Senior Healthcare Fraud Investigator (Remote)
$60.2k - $107.4kOptum
UnitedHealth Group is seeking a Senior Investigator for UnitedHealthcare to identify and prevent healthcare fraud, waste, and abuse. The role offers telecommute flexibility from anywhere in the U.S. to support safer, more equitable care. You will analyze claims data, conduct investigations, interview stakeholders, and prepare summaries while collaborating with state and federal partners as needed. Salary ranges from $60,200 to $107,400 annually, with a comprehensive benefits package and #J-18808-Ljbffr
- ...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 workSeniorWork 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...SeniorWork at office
$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...Senior$46.99k - $122.4k
...The Hispanic Alliance for Career Enhancement is looking for a full-time position in health care fraud investigation in Nebraska. This role involves handling complex fraud cases, cooperating with law enforcement, and ensuring compliance with regulations. The ideal candidate...SeniorFull time$46.99k - $122.4k
...The Hispanic Alliance for Career Enhancement is seeking a dedicated professional for a position focused on healthcare fraud investigations in Vermont. Candidates must have three years of experience in this area along with a bachelor's degree or equivalent experience. This...Senior- ...CVS Health is seeking an SIU Senior Investigator in Florida to conduct complex investigations into healthcare fraud and abuse, with the goal of preventing losses and complying with state regulations. You will lead cases, collaborate with law enforcement, and present findings...SeniorFull time
$46.99k - $122.4k
...CVS Health is seeking a dedicated professional for the role focused on healthcare fraud investigation. The successful candidate will handle complex cases, prevent fraudulent claims, and cooperate with law enforcement. Qualifications include 3 years of experience in fraud...SeniorFull time- ...CVS Health is seeking an experienced investigator to handle complex health care fraud cases within a prepayment environment. You will research, prepare,... ...referrals, while coordinating with law enforcement and healthcare providers across Florida. The role requires 3+ years...Senior
$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...SeniorFull time$46.99k - $122.4k
...Join CVS Health in West Virginia as a key investigator in health care fraud. This role requires 3+ years in fraud investigations with knowledge of clinical issues and coding systems. You will work collaboratively on complex cases while adhering to legal standards and documentation...Senior- ...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...SeniorFull time
$46.99k - $122.4k
...The Hispanic Alliance for Career Enhancement is hiring for a position focused on investigating healthcare fraud cases. The ideal candidate will have a Bachelor’s degree and at least 3 years of experience in fraud, waste, and abuse investigations. Responsibilities include...SeniorFull time- ...The Hispanic Alliance for Career Enhancement is looking for an investigator focused on health care fraud, waste, and abuse. This role requires expertise in managing complex cases and collaborating with clinical and legal teams. As an integral part of our organization,...Senior
$46.99k - $122.4k
...CVS Health, located in Town of Florida, New York, is seeking a Fraud Investigator with experience in healthcare fraud and abuse investigations. The role involves handling complex cases, conducting investigations, and documenting findings efficiently. The ideal candidate...SeniorFull time- ...CareSource in Kentucky is seeking an experienced SIU Investigator to lead high‑complexity healthcare fraud investigations, analyzing data to identify trends and patterns. You will serve as a subject matter expert and collaborate with data analytics to drive investigative...Senior
- ...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...SeniorFull time
$46.99k - $122.4k
...CVS Health is looking for a dedicated individual to manage complex healthcare fraud investigations. The role demands at least 3 years of relevant experience and a Bachelor's degree or equivalent, alongside strong analytical skills. You will collaborate with law enforcement...SeniorFull 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...SeniorFull time- ...A government agency is seeking a Law Enforcement Investigator II in West Palm Beach, Florida. Candidates must possess a high school... ....S. citizen, and pass a physical examination. Experience in healthcare fraud investigations and a solid background in law enforcement are...Senior
$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...SeniorFull timeWork at office$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...Senior$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...SeniorFull time- ...CVS Health is seeking a Senior Investigator to lead high-level investigations of healthcare fraud and abuse with national scope. You will conduct data-driven analyses, coordinate with Medical Directors, and prepare cases for clinical and legal review. You will train junior...SeniorLocal area
$46.99k - $122.4k
...CVS Health is seeking a full-time Healthcare Fraud Investigator located in North Carolina. This role involves managing complex fraud cases, investigating fraudulent claims, and preparing documentation for legal review. Candidates should possess a Bachelor's degree or equivalent...SeniorFull time- ...humanity and inspire hope. Overview Responsible for complex fraud and abuse investigations and data analysis to identify trends, detect fraud and... ...groups or cases involving multiple perpetrators or intricate healthcare fraud schemes. Investigate fraud and abuse tips received...SeniorLocal area
- ...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
- ...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
- 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 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 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
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