Remote Healthcare Fraud Investigator
Centene Corp.
- Remote job
Centene Corporation is seeking a Fraud, Waste, and Abuse (FWA) Investigator to conduct comprehensive investigations by reviewing referrals, claims data, medical records, and provider information. The role supports program integrity by documenting investigations, preparing reports, and collaborating with internal and external stakeholders to resolve cases in a compliant manner. The ideal candidate has 2+ years of healthcare investigations, experience with claims audits, and relevant #J-18808-Ljbffr Centene Corp.
- ...Centene Corporation is seeking an SIU Investigator in the United States to conduct fraud, waste, and abuse investigations using referrals, claims data, medical records, and interviews. You will prepare reports, coordinate with internal teams, and support program integrity...Remote work
$65k - $88.6k
...of our caring communityThe Fraud and Waste Professional is responsible... ...conducting comprehensive investigations of reported, alleged or... ...Responsibilities Analyze healthcare payment methodologies, billing... ...Work Style Fully remote in South Carolina , with occasional...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...Centene Corporation is seeking an investigator to conduct fraud, waste, and abuse investigations across referrals,... ...requires a Bachelor's degree and 2+ years in healthcare investigations, with opportunities to work in a remote, hybrid, or onsite setting and benefit from...Remote work
$68.3k - $113.9k
...applications and next steps. Our partner is looking for a Healthcare Fraud Investigator based in the United States. In this role, you will help protect... ...support recovery efforts or legal proceedings. This fully remote opportunity offers the chance to apply your investigative...Remote workContract workWork at office- ...About This Role: The Senior Risk & Fraud Investigator is part of the Risk team and reports to... ...competitive health benefits. Remote-First Culture: Fully remote, cameras-... ...rates, and out-of-network allowed amounts between health plans and healthcare providers....Remote workFull timeWork experience placementLocal areaWork from home
- ...Delta Dental of Michigan is seeking a Special Investigations Unit Investigator to join our team in Michigan. The role focuses on research... ...communications for auditees and senior management, supporting compliance and anti-fraud efforts across Delta Dental #J-18808-LjbffrRemote work
- ...an exciting place to be within the healthcare industry. As a member of Mass General... ...Responsible for conducting confidential investigations of suspected fraud, waste & abuse (FWA) involving... ...generally 8:30-5:00 PM Eastern Time. Remote workspace requirements, including privacy...Remote workFull timeContract workWork at officeLocal areaMonday to FridayFlexible hoursShift work
- ...Job Opportunity Council Capital is a healthcare-focused private equity firm based in... ...analytics with expert review to surface fraud, waste, and abuse across Medicare, Medicaid... ...but you will not manage anyone. Strong investigators here come from healthcare payer/vendor...Remote work
- ...Jobgether, on behalf of a partner company, seeks a Healthcare Fraud Investigator in the United States. You will protect healthcare resources by investigating... ...with providers, insurers and law enforcement. This fully remote role requires at least three years of health insurance...Remote work
- ...Centene Corp. is hiring a SIU Investigator to conduct fraud, waste, and abuse investigations remotely in Texas. You will review referrals, claims data, medical records... ...as needed. The role requires 2+ years in healthcare investigations, a bachelor's degree in a related...Remote work
- ...Healthcare Fwa Investigator Levels (Investigator, Sr. Investigator, etc) will depend on experience and... ...and prevention of healthcare fraud, waste and abuse (FWA). We are growing... ...Ability to work independently within a remote team, under minimal supervision Benefits...Remote work
$77.1k - $92.52k
...Status: Regular Full-Time Office: Remote Salary: $77,099.34 - $92,5... ...The challenges of affordable healthcare continue to create new opportunities.... ...Responsibilities: The SIU Fraud Investigator is responsible for identifying, investigating...Remote workFull timePart timeWork at officeFlexible hours- Cotiviti is seeking an Investigator to scrutinize suspected healthcare fraud, waste, or abuse using data analysis. This is a remote, work-from-home role within the United States. Responsibilities include analyzing patterns, producing written summaries, and supporting legal...Remote jobWork from home
- Cotiviti is hiring a Senior Investigator to analyze data and investigate suspected healthcare fraud, waste, and abuse from a remote/home-based position aligned with the post-pay Fraud Waste & Abuse team. The role involves interviews, reporting findings, and may require...Remote jobCasual workWork from home
- UnitedHealthcare in the United States is seeking a Senior Investigator to identify, investigate, and prevent healthcare fraud, waste, and abuse. This role uses claims data and guidelines to detect aberrant billing and conducts investigations, including potential fieldwork...Remote job
- Cotiviti is seeking an Investigator to analyze and investigate suspected healthcare fraud, waste, or abuse using data analytics and Excel, with a remote US-based setup. The role focuses on identifying patterns, evaluating anomalies, and preparing clear written findings....Remote job
- UnitedHealth Group is seeking a Coding Consultant to investigate healthcare fraud and abuse, reviewing CPT codes, medical records, and related documentation. The role supports internal and external stakeholders and provides guidance on CPT coding during investigations....Remote job
- Sentara Health Plans is hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) for a remote, full-time role. The position supports investigations across provider, pharmacy, employer and member interactions with occasional travel to Virginia...Remote jobFull timeMonday to Friday
- Cotiviti is seeking a Senior Investigator who will analyze data and conduct interviews to identify potential healthcare fraud, waste, and abuse. This remote role emphasizes Excel expertise and the ability to work across a post-pay Fraud Waste & Abuse team. Responsibilities...Remote job
- ...people live healthier lives. The Senior Investigator role focuses on gathering and analyzing... ...regulators and stakeholders. You will work remotely from Kentucky with 25% travel,... ...providers, and external partners to combat fraud, waste and abuse. #J-18808-Ljbffr OptumRemote job
- Sentara Health Plans in the United States is hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) for a remote role. The position is full-time (40 hours) with occasional travel to Virginia Beach. You will contribute to deep investigations...Remote jobFull time
$56.2k - $101k
...in Florida are highly preferred. Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing,... ...plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay...Remote jobFull timePart timeWork at officeFlexible hours$25.58 - $28.78 per hour
...focused on building a better future for healthcare. That starts by offering outstanding... ...in Portland, Oregon. The Dental Fraud and Abuse Investigator is responsible for providing accurate... ...internet connection required to support remote or hybrid work. Must be comfortable being...Remote workHourly payWork experience placementWork at officeAfternoon shift- Peraton is seeking a Fraud Investigator Coordinator for SafeGuard Services (SGS) to join the Insurance/Healthcare investigations team. You will conduct fraud investigations, interview subjects, and refer cases to law enforcement as needed, providing subject matter expertise...Remote jobCasual work
- Peraton’s SafeGuard Services seeks a Fraud Investigator Coordinator to join the SGS team, focusing on investigating and resolving fraud or abuse in the Insurance/Healthcare space. You will interview subjects, develop cases, and collaborate with law enforcement as needed...Remote jobCasual workWork at office
- ...Analyst II to evaluate leads, complaints, and investigations, and to recommend administrative actions... ...can work onsite in Grove City, OH or remotely from a home office. Responsibilities... ...detecting fraudulent patterns, and developing fraud alerts for CMS and state agencies....Remote jobHome office
- Join a leading agency as a Forensic Accountant in New York City, supporting the Medicaid Fraud Control Unit in vital healthcare fraud investigations. The role involves collaboration with diverse professionals to ensure the integrity of New York's Medicaid program. Ideal...Remote jobWork at office
$64.13k
Join the Mission to Outwit Fraud—From Anywhere! Our Origin Story... ...team envisioned a future where healthcare was transparent, equitable,... ...patients. Today, we empower remote professionals nationwide to safeguard... ...Health Insurance Fraud Investigator Detect and Dismantle...Remote jobWork from homeFlexible hours- ...payments. You will research claims data, identify patterns of fraud, and develop cases for potential enforcement in coordination with... .... The role requires nursing or clinician experience, strong investigative abilities, and U.S. citizenship. Telework is available from...Remote job
- ...security solutions, seeks a Medical Review Nurse for Medicare fraud detection and medical claim evaluation. You will analyze... ...identify regulatory violations, with the opportunity to support investigations remotely from anywhere in the United States. The role requires a...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Healthcare Fraud Investigator. Be the first to apply!
- remote tasks Clifton, TX
- implementation project manager remote Clifton, TX
- marketing intern remote Clifton, TX
- utilization review remote Clifton, TX
- remote medical billing part time Clifton, TX
- clinical data coordinator remote Clifton, TX
- remote web developer part time Clifton, TX
- full time remote Clifton, TX
- remote data analyst part time Clifton, TX
- remote work Clifton, TX

