Remote Healthcare Fraud Investigator
Centene Corporation
- Remote job
Centene Corporation is looking for a dedicated investigator to monitor healthcare fraud activities. You will utilize your investigation skills to ensure compliance, assist with complex fraud allegations, and provide critical analytical insights. The role requires a Bachelor's degree and at least one year of experience in healthcare fraud investigation. Centene offers a competitive benefits package and a flexible work environment including remote options. #J-18808-Ljbffr Centene Corporation
- ...Investigating allegations of potential healthcare fraud and abuse, the full-time SIU Investigator will conduct claims investigations, perform data analysis, and prepare detailed reports while working remotely from various locations. Key responsibilities Conduct investigations...Remote workFull time
$85k - $105k
...Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level 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 questions to successfully complete...Remote workFull timeWork experience placementWork at officeLocal area$78.32k - $128.16k
Elevance Health seeks an Investigator II in Los Angeles to investigate healthcare fraud cases, requiring a BA/BS and at least 3 years of experience. The role entails... ...collaboration while providing the flexibility of remote work. The salary range is $78,320 to $128,160,...Remote work- 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
- 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 has...Remote job
- ...Alliance for Career Enhancement is seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit. This role... ...suspected healthcare fraud, waste, and abuse while enabling remote work anywhere in the United States. The ideal candidate...Remote jobWork at office
$46.99k - $112.2k
Hispanic Alliance for Career Enhancement is looking for an experienced Senior Healthcare Fraud Investigator to join the Special Investigations Unit in the United States. In this full-time position, you will manage complex investigations into healthcare fraud, waste, and...Remote jobFull time$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- ...position is not eligible for Sponsorship. MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join... ...solution! Job Description Summary: The Fraud, Waste, and Abuse Investigations Manager handles the operational activities related to Pharmacy...Remote workContract workLocal areaMonday to FridayFlexible hoursNight shiftWeekend work
$70k - $120k
## Senior Bank Fraud Investigator .### General informationCareer areaDeposits OperationsWork Location... ...on-site, (2) hybrid, or (3) fully remote. Hybrid roles are generally expected... ...Account with employer contributions, Healthcare FSA, critical illness, accident & hospital...Remote workFull timeTemporary workPart timeWork experience placementWork at officeRelocation packageFlexible hours- Framework Ventures is looking for a Fraud Analyst for their Fraud Investigations team. In this remote role, you will manage complex fraud investigations, act as the... ..., and additional perks like hybrid work options and healthcare benefits. #J-18808-Ljbffr Framework VenturesRemote job
- ...Service Corp. is seeking a dynamic professional to join the Fraud Investigations team, focusing on IL Medicaid. The role includes leading investigators... ...in a hybrid setup with three days in office and two remote days. The ideal candidate has a criminal justice or related...Remote workWork at office
- Location: Remote (Occasional Travel May Be Required) Clearance: Ability to obtain... ...to support complex financial investigations involving fraud, waste, abuse, and mismanagement affecting... ..., loans, unemployment insurance, healthcare programs, disaster relief funding, or...Remote workWork at office
$65k - $88.6k
...part of our caring community The Fraud and Waste Professional conducts investigations of allegations of fraudulent and... ...skills to make an impact WORK STYLE: Remote/Work at Home (minimal travel, <5%... ...At least 3 years of healthcare fraud investigations and/or auditing...Remote workWeekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...Service Corporation in Chicago seeks a Manager of Special Investigations to lead its Fraud Investigations team, oversee IL Medicaid fraud cases,... ...hybrid-flex with in-office visibility three days a week and remote two days. Relocation and sponsorship are not offered. Excellent...Remote workWork at officeRelocationFlexible hours3 days per week
$80k - $93k
...45 state government agencies, and 70+ healthcare organizations. More than 600+ consumer... ...— such as field-based sales or other remote-by-design positions — may have different... ...interviews which can be found here. Fraud Investigations Analyst Role Overview ID.me is looking...Remote workFull timeTemporary workWork at officeFlexible hours- Fraud Analyst, Fraud Investigations United States - Remote Operations - Fraud / Full Time / Remote About MoonPay Hi, we’re MoonPay. We’re here to onboard the... ...Unlimited holidays. Hybrid working schedule. Private Healthcare benefits. Enhanced parental leave. Annual...Remote workPermanent employmentFull timeImmediate startWorldwideHome office
$70 per hour
...Manager - Allisonville Meadows Experience in a long‑term care or healthcare setting with Medicare and Medicaid highly preferred. Full‑time... ...Commitment to creating high‑quality AI. Flexibility of remote work and schedule. Hourly: $70.00, Remote, Part‑time Mercor Business...Remote workHourly payFull timePart timeFor contractorsWork at office- ...Corporation is hiring for a Fraud Prevention Analyst. In this... ...and operations. Youll combine investigation, analytics, and risk... ...our Middleton, WI office or remotely from Wisconsin, Arizona, Florida... ...services, benefits administration, healthcare, or another regulated...Remote workWork at officeFlexible hours
$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$61.91k - $118.25k
...UMG Fraud Prevention Analyst UMG's fraud prevention team is leading the industry by... ...This analyst role will be responsible for investigating and documenting ongoing patterns of... ...our US or European office locations or remote. How You'll Create Monitor and...Remote workSummer workWork at officeImmediate startFlexible hours- KMRG, LLC in Providence, RI is seeking an experienced Legal Analyst to support the U.S. Department of Justice with healthcare fraud and opioid-related cases. This full-time role offers competitive pay, comprehensive benefits, and job stability. You will perform standard...Remote workFull time2 days per week
- ...The State of Florida is seeking a Law Enforcement Investigator II for the Medicaid Fraud Control Unit in West Palm Beach. The role involves conducting investigations into healthcare fraud cases and preparing reports for prosecution. Qualified candidates must possess a...
$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...- ...Focusing on fraud and risk operations within financial products, the full-time remote Senior Fraud Investigator will manage investigations related to identity verification, account misuse, and fraud prevention while collaborating with cross-functional teams to enhance...Remote workFull timeShift work
- ...Bringing extensive investigative experience into a fast-paced startup, the full-time remote Fraud Investigator will analyze rejected identity verifications, uncover emerging fraud techniques, and collaborate with law enforcement to combat fraud effectively. Key responsibilities...Remote workFull time
- ...important work of your career. About the team The mission of Fraud Operations is to act as guardians of the global financial... ..., card testing, account takeover, and financial partner investigation requests. We strive to improve manual fraud decisioning and enhance...Remote work
- ...Senior Fraud Analyst Q2 is a leading provider of digital banking and lending solutions... ...role is responsible for identifying, investigating, and preventing fraudulent activities... .... And our benefits go beyond healthcare—offering resources for physical, mental...Work experience placementLocal areaWork visaFlexible hours
- ...Fraud Decisioning Analyst At U.S. Bank, we're on a journey to do our best. Helping the customers and businesses we serve to make... ...disability accommodations for applicants. Benefits: ~ Healthcare (medical, dental, vision) ~ Basic term and optional term life...Temporary workWork experience placementWork at officeShift work3 days per week
- ...To support a growing team, the full-time Claims Investigator will review, analyze, and investigate P&C insurance claims to determine their... ...and ensure accurate settlements, working in a hybrid or remote capacity. Key responsibilities Investigate, evaluate, and resolve...Remote workFull time
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