Remote Healthcare Fraud Investigator
$56.2k - $101kCentene Management Company LLC
Centene Management Company LLC is seeking a Fraud Investigator to investigate allegations of healthcare fraud and abuse. The role is remote but prefers candidates from Texas. The investigator will conduct detailed claims investigations, assist with audits, and prepare reports for federal and state agencies. Candidates must have a Bachelor's degree in a relevant field and experience in medical claim investigation. The position offers a competitive salary range from $56,200 to $101,000 annually along with various benefits. #J-18808-Ljbffr
- ...Humana Inc. is seeking a Fraud and Waste Professional to conduct investigations of fraud and abuse and coordinate with law enforcement. You will assemble evidence... ...investigative reports to support adjudication. Remote work is available with minimal travel. Typical hours...Remote work
- ...Humana is seeking a Fraud and Waste Professional to investigate fraudulent and abusive healthcare practices. The role involves coordinating with law enforcement, gathering... ...guidelines. The position may include remote work with minimal travel and requires strong analytical...Remote work
- ...Centene Corporation is seeking an investigator to tackle healthcare fraud and abuse, essential for transforming health in communities. This remote role requires a bachelor's degree and at least one year of experience in medical claim investigations. You'll conduct thorough...Remote workFlexible hours
- Centene Corporation seeks a candidate to investigate allegations of potential healthcare fraud and abuse. This role involves conducting thorough investigations... ...in the field is required. The position offers a remote working option for candidates residing within Ohio and...Remote job
- A leading health organization seeks an investigator for healthcare fraud allegations. Responsibilities include conducting investigations, analyzing... ...a minimum of 5 years in fraud investigations. This is a remote role with a strong preference for residents of New York....Remote job
- Centene Management Company LLC is seeking candidates for a position dedicated to investigating allegations of healthcare fraud and abuse within the Kentucky Medicaid Program. The ideal applicant will have a Bachelor's Degree in a related field and a minimum of three years...Remote job
$56.2k - $101k
Centene Management Company LLC is looking for a skilled investigator to focus on potential healthcare fraud and abuse activities. The candidate will analyze claims, conduct investigations, and prepare detailed reports for regulatory agencies. A Bachelor's degree in Business...Remote jobFlexible hours- 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 hold...Remote jobFlexible hours
- ...Job Description Job Description Fraud Investigator / Fraud Analyst / Fraud Specialist Location - Remote and Onsite Thrice a week --- Pensacola, FL / Winchester... ...Our expertise spans industries from providing healthcare information systems to developing E-Remit software...Remote workHourly payLocal areaImmediate startWorldwide
$60k - $92k
...Levels (Investigator, Sr. Investigator, etc) will depend on experience and qualifications... ...detection, investigation and prevention of healthcare fraud, waste and abuse (FWA). We are growing... ...to work independently within a remote team, under minimal supervision Benefits...Remote workFull time$46.99k - $122.4k
...The Hispanic Alliance for Career Enhancement is seeking a dedicated professional to handle investigations into healthcare fraud, waste, and abuse, focusing on complex cases and cooperation with law enforcement. This full-time position requires a bachelor's degree, with...Full time$85k - $105k
...range $85,000.00/yr - $105,000.00/yr Employment Type: Full-Time, Mid-Level Department: Litigation Support 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...Full timeWork experience placementSummer workInternshipWork at officeLocal area- ...Ardelle Associates is seeking paralegals with experience in healthcare fraud and criminal and civil cases to support the U.S. Attorney's... ...using various databases and sources; identifies subjects to investigate and develops leads; conducts interviews; collects and processes...Full timeFor contractorsWork experience placementInterim roleWork at officeLocal areaMonday to Friday
$46.99k - $122.4k
...The Hispanic Alliance for Career Enhancement is hiring for a full-time position focused on healthcare fraud investigation in South Dakota. The role requires handling complex cases and necessitates 3 years of experience in health care fraud, waste, and abuse audits. The...Full timeWork at office- ...Meritain Health, an independent subsidiary of CVS Health, seeks an SIU Investigator to support the Network Cost Management team in pursuing healthcare fraud prevention and recovery of funds. The role involves investigations of known or suspected fraud, liaison with law...Work at office
- ...The Hispanic Alliance for Career Enhancement is seeking a dedicated individual to join their team focusing on healthcare fraud investigations. This role involves managing complex cases, preventing fraudulent claims, and collaborating with law enforcement. Ideal candidates...Full time
$46.99k - $122.4k
...CVS Health in the United States is looking for a dedicated professional to manage complex health care fraud investigations. This full-time role involves preventing fraudulent claims, preparing cases for review, and cooperating with law enforcement. Applicants should have...Full time- ...seeking a qualified candidate for a position focused on investigating health care fraud. Responsibilities include handling complex cases, preventing... ...role requires at least three years of experience in healthcare fraud and a Bachelor's degree, emphasizing knowledge in...Full time
$46.99k - $122.4k
...The Hispanic Alliance for Career Enhancement is seeking a dedicated investigator for healthcare fraud cases based in Missouri, Louisiana. The role requires extensive knowledge of healthcare fraud prevention and the ability to interact effectively with various stakeholders...- ...Employment Type: Full‑Time, Experienced Department: Litigation Support Job Overview CGS is seeking a Healthcare Fraud Investigator to provide legal support for a large government project in Oxford, MS. The candidate must take the initiative to ask questions to successfully...Full timeFor contractorsInterim roleLocal areaFlexible hours
- ...A healthcare organization is looking for a Special Investigations Unit Investigator II to investigate fraud and abuse in the healthcare environment. This role conducts thorough investigations leveraging data analytics, ensuring compliance with regulations, and supports...
- ...A government services contractor is seeking a Healthcare Fraud Investigator to provide legal support for a high-profile government project. The candidate will analyze data, review financial records, and assist in developing fraud referrals, while collaborating closely...For contractors
$46.99k - $122.4k
...The Hispanic Alliance for Career Enhancement is looking for a dedicated professional to handle complex healthcare fraud cases. You will investigate fraud claims, prepare cases for review, and document activities in our tracking system. A Bachelor's or Associate's degree...$46.99k - $122.4k
...The Hispanic Alliance for Career Enhancement is seeking a qualified candidate for a full-time role focused on health care fraud investigation. This position involves investigating and preventing fraud, preparing cases for legal review, and providing expert testimony as...Full time- ...PacificSource is seeking a Senior Investigator – Fraud, Waste, and Abuse to plan, conduct, and manage investigations of health care claims... ...policies. The role requires at least 4 years of experience in healthcare fraud investigations, use of OSINT tools, and collaboration...
- ...A government services contractor is seeking a Healthcare Fraud Investigator to support legal efforts on a large government project. The role involves analyzing data, preparing legal documents, and advising attorneys on fraud cases. Applicants must have a four-year degree...Full timeFor contractorsWork at office
$29.37 - $41.12 per hour
...Fraud Investigator II Salal Credit Union is seeking a Fraud Investigator II to play a vital role in safeguarding our members and organization... ...stronger policies and controls to reduce risk. This is a remote position , offering flexibility to work from home. However,...Remote workHourly payLocal areaWork from home$89k - $133.4k
...your career. About The Team The mission of Fraud Operations is to act as guardians of the... ...account takeover, and financial partner investigation requests. We strive to improve manual... ...role is available either in an office or a remote location (35+ miles or 56+ km from a...Remote workWork at officeWork from homeRelocation- ...Stripe is seeking a Payments Fraud Investigator in Atlanta, Georgia. This role involves safeguarding the financial ecosystem by investigating high-risk accounts and identifying various forms of fraud. You will lead cross-functional projects and collaborate with stakeholders...Remote work
- ...To enhance customer security, the full-time Fraud Investigator will focus on investigating account takeover (ATO) incidents and third-party fraud, managing high-risk cases remotely while providing empathetic support to customers during critical recovery events. Key responsibilities...Remote workFull time
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