Senior SIU Investigator — Remote Fraud Expert
Centene Corp.
- Remote job
Centene is seeking an experienced Senior SIU Investigator to independently lead complex fraud, waste, and abuse investigations across providers, members, pharmacies, and other entities. You will analyze claims data, medical records, and interviews to identify misconduct, develop investigative strategies, and support corrective actions. Ideal candidates have 4+ years in healthcare investigations, familiarity with Medicaid/Medicare rules, and certifications such as AHFI or CFE. #J-18808-Ljbffr Centene Corp.
- Centene Corporation is seeking a seasoned Health Care Fraud Investigator to support a remote SIU team across the continental US. You will guide investigations, develop plans, document findings, and collaborate with regulators and internal counsel to mitigate risks. The...Remote jobSeniorFraudFlexible hours
$70.1k - $126.2k
## Senior SIU InvestigatorApplylocations: Remote-NY: Remote-MA: Remote-PA: Remote-CT: Remote-FLtime type: Full timeposted on: Posted Todayjob... ...Purpose:** Independently leads complex fraud, waste, and abuse (FWA) investigations involving providers, members, pharmacies,...Remote workSeniorFraudFull timePart timeWork at officeFlexible hours- ...are seeking a seasoned and strategic Senior Special Investigation Unit (SIU) Investigator to leadthe proactive... ...-exposure, and multi-jurisdictional fraud investigations across life insurance... ...obligationsServe as a subject matter expert on insurance fraud schemes, statutes...SeniorFraudH1bWork at office
- ...Safepoint Insurance is seeking an SIU Examiner in Louisiana to identify and handle all aspects of fraud investigations within the Claims Department. You will review SIU reported... ..., and the ability to work independently in a remote home-office environment. #J-18808-Ljbffr...Remote workFraudHome office
- ...seeking skilled and experienced Field Investigators for a fully remote, as needed position. This role... ...investigating various insurance claims including fraud and liability, offering flexible... ...and Special Investigations Unit (SIU) assignments, ensuring adherence to instructions...Remote workFraudFlexible hours
- ...delivers on our promises. Position Summary:The SIU Investigator will conduct field as well as desk... ...Special Investigator will function as a remote investigator working from her/his... ...SIU contacts, the Department of Insurance Fraud Division, NICB, and various law enforcement...Remote workFraudFull timeWork experience placementWork at office
$60.2k - $107.4k
...have the flexibility to work remotely as you take on some tough challenges... ...validity of aberrances (SIU only) Gather all relevant... ...behavior through an Investigation Summary and compliance package... ...experience working in a FWA / SIU or Fraud investigations role for...Remote workSeniorFraudMinimum wageFull timeWork experience placementLocal area$60.2k - $107.4k
...Senior Investigator At UnitedHealthcare, we're simplifying the health care experience, creating... ...investigation and prevention of healthcare fraud, waste, and abuse. The Senior... ...information in the Special Investigations Unit's (SIU's) case tracking system Collect and secure...Remote workSeniorFraudMinimum wageFull timeTemporary workWork experience placementLocal area- ...Origin is seeking an experienced SIU Investigator to join our growing team in Las Vegas, Nevada. This role is ideal for investigators with experience handling insurance fraud investigations, obtaining statements, and identifying indicators of fraudulent activity. We are...Remote workFraud
$78.9k
...DescriptionThis position can be remote anywhere in the United States, however... ....We are seeking an experienced investigator to join our Special Investigations Unit (SIU). SIU is responsible for... ...investigating and deterring insurance fraud committed against our companies,...Remote workFraudWork at officeFlexible hours$46.99k - $112.2k
...Position Summary We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), Self‑Funded investigations team. In this role, you will manage complex investigations into suspected and known acts of healthcare fraud...SeniorFraudHourly payFull timeTemporary workWork experience placementLocal areaWork from home- Medica is a nonprofit health plan with 1M+ members serving Minnesota and neighboring states. The SIU Investigator III conducts complex investigations into fraud, waste, and abuse and leads onsite audits of provider practices, maintaining thorough records and collaborating...SeniorFraudWork at office
$46.99k - $102k
...care one person, one family and one community at a time. The SIU Senior Investigator conducts complex investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state regulations...SeniorFraudHourly payFull timeTemporary workLocal area- Allied Universal is hiring a Special Investigations Unit (SIU) Investigator to focus on examining fraud in insurance claims. The role requires expertise in investigations, with responsibilities including gathering information and creating detailed documentation. Ideal...Fraud
$25 - $50 per hour
...strategy & scheduling Paid travel for field investigations when required Job Summary The SIU Investigator conducts field and remote investigations involving insurance claims.... ...principles, compensability analysis, fraud indicators, and investigative documentation...Remote workFraudHourly payPart timeWork at officeHome officeFlexible hoursAfternoon shift- A leading insurance investigation firm in Georgia is seeking a Special Investigations Unit (SIU) Investigator. The role involves investigating fraudulent insurance claims... ...Strong investigative skills, knowledge of anti-fraud laws, and the ability to maintain detailed documentation...Fraud
$25 - $30 per hour
...Part-Time SIU/Claims Investigator For the past 28 years, Advantage Investigations has been the Nation... ..., Net-Sweep Investigations, Remote Controlled Surveillance, and more, we'... ...our clients time and money on insurance fraud cases. Advantage Investigations is...Remote workFraudBi-weekly payHourly payPart timeWork at officeFlexible hours- ...application. Healthcare Fraud Shield will not... ...Coder/Fraud Investigator to join our team.... ...RESPONSIBILITIES Work with SIU Team (Clinical... ...initiatives ~ Remote work eligible... ...applicable law. Seniority level ~ Seniority... ...knowledge in a new way. Experts add insights...Remote workFraudFull timeFlexible hours
- ...Special Investigations Unit (Siu) Desk Investigator At AssuranceAmerica, we are more than a unique blend of insurance assets. We believe in... ...moderate investigations involving suspicions of insurance fraud related to the application of insurance, auto/property, and...Remote workFraudContract workWork at officeRelocation package
$70.1k - $126.2k
...of the VP of Compliance Investigations this position assists... ...Investigations and/or senior management regarding the... ...Legal, People Relations, SIU, Privacy, Finance, and... ...Certifications Certified Fraud Examiner (CFE)... ...approach to work with remote, hybrid, field or office...Remote workSeniorFraudFull timePart timeWork at officeFlexible hours- SafePoint Insurance is seeking a seasoned SIU Investigator to manage fraud investigations across our claims portfolio. You will review referrals, conduct... ...626 requests, and stay current with state regulations. Remote work from a home office is supported with a professional...Remote jobFraudWork from homeHome office
$77.12k - $147.39k
...military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military... ...needs. The Opportunity As a dedicated SIU Investigator, within established guidelines and... ...compliance with all relevant state insurance fraud laws, regulations, policies, and...Remote workFraudH1bWork at officeLocal area$46.99k - $112.2k
...community at a time. Position Summary The Senior Investigator, Aetna Special Investigations Unit, will... ...known or suspected acts of healthcare fraud and abuse. This position will routinely... ...independently proactive data mining using SIU Tools to identify aberrant billing...SeniorFraudHourly payFull timeTemporary workWork at officeLocal area- ...Alpaca is seeking a senior Compliance Investigator to join our remote team focused on BSA/AML, anti-fraud, and securities fraud monitoring. You will lead investigations, file SARs, review sanctions alerts, and support regulatory inquiries to strengthen our compliance infrastructure...Remote workSeniorFraud
- Oscar Health Insurance is seeking a Senior Analyst, SIU Clinical Investigator to detect and audit aberrant billing patterns in claims and clinical documentation... ...files for potential recovery or referrals. This is a remote role with NYC/Tempe office options. #J-18808-Ljbffr...Remote jobSeniorWork at office
- ...Independently leading complex fraud, waste, and abuse investigations, the full-time Senior Fraud Investigator will utilize advanced investigative techniques and... ...misconduct and support corrective actions while working remotely. Key responsibilities Lead investigations into...Remote workSeniorFraudFull time
$70.1k - $126.2k
...flexibility. This is a remote role anywhere within the... ...guidance to team members who investigate and remediate compliance and fraud, waste, and abuse related... ...on casework and other SIU activities. Evaluates and... ...in-house counsel, and/or senior leadership to resolve difficult...Remote workFraudFull timePart timeWork at officeFlexible hours$112.9k - $257k
Defense Mission Expert, SeniorThe Opportunity: As an... ...our nation safe. As a Senior Defense Mission Expert... ...subject to a security investigation and may need to meet... ...protect against identity fraud. You are expected to... ...cameras on during meetings.Remote: If this position is...Remote workSeniorFraudFull timeContract workPart timeWork at officeLocal area- Texas Capital Bank is seeking a Senior Fraud Investigator to execute investigations of suspicious activity, assess fraud risks, and support enterprise fraud management. You will prepare in-depth reports, file SARs, and advise leadership on controls to mitigate risk, collaborating...SeniorFraud
- UnitedHealthcare is seeking a Sr Data Investigator to monitor patterns of potential fraud, waste and/or abuse and support investigation processes. The role... ...organization. You will have the flexibility to work remotely from anywhere in the U.S., with some locations requiring...Remote jobSeniorFraudWork at office
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