Remote Healthcare Fraud & Waste Investigator (SIU)
Humana Inc
Phoenix, AZ
- Remote job
Humana Inc. is seeking an experienced Healthcare Investigator to join its Special Investigations Unit (SIU). You will conduct healthcare fraud investigations, collaborate with law enforcement, and prepare reports to support adjudication while ensuring compliance with Humana and governmental requirements. The role involves data analysis (Excel, Access, PowerBI), CPT coding experience, and the ability to testify in court. #J-18808-Ljbffr Humana Inc
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Healthcare Fraud & Waste Investigator (SIU) in Phoenix, AZ vacancy
$65k - $88.6k
...looking for an experienced Healthcare Investigator to join its industry leading... ...a passion for combating Fraud, Waste, and Abuse in the Health Care... ...opportunity to join Humana’s SIU. The Fraud and Waste... ...Work at Home. While this is a remote position, occasional travel...Remote workFull timeTemporary workFor contractorsApprenticeshipWork experience placementWork at officeLocal areaWork from homeHome officeMonday to FridayHumana, Inc.
Harrisburg, PA4 days ago$65k - $88.6k
Humana Inc. is seeking a Fraud and Waste Investigator to conduct investigations of fraudulent and abusive practices. The role is remote nationwide with standard 40-hour weeks and a pay... ...Bachelor's degree and at least two years in healthcare fraud investigations, with knowledge...Remote job- Humana Inc. is seeking a Fraud and Waste Professional 2 to coordinate investigations of fraudulent and abusive practices across internal and external entities,... ...audit reports in support of adjudication. This is a remote opportunity in the United States with occasional...Remote job
$65k - $88.6k
...part of our caring community The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and... ...We are fortunate to offer a remote opportunity for this job. Our Fortune... ...2 years of experience in healthcare fraud investigations Knowledge...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...Estágios e Treinamentos seeks a Medicaid Fraud Investigator to join its Special Investigations Unit. This role focuses on identifying healthcare fraud, conducting audits, data analysis... ...skills, and MS Office proficiency. Remote work from the Chicago area is preferred...Remote job
- ...Humana Inc. is seeking a Fraud and Waste Professional 2 to conduct investigations of fraudulent and abusive practices. The role involves coordinating with compliance... ..., and preparing complex reports. The position is remote anywhere in the US with occasional travel for...Remote work
Humana
Madison, WI1 day ago - ...Levels (Investigator, Sr. Investigator, etc) will depend on experience and qualifications... ..., investigation and prevention of healthcare fraud, waste and abuse (FWA). We are growing and looking... ...to work independently within a remote team, under minimal supervision Benefits...Remote workFull time
HireAligned
Remotemore than 2 months ago - Centene Corporation, a national leader in diversified healthcare, seeks a seasoned investigator to guide team members, investigate fraud, waste and abuse, and mentor staff. This remote role covers the continental United States and emphasizes compliance with CMS guidelines...Remote job
- ...Corporation in the United States is seeking an experienced investigator to independently lead complex fraud, waste, and abuse investigations across providers,... ...Bachelor's degree in a related field, 4+ years in healthcare investigations, and experience coordinating with...Remote job
- Centene Corporation in Pennsylvania is seeking a Senior Investigator to independently lead complex fraud, waste, and abuse investigations across providers, members, pharmacies, and vendors using referrals, claims data, medical records, interviews, analytics, and other resources...Remote job
$65k - $88.6k
## Fraud and Waste InvestigatorApplylocations: Remote Nationwidetime type: Full timeposted on: Posted Yesterdayjob... ...and Waste Professional 2 conducts investigations of allegations of fraudulent and... ...2 years of experience in healthcare fraud investigations* Knowledge...Remote workBi-weekly payWeekly payFull timeTemporary workWork at officeWork from homeHome officeMonday to Friday- Centene Corporation is seeking a senior investigator to independently lead complex fraud, waste, and abuse investigations across providers, members, pharmacies, vendors, and other entities. You will analyze claims data, medical records, and financial information to identify...Remote job
- Join to apply for the SIU Investigator role at Command Investigations . Overview Command Investigations, LLC is looking for a Claims Investigator... ...recognized investigations firm offering surveillance, remote investigations, desktop intelligence, and specialty services...Remote workFull timePart timeFlexible hours
- ...Profile We offer remote work opportunities (AK, AR, AZ, CO,... ...adjudicated DOD background investigation for this position. Veterans,... ...and reporting of suspected fraud, waste and abuse (FWA) cases as defined... ...Veterans Affairs (VA), the Healthcare Finance Administration (HCFA...Remote workContract workFor subcontractorInterim role
TriWest Healthcare Alliance
Phoenix, AZ4 days ago - ...Overview Responsible for complex fraud and abuse investigations and data analysis to... ...perpetrators or intricate healthcare fraud schemes. Investigate... ...validity of allegations of fraud waste and abuse. May include... ...and mentoring lower level SIU staff. Keeps current on laws...Local area
ViziRecruiter
Grand Rapids, MI2 days ago - ...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...Remote work
UnitedHealth Group
Omaha, NE2 days ago $62.1k - $92.7k
## SIU Field InvestigatorApplyremote type: Fully Remote Location Specificlocations: LA - Shreveport... ...Description**As a SIU Field Investigator responsibilities... ...investigating suspected fraud, conducting detailed case... ..., AHCP, NHIC, Healthcare Solutions Team, North Star...Remote workContract workWork at officeWork from homeVisa sponsorshipWork visa$60k - $87.4k
## SIU Field InvestigatorApplyremote type: Fully Remote Location Specificlocations: NY - Bronx: NY... ...job is responsible for investigating and analyzing complex,... ...unit (SIU) for potential fraud. This role typically handles... ..., AHCP, NHIC, Healthcare Solutions Team, North Star...Remote workContract workWork at officeWork from homeVisa sponsorshipWork visa- ...Centene Corporation is seeking an investigator in Arkansas to tackle healthcare fraud and abuse activities. The role involves conducting thorough investigations, performing data analysis, and preparing reports for federal and state agencies. The ideal candidate should...Remote workFlexible hours
Centene Corporation
Little Rock, AR2 days ago - Centene Corporation is seeking a seasoned Health Care Fraud Investigator to support a remote SIU team across the continental US. You will guide investigations... ...to mitigate risks. The role requires 5+ years in healthcare fraud investigations, knowledge of government programs...Remote jobFlexible hours
- ...solicit your job application. Healthcare Fraud Shield will not contact you prior... ...Coder or Clinical Coder/Fraud Investigator to join our team. RESPONSIBILITIES Work with SIU Team (Clinical Reviewers, CPCs... ...development initiatives Remote work eligible REMOTE WORK REQUIREMENTS...Remote workFull timeFlexible hours
$85k - $105k
...Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government... ...Analyze data for evidence of fraud, waste and abuse Review and evaluate... ...” roles. Special Investigations Unit (SIU) - Field Investigator Full Time - Asset...Full timeWork experience placementWork at officeLocal area- Medica in Minnetonka, MN is seeking an SIU Investigator III to lead complex investigations into fraud, waste, and abuse involving members, providers, and employees. You will work with legal teams and regulatory agencies, perform on-site audits, analyze evidence, and prepare...Work at office
- Navanti Group, LLC is seeking a senior healthcare fraud investigator and OSINT analyst to support a sensitive federal law-enforcement customer. The... ...indicators of fraudulent activity. The position is fully remote, requires an active Top Secret clearance, and demands 5+ years...Remote job
- The Cigna Group in Miami, FL is hiring a Bilingual Junior Healthcare Fraud Investigator to join the Special Investigations Unit. You will support audits and investigations of potentially fraudulent claim activity by providers, using analytical and investigative skills to...Remote job
- We are seeking a Senior Healthcare Fraud Investigator to support our program integrity efforts through hands‑on investigation of potential fraud, waste, and abuse (FWA). This role is ideal for someone who thrives on digging into data, managing complex cases, and driving...Remote workWork at office
- A healthcare company in New York is seeking a Fraud Investigator to conduct in-depth investigations of reported fraud. Responsibilities include mentoring other investigators, investigating Medicaid fraud cases, and maintaining relationships with law enforcement. Candidates...
- ...Health and Hospital System (PHHS) is looking for a Clinical SIU Investigator to implement an effective compliance program for the Parkland... ...This role involves conducting thorough investigations into fraud, waste, and abuse within Medicaid and CHIP. The ideal candidate should...
$25 - $32 per hour
...Description Job Description Ready to put your SIU skills to work for a national leader?Join... ...& Associates, a trusted leader in investigative services, and make an impact with your... ...experience as a Private Investigator or Fraud Investigator and live in the Davenport area...Part timeLive inFlexible hoursLemieux & Associates LLC
Davenport, IA7 days ago- ## Fraud Audit & Investigations AnalystApplyremote type: Remotelocations... ...states and managed healthcare organizations to better... ...conducts fraud, waste, and abuse (FWA) investigations... ...plan compliance and SIU functions, and state... ...Working Conditions:**Remote work with occasional...Remote workLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Healthcare Fraud & Waste Investigator (SIU). Be the first to apply!
Related searches
- fraud investigator Phoenix, AZ
- bank fraud investigator Phoenix, AZ
- senior devops engineer remote Phoenix, AZ
- medical coding remote Phoenix, AZ
- remote medical coding supervisor Phoenix, AZ
- remote virtual Phoenix, AZ
- remote contract attorney Phoenix, AZ
- clinical data manager remote Phoenix, AZ
- administrative assistant remote Phoenix, AZ
- remote video editor Phoenix, AZ