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

Senior Healthcare Fraud Investigator - Remote

BlueCross BlueShield of Tennessee

Nashville, TN
  • Remote job

BlueCross BlueShield of Tennessee is looking for an Investigator II for its Special Investigations Unit. The position involves conducting thorough investigations into potential fraud, presenting findings to management, and supporting legal proceedings. This remote position requires occasional travel within Tennessee. Ideal candidates should have 8 years of experience in healthcare fraud investigations and a Bachelor’s Degree or equivalent experience. #J-18808-Ljbffr BlueCross BlueShield of Tennessee

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Senior Healthcare Fraud Investigator - Remote in Nashville, TN vacancy
  •  ...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 job
    Senior
    Work at office

    Hispanic Alliance for Career Enhancement

    Hartford, CT
    1 day ago
  • $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 job
    Senior
    Full time

    Hispanic Alliance for Career Enhancement

    Seattle, WA
    1 day ago
  • 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 job
    Senior
    Flexible hours

    Centene Management Company LLC

    New York, NY
    18 hours ago
  • 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... 
    Remote job
    Senior
    Work experience placement
    Work at office

    UnitedHealthcare

    Los Angeles, CA
    3 days ago
  • $71.1k - $97.8k

     ...part of our caring community The Senior Fraud and Waste Professional, Medicaid conducts investigations of allegations of fraudulent...  ...to make an impact LOCATION: Remote IL HOURS: 40 hours per week, 5...  ...Investigations experience Understanding of healthcare industry, claims processing... 
    Remote work
    Senior
    Bi-weekly pay
    Weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Local area
    Work from home
    Home office
    Monday to Friday

    Humana

    Illinois
    2 days ago
  • $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

    Hispanic Alliance for Career Enhancement

    Louisiana, MO
    2 days ago
  •  ...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 work
    Full time

    Virtual Vocations Inc

    United States
    4 days ago
  • $73.2k - $109.8k

     ...Senior Fraud Investigator Volkswagen Financial Services, a wholly-owned subsidiary of Volkswagen...  ...with a Role Classification of Fully Remote. Salary range is dependent on factors...  ...Eligibility for annual performance bonus Healthcare benefits 401(k), with company match... 
    Remote work
    Senior
    Work from home

    Volkswagen Group

    United States
    2 days ago
  • $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... 
    Senior
    Full time

    Hispanic Alliance for Career Enhancement

    Kansas City, MO
    2 days ago
  • $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... 
    Senior
    Full time

    Hispanic Alliance for Career Enhancement

    Raleigh, NC
    1 day ago
  • $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 work
    Full time
    Work experience placement
    Work at office
    Local area

    Contact Government Services LLC

    United States
    18 hours ago
  •  ...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... 
    Senior
    Local area

    ViziRecruiter

    Grand Rapids, MI
    1 day ago
  •  ...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

    UnitedHealth Group

    Omaha, NE
    1 day ago
  • River Run Services LLC is seeking a Sr. BSA Fraud Analyst to support AML/CFT and fraud prevention efforts through investigation of suspicious activity and transaction analysis...  ...model, three days in-office and two days remote, balancing collaboration with flexibility. The... 
    Remote work
    Senior
    Work at office

    River Run Services LLC

    Haverhill, MA
    18 hours ago
  • Verity Credit Union is looking for a Senior AML/Fraud Investigator to support fraud and anti-money laundering initiatives. This fully remote role based in Seattle, WA requires extensive investigative skills, compliance knowledge, and collaboration with law enforcement.... 
    Remote job
    Senior

    Verity Credit Union

    Seattle, WA
    2 days ago
  • $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... 
    Senior
    Full time

    Hispanic Alliance for Career Enhancement

    Phoenix, AZ
    4 days ago
  • $114.08k - $218.03k

     ...support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses...  ...and business needs. The Opportunity As a dedicated Fraud Strategy Analyst Senior , you will be accountable for driving USAA's overall fraud... 
    Remote work
    Senior
    H1b
    Work at office

    USAA

    Schertz, TX
    12 days ago
  • $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... 
    Senior
    Full time

    Hispanic Alliance for Career Enhancement

    Annapolis, MD
    2 days ago
  • 1199SEIU Funds seeks an experienced Investigator for a hybrid role in New York, responsible for investigating allegations of fraud, waste, or abuse in healthcare. Candidates must have strong skills in medical coding, report writing, and data analysis, along with interpersonal... 
    Senior

    1199SEIU Funds

    New York, NY
    3 days ago
  • CVS Health is seeking a Senior Investigator to conduct high-level investigations of healthcare fraud and abuse. This role involves analyzing complex cases and requires expertise in healthcare investigations, including 5+ years of relevant experience. Key responsibilities... 
    Senior

    CVS Health

    Boston, MA
    2 days ago
  • Medica seeks an SIU Investigator IV to lead advanced investigations into suspected fraud, waste, and abuse. This role is pivotal in managing complex cases, conducting specialized audits, and ensuring compliance with legal standards. The ideal candidate will have over 7... 
    Senior
    Work at office

    Medica

    Hopkins, MN
    3 days ago
  • $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... 
    Senior
    Full time

    Hispanic Alliance for Career Enhancement

    Florida, NY
    2 days ago
  • $70.2k - $105.32k

    Medica is looking for an SIU Investigator IV to lead advanced investigations into fraud, waste, and abuse. This role requires overseeing complex cases, conducting audits, and collaborating with law enforcement. Candidates should have a bachelor’s degree and over 7 years... 
    Senior

    Medica

    Minnetonka, MN
    3 days ago
  • $46.99k - $122.4k

    CVS Health is looking for a skilled individual to manage healthcare fraud investigations in New Jersey. The role entails handling complex cases, facilitating legal proceedings, and working closely with law enforcement agencies. The ideal candidate will have a Bachelor's... 
    Senior
    Full time

    Hispanic Alliance for Career Enhancement

    New York, NY
    2 days ago
  •  ...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... 
    Senior
    Full time

    Hispanic Alliance for Career Enhancement

    Nashville, TN
    2 days ago
  • $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... 
    Senior
    Full time

    Hispanic Alliance for Career Enhancement

    New York, NY
    4 days ago
  • $46.99k - $122.4k

    The Hispanic Alliance for Career Enhancement is seeking a professional for health care fraud investigations. The role requires at least three years of experience in related fields and a Bachelor's degree or equivalent. You will investigate and document cases related to... 
    Senior

    Hispanic Alliance for Career Enhancement

    New York, NY
    4 days ago
  • CVS Health in Pennsylvania is seeking a skilled professional to manage complex cases involving health care fraud. The candidate will investigate claims, collaborate with law enforcement, and ensure adherence to health care regulations. Interested individuals must hold a... 
    Senior
    Full time
    Work at office

    Hispanic Alliance for Career Enhancement

    New York, NY
    18 hours ago
  • $46.99k - $122.4k

    The Hispanic Alliance for Career Enhancement is seeking a Health Care Fraud Investigator to manage complex cases and aid in preventing fraudulent claims. The role demands 3 years of experience in health care fraud investigations, familiarity with comprehensive coding standards... 
    Senior
    Full time

    Hispanic Alliance for Career Enhancement

    Oklahoma City, OK
    2 days ago
  • A government agency is seeking a Law Enforcement Investigator II in West Palm Beach, Florida. Candidates must possess a high school diploma...  ....S. citizen, and pass a physical examination. Experience in healthcare fraud investigations and a solid background in law enforcement are... 
    Senior

    Military, Veterans and Diverse Job Seekers

    West Palm Beach, FL
    18 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior Healthcare Fraud Investigator - Remote. Be the first to apply!