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
- ...Seeking a full-time remote Healthcare Fraud Investigator, the successful candidate will manage complex investigations into healthcare fraud, waste, and abuse, utilizing data analysis techniques and serving as a subject matter expert while collaborating with various stakeholders...Remote workFull time
$49.7k - $88.8k
UnitedHealthcare is seeking an Investigator to identify and prevent healthcare fraud, waste, and abuse. This role involves conducting investigations and analyzing... ...fraud investigations. Flexibility to work remotely is offered, and the salary ranges from $49,700 to $...Remote job$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- ...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
- ...Corporation in Austin is seeking a candidate for the role of Investigator to support healthcare fraud investigations. This position requires a bachelor's... ...activities, and providing detailed reports. This remote role offers competitive pay, a comprehensive benefits package...Remote jobFlexible hours
$67.64k - $101.46k
Elevance Health is seeking an Investigator II in Atlanta, Georgia, to lead investigations into healthcare fraud. The role combines in-office collaboration 1-2 days a week with remote flexibility. Responsibilities include conducting claim reviews, developing investigations...Remote workWork at office2 days per week1 day per week- 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
- 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$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- UnitedHealthcare is seeking a Senior Investigator Pharmacy to identify, investigate and prevent healthcare fraud, waste, and abuse. This role focuses on utilizing claims data and conducting field investigations. Applicants must reside within commutable distance to Los Angeles...Remote jobWork experience placementWork at office
- Centene Management Company LLC is seeking a skilled investigator to handle allegations of healthcare fraud and abuse in New York. In this role, you'll plan, organize, and execute claims investigations, utilizing your expertise in data mining and report creation. The ideal...Remote jobFlexible hours
$49.7k - $88.8k
Reliant Medical Group is seeking an Investigator in Omaha, NE to identify, investigate, and prevent healthcare fraud, waste, and abuse. This role involves thorough investigations and compliance with regulatory requirements, with a flexible telecommuting option for Nebraska...Remote jobWork at officeFlexible hours- Nerdleveltech is looking for a Bilingual Spanish Junior Healthcare Fraud Investigator based in New York. This role is ideal for recent graduates with a Bachelor's degree in Criminal Justice. You will support Cigna’s Special Investigations Unit and engage in audits/investigations...Remote job
$49.7k - $88.8k
UnitedHealthcare is seeking an Investigator to oversee the identification, investigation, and prevention of health care fraud, waste, and abuse. The role involves analyzing claims data to detect aberrant billing practices and conducting related field investigations. Successful...Remote jobWork at office- UMR is seeking an Investigator to identify and prevent healthcare fraud, waste, and abuse. The role includes conducting investigations using claims data analysis and regulatory guidelines. Candidates should have a Bachelor's degree and strong analytical skills. The position...Remote jobFlexible hours
$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 of...Remote workBi-weekly payWeekly payFull timeTemporary workApprenticeshipWork from homeHome officeMonday to Friday$49.7k - $88.8k
Genoa Telepsychiatry is seeking an Investigator to identify and prevent healthcare fraud, waste, and abuse in Omaha, Nebraska. This role involves data analysis, conducting investigations, and ensuring compliance with regulations. The ideal candidate will have a Bachelor...Remote workFlexible 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$43.89k - $76.5k
...CVSHealth is seeking an Investigator to conduct high-level investigations into healthcare fraud and abuse. The ideal candidate will have over 3 years of investigative experience and must currently reside in Louisiana. Responsibilities include analyzing claims data, collaborating...$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...- ...Conducting financial crimes investigations remotely, the full-time Fraud Investigator will analyze external and customer activity, write detailed reports, and communicate with various teams to address identified risks. Key responsibilities Conduct financial crimes investigations...Remote workFull time
- ...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
- ...As a full-time remote Fraud Investigator II, the successful candidate will be responsible for identifying and resolving fraudulent activity across various products and services, engaging with members to mitigate risk, and managing end-to-end investigations to safeguard...Remote workFull time
- ...As a senior operational and analytical resource, the full-time Digital Fraud Investigator will work remotely to identify, investigate, and mitigate digital fraud threats across various platforms, employing advanced technologies and collaborating with cross-functional teams...Remote workFull time
- ...A government services firm is seeking a Healthcare Fraud Investigator to provide legal support on a large government project. The role involves analyzing financial records, developing case referrals, and advising attorneys on cases. Candidates should possess a relevant...Work at office
- ...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
$67.64k - $101.46k
Elevance Health is seeking an Investigator II in Tampa, Florida, to identify and investigate healthcare fraud cases effectively. This hybrid role balances office presence with work-from-home flexibility, ensuring collaboration while prioritizing work-life balance. The Investigator...Work at officeWork from home$89k - $133.4k
...Stripe is seeking a Payments Fraud Investigator to play a vital role in safeguarding our financial ecosystem. In this position based in Chicago, you will investigate high-risk accounts and collaborate with cross-functional partners to enhance fraud detection and prevention...Remote work$81.7k - $113.4k
...Digital Fraud Investigator At Municipal Credit Union, we believe that an incredible culture helps create a happy and motivated team that works hard to achieve the best results for themselves and their members. For more than 100 years, MCU has provided affordable financial...Remote workLocal areaFlexible hours
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