, to conduct insurance claims investigations. This position can be full-time or part-time with flexible hours. Candidates should have strong attention to detail and effective communication skills. The role...Full timePart timeWork from homeFlexible hours
$22 - $28 per hour
Frasco Inc is seeking an Investigator in Los Angeles, California, for full-time or part-time work. This role requires conducting thorough investigations, collecting evidence, and preparing investigation reports. The ideal candidate has strong attention to detail and the...Remote jobHourly payFull timePart time$22 - $28 per hour
A leading investigative services provider is seeking a part-time Investigator in Los Angeles, California. Your responsibilities will involve conducting insurance claims investigations including gathering evidence, preparing reports, and maintaining communication with clients...Remote jobHourly payPart timeWork at officeWork from homeFlexible hours- CoventBridge Group is looking for a Claims Investigator in Los Angeles, CA. In this role, you will conduct field investigations, manage reports, and provide crucial insights into claims of various types. Applicants should have 3-5 years of relevant experience and a degree...Remote jobWork from home
$25 - $40 per hour
...application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Field Claim Investigator FullTime Technical Lake Worth, FL, US Salary Range: $25.00 To $40.00 Hourly About the Role RC Services is seeking...Hourly payFull timeContract workFlexible hoursAfternoon shift$78.32k - $128.16k
...Investigator II Hybrid 1: This role requires associates to be in-office 1 - 2 days per week... ...development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims. How you will make an impact Claim...Temporary workWork experience placementWork at officeLocal area2 days per week1 day per week- Stout is hiring for a Healthcare Consultant role based in Los Angeles, CA, focusing on coding audits and analysis in healthcare consulting. The ideal candidate will possess a Bachelor's degree in Health Information Management and at least five years of experience in acute...Flexible hours
- UCLA Health is searching for a Senior Compliance Investigator to lead investigations focusing on integrity and regulatory compliance within healthcare. You will analyze evidence, conduct interviews, and prepare comprehensive reports while collaborating with stakeholders...
$115k - $165k
Direct Jobs is seeking a Senior Compliance Investigator in Los Angeles, California to lead complex investigations into compliance concerns... ...seven years of relevant experience, and strong knowledge of healthcare regulations. Responsibilities include gathering evidence,...- A government service provider in Los Angeles is seeking an experienced ACE Investigator to assist a Federal agency project. This role involves generating investigations related to fraud, analyzing data, and preparing reports for legal use. Applicants should possess strong...
$115k - $165k
UCLA Outpatient Clinics is seeking a Senior Compliance Investigator in Los Angeles to lead complex compliance investigations regarding potential regulatory concerns. The role involves gathering and analyzing evidence, conducting interviews, and preparing comprehensive...$115k - $165k
...California - Los Angeles Health is seeking a Senior Compliance Investigator to lead compliance investigations involving potential... ...relevant experience, strong analytical skills, and knowledge of healthcare regulations. Responsibilities include gathering and analyzing...- Insight Global is seeking a Clinical Healthcare Fraud Investigator in Los Angeles to support high volume claims for a top healthcare client. This role involves conducting full-cycle investigations leveraging regulatory and clinical expertise, mentoring fellow investigators...
$142.1k - $254.2k
...School of Medicine at UCLA is seeking applications for Clinician‑Investigator positions in the Health Sciences Clinical Professor series at... ...inpatient and consult attending responsibilities in the UCLA Healthcare System. Other responsibilities will include teaching UCLA...Local area$142.1k - $254.2k
Clinician‑Investigator Positions in Geriatrics 2025‑2026 Position overview Salary range: $142,100‑$254,200. The posted UC salary scales... ...inpatient and consult attending responsibilities in the UCLA Healthcare System. Other responsibilities will include teaching UCLA...- Clinician‑Investigator Positions in Geriatrics 2025‑2026 - University of California Los Angeles Requisition Number: JPF10425 The Division... ...inpatient and consult attending responsibilities in the UCLA Healthcare System. Other responsibilities include teaching UCLA medical...
- Insight Global is seeking a Senior Healthcare Claims Investigation Analyst in Los Angeles, California. The role involves responsible for intake, triage, and regulatory reporting of healthcare fraud and abuse leads. The successful candidate will coordinate case intake, ensure...
$90.16k - $141.12k
...Date: 2026-06-13 Position Title: Pharmacy Investigator Senior Job Description: Pharmacy... ...of complex cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims. How you will make an impact: Claim reviews...Full timeContract workTemporary workWork experience placementWork at officeLocal areaDay shift2 days per week1 day per week- Our healthcare payer client urgently needs additional SIU (Special Investigations Unit) support to handle a heavy caseload of fraud, waste, and abuse (FWA) investigations... ...with state and federal regulations and ensuring claims integrity. Pay Range: $50-60/hour W2 +...
- A leading healthcare institution in Los Angeles seeks a Clinical Investigator specializing in pediatric hematology-oncology. Ideal candidates will have a Medical Degree, board certification or eligibility, and an aptitude for teaching and mentorship in a collaborative environment...
$95k - $125k
...compliance program. This role involves conducting compliance investigations, preparing reports, and advising on regulatory matters. Qualifications... ...s degree, CHC certification, and a minimum of three years in healthcare compliance. The anticipated salary range is between $95,000...
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