Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Medicaid Auditor & Investigator

Peraton

Peraton is seeking a Medicaid Auditor/Investigator to join SafeGuard Services in a remote capacity. You will conduct audits of Medicaid programs to ensure compliance with federal and state requirements and recover over-payments. Strong analytical skills and Excel proficiency are essential. Responsibilities include data analysis, interviews, documenting findings, and presenting compliance issues with supporting evidence. This role requires US citizenship and is remote nationwide. #J-18808-Ljbffr

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Medicaid Auditor & Investigator in New York, NY vacancy
  •  ...SafeGuard Services (SGS), a subsidiary of Peraton, is seeking a Medicaid Fraud Auditor to join the SGS team. The role focuses on researching laws, conducting compliance audits across Medicaid cases, and identifying improper payments. Telework is available from any state... 
    Remote work

    Peraton

    New York, NY
    20 hours ago
  •  ...Solutions Organization LLC (SSO) is seeking a Licensed Professional Counselor to join our remote Healthcare Investigator team in Ohio. The role conducts investigations into Medicaid incidents, analyzes documentation, interviews involved parties, and ensures compliance... 
    Remote work
    Local area
    Work from home

    Staffing Solutions Organization LLC

    United States
    4 days ago
  •  ...Peraton is seeking a Medicaid Fraud Auditor for its SafeGuard Services (SGS) team to conduct audits of Medicaid programs, ensure compliance with...  ...and knowledge of Medicaid auditing are essential. This remote role offers telework from any state in the US, with potential... 
    Remote work

    Peraton

    New York, NY
    20 hours ago
  •  ...Humana is seeking a Fraud and Waste Professional to conduct comprehensive investigations of reported, alleged, or suspected fraud involving the Medicaid program and related healthcare services. This remote role may require occasional travel to Humana offices for training or... 
    Remote work

    Humana

    New York, NY
    4 days ago
  •  ...Staffing Solutions Organization LLC (SSO) seeks a Registered Nurse Healthcare Investigator to join their Ohio-based remote team. The role focuses on investigating incidents involving Medicaid recipients and providers to protect health and welfare in Ohio. The successful... 
    Remote work

    Staffing Solutions Organization LLC

    Columbus, OH
    4 days ago
  •  ...SafeGuard Services (SGS), a Peraton subsidiary, seeks a Medicaid Fraud Auditor to join our team. The role audits Medicaid programs for compliance and over-payment recovery, applying analytical skills and interviews to gather information. Candidates must reside within... 
    Remote work

    Peraton

    Herndon, VA
    15 hours ago
  • $55k - $75k

     ...analytics, technology solutions, audit, investigation, and medical review. At IntegrityM, we...  ...company feel! In this role, the Medicaid Auditor will be responsible for performing and...  ...hire background screening checks. For remote work, required to have wired and/or wireless... 
    Remote work
    Full time
    Contract work
    Temporary work
    For contractors
    Work at office
    Local area
    Flexible hours

    Integrity Management Services, Inc.

    Remote
    4 days ago
  •  ...Fraud and Waste Professional to conduct comprehensive investigations of reported or suspected fraud in Medicaid programs. You will coordinate with law...  ...evidence, and prepare complex reports while working remotely across the contigu US with occasional travel to Humana... 
    Remote work

    Humana

    Santa Fe, NM
    3 days ago
  •  ...Fraud and Waste Professional to conduct comprehensive investigations of suspected fraud within the Medicaid program. You will coordinate with law enforcement...  ...necessity and billing practices. The role is fully remote in the contiguous US, with potential travel for... 
    Remote work

    Humana

    Honolulu, HI
    2 days ago
  •  ...Humana, Inc. is seeking a Fraud and Waste Professional to conduct investigations within the Medicaid-related context. The role is fully remote in the contiguous US with potential travel to Humana offices for training or meetings. You will analyze billing practices,... 
    Remote work

    Humana

    Atlanta, GA
    16 hours ago
  • Staffing Solutions Organization LLC is seeking a fully remote Healthcare Investigator licensed in Ohio (RN, LSW/LISW, or LPC/LPCC) to safeguard Medicaid recipients. You will review records, interview stakeholders, and prepare clear investigation summaries while collaborating... 
    Remote job

    Staffing Solutions Organization LLC

    Columbus, OH
    2 days ago
  •  ...Staffing Solutions Organization LLC is seeking a Healthcare Investigator I to conduct investigations of Medicaid-related incidents while ensuring compliance with Ohio regulations. This fully remote Ohio position requires collaboration with internal and external stakeholders... 
    Remote work

    Simple Staffing

    Columbus, OH
    18 hours ago
  •  ...CoventBridge Integrity Systems seeks an experienced Medicaid claims auditor with an active RN license to review claims for potential fraud....  ...coding knowledge to assess payment accuracy and document investigative findings. The role involves preparing detailed investigative... 

    CoventBridge Integrity Systems

    New York, NY
    2 days ago
  •  ...Arizona Supreme Court is seeking an Investigator and Compliance Auditor – Specialist V to lead investigations of complaints against licensed professionals and conduct compliance audits across the state. You will manage cases from intake to disposition and present findings... 
    Remote work

    Arizona Supreme Court

    United States
    2 days ago
  •  ...and Waste Professional who will conduct comprehensive investigations of suspected fraud in Medicaid-related processes. The role involves on-site audits, evidence...  ...with law enforcement to support adjudication. Fully remote within the contiguous US with occasional travel, and a... 
    Remote job

    Humana Inc

    Austin, TX
    2 days ago
  • Gainwell Technologies is seeking an entry-level Long-Term Care Auditor I to support identification and recovery of Medicaid improper payments in long-term care. This remote role requires strong organization, attention to detail, and the ability to manage a caseload across... 
    Remote job
    Flexible hours

    Gainwell Technologies

    Brooklyn, NY
    3 days ago
  • $63.3k - $114.3k

     ...Preparing documentation of findings and consulting with special investigation and the affordability of care area as needed. Coordinating...  ...~ Current AAPC Medical Coding Certification #LI-MW2 #LI-Remote Are you being referred to one of our roles? If so, ask your... 
    Remote work
    Full time
    Work from home

    Health Care Service Corporation

    Remote
    11 days ago
  • $69.4k - $99.2k

     ...skills and capabilities. Summary The Medicaid Fraud, Waste & Abuse (FWA) Senior...  ...to follow-up questions, and supporting investigations through data analysis, documentation, and...  ...hearing-related activities (Up to 25%) Fully remote opportunity with the option to work... 
    Remote work
    Full time
    Work at office
    Flexible hours

    Gainwell Technologies LLC

    Remote
    2 days ago
  • Integrity Management Services, Inc. is seeking a Medicaid Auditor to perform audits of Medicaid Managed Care Plans and providers, identify...  ...findings with recommendations. The role includes on-site and remote work, relevant documentation, and interaction with federal/state... 
    Remote job

    Integrity Management Services, Inc.

    Alexandria, VA
    2 days ago
  •  ...Services (SGS) a subsidiary of Peraton, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and...  ...recover fraud, waste, and abuse. We are looking to add a Medicaid Fraud Auditor to our SGS team of talented professionals. Required... 
    Remote work
    Work at office

    Peraton

    New York, NY
    17 hours ago
  • Yoh Services LLC in Bowie, MD seeks an experienced FWA investigator to validate detection signals and produce substantiated findings to support fraud, waste, and abuse (FWA) product development. Responsibilities include reviewing claims flagged by detection logic, detailing... 
    3 days per week

    Yoh Services LLC

    Bowie, MD
    3 days ago
  • $12.16k - $15.01k

     ...Principal Investigator job at California State Auditor's Office. Sacramento County, CA. Job Description and Duties What will you do? As the Principal Investigator, you will implement California’s Whistleblower Protection Act (Whistleblower Act), a mission critical program... 
    Remote work
    Temporary work
    Work at office
    Night shift

    Comunidade Metodista

    Sacramento, CA
    15 hours ago
  •  ...Services in Austin seeks a Financial Examiner II to perform routine financial examinations of compliance reports and cost data for Medicaid and other services. The role supports rate methodologies, cost determination, and payment adequacy evaluations under GAAP and... 
    Remote work

    Texas Health and Human Services

    Austin, TX
    4 days ago
  •  ...Remote – Must be a licensed LSW, RN, or LPC in the State of Ohio Are you a licensed healthcare professional...  ...driven team making a real impact across Ohio’s Medicaid and HCBS programs. Position Summary: The Healthcare Investigator plays a critical role in safeguarding the... 
    Remote work
    Work from home
    Flexible hours

    Staffing Solutions Organization LLC

    Columbus, OH
    17 hours ago
  • $50k - $70k

     ...analytics, technology solutions, audit, investigation, and medical review. At IntegrityM, we...  ...perform high level complex Medicare and Medicaid investigations and develop cases for...  ...hire background screening checks. ~ For remote work, required to have wired and/or wireless... 
    Remote work
    Full time
    Contract work
    Temporary work
    For contractors
    Local area
    Flexible hours

    Integrity Management Services, Inc.

    Remote
    1 day ago
  •  ...Solutions Organization LLC is seeking a Healthcare Investigator I to conduct thorough investigations into incidents involving Medicaid recipients and providers, ensuring health and welfare standards are met. This fully remote role supports collaboration with law... 
    Remote work

    Simple Staffing

    Raleigh, NC
    15 hours ago
  • $65k - $88.6k

     ...is responsible for conducting comprehensive investigations of reported, alleged or suspected fraud involving South Carolina's Medicaid Program. The Fraud and Waste...  ...of Fraud and Waste Work Style Fully remote in the contiguous US, with occasional travel... 
    Remote work
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Work from home
    Home office
    Monday to Friday

    Humana

    Ewing, NJ
    3 days ago
  • $53k - $55k

     ...people they serve. Licensed Social Worker - Healthcare Investigator - State of Ohio Work Location: Remote – Must be a licensed as an LSW in the State of Ohio...  ...responsible for investigating incidents involving Medicaid recipients and/or providers to ensure the health,... 
    Remote work
    H1b
    Work at office
    Work from home
    Flexible hours

    Staffing Solutions Organization LLC (SSO)

    Columbus, OH
    2 days ago
  •  ...Healthcare Fwa InvestigatorLevels (Investigator, Sr. Investigator, etc) will depend on experience...  ...resultsSupport multiple clients with Medicaid, Medicare, Federal Employee and...  ...skillsAbility to work independently within a remote team, under minimal supervisionBenefits4... 
    Remote work

    Integrity Advantage

    Toms River, NJ
    2 days ago
  •  ...JOB DESCRIPTION Job Summary Provides investigative support for special investigation unit (SIU) activities. Responsible for supporting...  ...legal procedures, and settlements. Actively participates in Medicaid Fraud Control Unit (MFCU) meetings and roundtables on FWA case... 
    Remote work
    Contract work
    Work at office
    Local area

    Molina Healthcare

    Sioux Center, IA
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Medicaid Auditor & Investigator. Be the first to apply!