Senior Health FWA Investigator - Remote (Ohio)
UnitedHealth Group
- Remote job
Optum, a division of UnitedHealth Group, seeks an experienced investigator to support Fraud, Waste and Abuse (FWA) investigations in the Ohio region. The role requires analyzing data, coordinating with clinical coding, and presenting investigation findings to clients and regulators. Remote work is possible for residents, with on-site travel 25% within Ohio. Candidates should have 5+ years in FWA/SIU, knowledge of health insurance claims, and ability to engage with legal entities. #J-18808-Ljbffr UnitedHealth Group
- UnitedHealth Group is seeking a Senior Investigator to gather and analyze data, determine validity of... .... The position requires 5+ years in FWA/SIU, 2+ years in health insurance claims, and up to 25% travel within Ohio. Remote work option is available, with strong emphasis...Remote jobSenior
$46.99k - $112.2k
...We're building a world of health around every individual - shaping a more connected,... ...at a time. Position Summary The Senior Investigator, Aetna Special Investigations Unit, will... ...Communicate clearly a high level of FWA knowledge and understanding during interactions...Remote workSeniorHourly payFull timeTemporary workWork at officeLocal area$60.2k - $107.4k
...team will directly improve health outcomes by connecting... ...in t h e state of Ohio, you will have the flexibility to work remotely* as you take on some tough... ...articulate behavior through an Investigation Summary and compliance... ...and schemes related for FWA to ensure additional TIP...Remote workSeniorMinimum wageFull timeWork experience placementLocal area- UnitedHealth Group seeks a senior investigator in Virginia to lead data-driven... ...fraud investigations within FWA/SIU. You will gather facts,... ...substantial experience in health insurance claims, coding knowledge... ...Excel/Word. You can work remotely from Virginia with travel to...Remote jobSenior
$72.04k - $94.55k
...we're Oscar. We're hiring a Senior Analyst, SIU Investigator to join our SIU team. Oscar is the first health insurance company built around... ...improvements for Fraud Waste and Abuse (FWA) recoupments and savings. You... .... Work Location: This is a remote position, open to candidates...Remote workSeniorFull timeWork from homeHome office$56.2k - $101k
...outpatient, ancillary, behavioral health care, laboratory, etc. Provides investigative support to the Special Investigations... ...years of Fraud, Waste, and Abuse (FWA) experience is required ~ A... ...a flexible approach to work with remote, hybrid, field or office work schedules...Remote workFull timePart timeWork at officeFlexible hours$60.2k - $107.4k
...Senior InvestigatorAt UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing... .... Growing together.The Senior Investigator is responsible for identification... ...in fraud, waste and abuse (FWA) investigations/audit2+ years...Remote workSeniorMinimum wageFull timeTemporary workWork experience placementLocal area- Cotiviti is seeking a Senior Investigator to examine suspected healthcare fraud, waste, or abuse through data analysis. This is a work-at-home remote role aligned with the pre-pay Fraud Waste & Abuse team; advanced Excel skills are required to analyze claims and identify...Remote jobSeniorWork from home
- ...Overview Senior Clinician Investigator The Department of Medicine is seeking a senior clinician investigator... ...of strategic priority: Rural Health Care Delivery Science: Research on... ...tools for clinical decision-making, remote patient monitoring, hospital-at-home...Remote workSeniorTraineeship
- ...Model.Job DescriptionProtect. Investigate. Lead.At CHEP, we don’t just... ...protect trust. We’re looking for a Senior Asset Protection Investigator... ...Protection Investigator - Ohio & Michigan📍 Location:... ...stock match program, and MORE!Remote TypeFully RemoteSkills to succeed...Remote workSeniorFull timeTemporary workLocal areaNight shift
$105k - $115k
...Zachary Piper Solutions is seeking a Senior Healthcare Fraud Investigator to support the DVA VHA in... ...healthcare fraud, waste, and abuse (FWA) to protect Veterans and safeguard taxpayer... ...on experience and qualifications. Remote work arrangement with on-site requirements...Remote workSeniorFor contractorsWork at office$46.99k - $112.2k
...Fraud InvestigatorWe're building a world of health around every individual — shaping a more... ...to effectively pursue the prevention, investigation and prosecution of Fraud, Waste and... ...relevant electronic documentation.Clinical or FWA Dental experienceEducationBachelor's...SeniorHourly payFull timeTemporary workLocal area- UnitedHealth Group is seeking a Senior Investigator in Virginia, with remote work options and 25% travel to client... ...analysis to identify fraud and waste in health care, maintaining compliance... ...ideal candidate brings 5+ years in FWA/SIU, familiarity with health insurance...Remote jobSenior
$115k
...Zachary Piper Solutions is seeking a Senior Healthcare Fraud Investigator to support a mission focused on... ...oversight initiatives. This position is remote and candidates must be local to Washington... ...healthcare fraud, waste, and abuse (FWA) lead development and case support...Remote workSeniorFor contractorsLocal area- ...CVS Health is seeking a Senior Investigator in Ohio to conduct high‑level investigations of healthcare fraud and abuse, including Medicaid matters, handling sensitive, national cases and providing testimony when required. Requirements: 4+ years in healthcare fraud investigations...Senior
- Texas Children’s Health Plan is seeking a Senior SIU Investigator to assist the Director of Controls and Compliance in conducting investigations into suspected... ...aimed at preventing, detecting, and correcting FWA. The role requires strong investigative skills, adherence...Senior
$79.56k - $115.72k
...Mass General Brigham Health Plan Mass General Brigham Health Plan is... ...Responsible for conducting confidential investigations of suspected fraud, waste & abuse (FWA) involving medical providers,... ...8:30-5:00 PM Eastern Time Remote workspace requirements, including...Remote workFull timeContract workWork at officeLocal areaMonday to FridayFlexible hoursShift work$77.1k
..., our Medicare and Medicaid managed care health plans, are outstanding examples of how we... ...) Responsibilities The SIU Fraud Investigator is responsible for identifying, investigating... ...indicators of fraud, waste, and abuse (FWA) involving providers, vendors, members,...Remote workFull timePart timeWork at officeFlexible hours- A leading background screening company is seeking a highly skilled Background Investigator to conduct detailed, impartial pre-employment investigations for government agencies. This role involves researching candidate qualifications, conducting interviews, and compiling...Remote workSenior
- ...Conducting non-field investigations of suspected fraud or illegal activities, the full-time Senior Internal Security Investigator will work remotely, interviewing witnesses, evaluating information credibility, and providing training to support the claims handling process...Remote workSeniorFull time
$53k - $55k
...serve. Licensed Professional Counselor - Healthcare Investigator - State of Ohio Work Location: Remote – Must be a licensed as an LPC or LPCC in the State... ...Medicaid recipients and/or providers to ensure the health, safety, and welfare of individuals receiving...Remote workFull timeH1bWork at officeWork from homeFlexible hours- ...To support the DVA VHA in establishing a Fraud Rapid Response Center, the remote Senior Healthcare Fraud Investigator will lead case development by reviewing analytics-generated leads, preparing decision-ready referral packages, and collaborating with federal investigators...Remote workSenior
- ...leading complex fraud, waste, and abuse investigations, the full-time Senior Fraud Investigator will utilize... ...and support corrective actions in a remote work environment. Key responsibilities... ..., Healthcare Administration, Public Health, or a related field; Master's Degree...Remote workSeniorFull time
- We are searching for a Senior SIU Investigator -- someone who works well in a fast-paced setting. In this... ...incidents of Fraud, Waste, and Abuse (FWA). This includes data mining for... ...Preferred certification as an Accredited Health Care Fraud Investigator (AHFI) by the National...SeniorLocal area
- ...a better today and tomorrow.Section 1: Position SummaryThe Senior Fraud Investigator is a senior individual contributor responsible for leading... ...education and relevant experience preferredFor all virtual remote positions, in order to ensure associates can effectively perform...Remote workSeniorFull timeSecond job
$150 per hour
...Principal Investigator (MD/DO) Hawthorne Health is seeking an experienced Principal Investigator (MD/DO) for a part-time, 1099 role. Candidates should... ...and ensure proper training and oversight. Conduct remote review of patient assessments, including physical exams...Remote workContract workPart timeFor contractorsLocal areaFlexible hours$200k - $400k
...Access is working to make the future of health better for all. With hundreds of research... ...skilled and experienced Principal Investigator to join our team. As the Principal Investigator... ...Plan, with Company Match #LI-Remote Diversity & Inclusion We work with...Remote workFull timeTemporary workLocal areaWorldwideVisa sponsorshipWork visaFlexible hours$105k
...including through incident reporting and investigations, overseeing Electric Operations and... ...This position is hybrid, working from your remote office and assigned office based on business... ...building consensus with multiple senior leaders to stay on schedule. Abstracts...Remote workSeniorWork experience placementWork at officeFlexible hours- ...fearlessly, champion progress, and act swiftly to impact global eye health. We foster an inclusive culture, recognizing your... ...quality as we help people see brilliantly. As a QC Chemistry Investigator, supporting our QC, Analysis and Testing Service Team, you will...SeniorHourly payFull timeLocal areaRelocation packageFlexible hours
$72.7k - $116.6k
...Plans and Reports. The incumbent is responsible for conducting investigations of organizational or functional activities related to alleged... ...related field Experience Required ~5 years in the Health insurance industry and/or Healthcare fraud investigations ~1...Remote workSeniorContract workWork at officeLocal area
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