Remote Healthcare Fraud Investigator
Centene Corporation
- Remote job
Centene Corporation in Kansas is looking for a motivated individual to investigate healthcare fraud and abuse allegations. The role involves conducting thorough investigations, analyzing medical claims, and documenting all activities. The ideal candidate will have a Bachelor's Degree in Business or related fields, with at least one year of experience in fraud investigations. The position offers competitive pay and a comprehensive benefits package, including flexible work options. #J-18808-Ljbffr Centene Corporation
- ...Humana Inc. is seeking a Fraud and Waste Professional to conduct investigations of fraud and abuse and coordinate with law enforcement. You will assemble evidence... ...investigative reports to support adjudication. Remote work is available with minimal travel. Typical hours...Remote work
- ...Humana is seeking a Fraud and Waste Professional to investigate fraudulent and abusive healthcare practices. The role involves coordinating with law enforcement, gathering... ...guidelines. The position may include remote work with minimal travel and requires strong analytical...Remote work
- ...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
- Centene Corporation is looking for a dedicated investigator to monitor healthcare fraud activities. You will utilize your investigation skills to ensure... ...benefits package and a flexible work environment including remote options. #J-18808-Ljbffr Centene CorporationRemote jobFlexible hours
- Centene Corporation seeks a candidate to investigate allegations of potential healthcare fraud and abuse. This role involves conducting thorough investigations... ...in the field is required. The position offers a remote working option for candidates residing within Ohio and...Remote job
- Humana Inc. is seeking a Fraud and Waste Professional to conduct investigations of fraudulent and abusive healthcare practices and to coordinate with law enforcement. The role... ...preparing complex investigative reports. This remote position offers 40-hour weeks, possible...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 seeking a Fraud Investigator to investigate allegations of healthcare fraud and abuse. The role is remote but prefers candidates from Texas. The investigator will conduct detailed claims investigations, assist with audits, and prepare reports...Remote job- Centene Corporation is seeking an investigator to tackle healthcare fraud and abuse, essential for transforming health in communities. This remote role requires a bachelor's degree and at least one year of experience in medical claim investigations. You'll conduct thorough...Remote jobFlexible hours
$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- 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
- Centene Corporation is seeking an investigator in Arkansas to tackle healthcare fraud and abuse activities. The role involves conducting thorough investigations, performing data analysis, and preparing reports for federal and state agencies. The ideal candidate should hold...Remote jobFlexible hours
- ...Corporation is hiring for a Fraud Prevention Analyst. In this... ...operations. You’ll combine investigation, analytics, and risk management... ...our Middleton, WI office or remotely from Wisconsin, Arizona,... ...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$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...- ...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
- ...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
$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- ...A healthcare company in New York is seeking a Fraud Investigator to conduct in-depth investigations of reported fraud. Responsibilities include mentoring other investigators, investigating Medicaid fraud cases, and maintaining relationships with law enforcement. Candidates...
$20.72 - $25.91 per hour
...Overview Quartz is looking for an individual to investigate insurance information to coordinate benefits for claim processing. Processes... ...Benefits: Flexible and supportive work environment Full-time, remote , in-person or hybrid work environments available Ideal wage,...Remote workFull timeWork at officeWork from homeFlexible hours- ...To support the investigation of potentially fraudulent claims, the full-time Claims Investigator will conduct online research, compile... ...profiles of claimants, and prepare detailed reports while working remotely in the EST time zone. Key responsibilities Investigates and...Remote workFull time
- A leading live shopping platform is seeking a Fraud Agent to help prevent and mitigate fraud on their platform. The ideal candidate will have 1 to 5 years of experience in customer service or fraud operations and a proactive problem-solving mentality. Team members can work...Remote jobWork from homeWeekend work
- A leading live shopping platform is seeking a Fraud Agent to investigate and develop solutions to mitigate fraud. This role requires identifying fraud patterns proactively and working collaboratively with the team to enhance user experience. Candidates should have experience...Remote jobWork at officeWork from home
$22 per hour
...Job Type: Contract Workplace Type: Hybrid (50% remote, 50% fieldwork) Compensation: $22/hr plus $0.50/mi COMPANY OVERVIEW Phoenix... ...utilities sector. PLC’s core service is outside plant damage investigation, recovery, and prevention. Across the US and parts of Canada,...Remote workContract workPart timeFor contractorsWork experience placementLocal area$46.99k - $122.4k
The Hispanic Alliance for Career Enhancement is looking for a Fraud Investigator to handle complex cases in healthcare fraud. Candidates should have at least 3 years of relevant experience and proficiency in medical coding. This full-time position offers an annual salary...Full time- ...Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are at... ...Functions Responsible for conducting confidential investigations of suspected fraud, waste & abuse (FWA) involving medical providers, plan members...Contract workWork at officeLocal areaFlexible hours
- A healthcare organization is looking for a Special Investigations Unit Investigator II to investigate fraud and abuse in the healthcare environment. This role conducts thorough investigations leveraging data analytics, ensuring compliance with regulations, and supports...
- A government services company is seeking a Healthcare Fraud Investigator to support legal initiatives for a major government project in Nashville, TN. The role requires the candidate to analyze data, review financial documents, and liaise with attorneys and client agencies...
$78.32k - $128.16k
Elevance Health is looking for an Investigator II in Seattle, WA, responsible for investigating healthcare fraud and recovering corporate funds from fraudulent claims. This hybrid role requires in-office attendance 1 to 2 days per week, balancing collaboration with flexibility...Work at office2 days per week1 day per week$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...Full time
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