Remote Fraud & Abuse Investigator | CPC
Sentara Health
- Remote job
Sentara Health Plan is hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) for a remote role. The position is full-time (40 hours) with shifts 8am-5pm EST, M-F, and remote for multiple states including MD, VA, NC and others, with annual travel to Virginia Beach. The role emphasizes investigations into fraud/abuse, audit activities, and ensuring compliant coding and reimbursement. #J-18808-Ljbffr Sentara Health
- Sentara Health Plans in the United States is hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) for a remote role. The position is full-time (40 hours) with occasional travel to Virginia Beach. You will contribute to deep investigations...Remote workFull time
- Sentara Health Plans is seeking an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) for a remote role. The position supports in-depth investigations of suspected fraud, waste, and abuse across providers, pharmacies, and members, with occasional...Remote job
- Sentara Health Plans is hiring for an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) in a remote role. The position offers full-time status with 40 hours weekly, primarily 8am-5pm EST, Monday-Friday. Remote work is available for multiple states...Remote jobFull timeMonday to Friday
$32.03 - $45.7 per hour
Work Shift Multiple shifts available Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) Remote! Status: Full-time, permanent position (40 hours) Location: This position is remote for candidates that...Remote jobHourly payPermanent employmentFull timeTemporary workLive inCurrently hiringShift work$69.4k - $99.2k
...capabilities. Summary The Medicaid Fraud, Waste & Abuse (FWA) Senior Analyst plays a... ...follow-up questions, and supporting investigations through data analysis, documentation,... ...related activities (Up to 25%) Fully remote opportunity with the option to work anywhere...Remote workFull timeWork at officeFlexible hours$65.97k - $124.99k
...healthcare services provider is seeking a Clinical Fraud Investigator II, requiring an Associate Degree in Nursing and CPC certification. Responsibilities include... ...clinical fraud investigation. This role offers remote work flexibility within certain commuting distances...Remote work$65k - $88.6k
...caring community The Fraud and Waste Professional... ...conducting comprehensive investigations of reported, alleged or... ...fraud, waste, and abuse involving the Medicaid... ...Clinical Certifications, CPC, CCS, CFE, AHFI). Understanding... ...Work Style Fully remote in the contiguous US,...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday$55.6k - $79.4k
...looking for ~3+ years of experience detecting and investigating healthcare fraud ~2+ years providing excellent customer service and capable... ...) What you should expect in this role Fully remote opportunity with the option to work anywhere within the...Remote workFull timeFlexible hours- ...To manage comprehensive fraud, waste, and abuse investigations, the full-time remote CPC Certified Senior SIU Investigator will develop investigative strategies, analyze data, and prepare detailed reports while collaborating with various stakeholders. Key responsibilities...Remote workFull timeWork experience placement
- TEKsystems is seeking a remote fraud analyst to join an operations team focused on payments fraud, protecting Meta users and partners... ...tickets while applying a diverse toolkit of data analysis and investigative work. The role requires 3+ years in fraud investigations or...Remote job
- ...Healthcare Fwa InvestigatorLevels (Investigator, Sr. Investigator, etc) will depend on... ...investigation and prevention of healthcare fraud, waste and abuse (FWA). We are growing and looking for... ...to work independently within a remote team, under minimal supervisionBenefits...Remote work
- ...Providing investigative support for special investigation unit activities, the full-time Healthcare Fraud Investigator will focus on the prevention, detection, and investigation... ...of healthcare fraud, waste, and abuse, while working remotely. Key responsibilities Conducts...Remote workFull time
$15 - $25 per hour
...Category: Enterprise Workflow & Tool Use · Pay: $15–$25 / hr · Location: Remote — US-eligible · Contractor Fraud Analyst - Content & Reviews Abuse is a remote review track for evaluating AI outputs across fraud analyst content reviews abuse specialist operations workflows...Remote workContract workFor contractorsWork experience placement10 hours per week- ...To enhance player safety and platform integrity, the remote contract Fraud & Risk Associate will investigate fraud, abuse, and account security incidents, focusing on refund abuse, exploits, and compromised accounts. Key responsibilities Investigate refund and chargeback...Remote workContract work
- ...Peraton seeks a Fraud Investigator to conduct high‑level investigations in Medicare fraud, waste, and abuse. The role involves analyzing cases, interviewing witnesses, and coordinating with state and federal partners to develop referrals and corrective actions. Responsibilities...Remote work
- ...Senior Healthcare Fraud InvestigatorArlo Solutions is supporting... ...Government personnel.Location: REMOTE - Local to Washington,... ...care provider fraud, waste and abuse (FWA) and coordinated billing... ...status taxonomy, and standard investigation templates.Overpayment & Referral...Remote workContract workFor contractorsWork at officeLocal area
$20 per hour
...internal and open-source tools, and investigative work to combat payments fraud and protect Metas users and... ...patterns that correlate with fraud and abuse.Use in-house tools to label images,... ...2026.Workplace TypeThis is a fully remote position.About TEKsystemsWe're partners...Remote workContract workTemporary workWork experience placement$77.5k - $99k
...more at Job Summary The Program Integrity Fraud Audit & Investigations Analyst conducts fraud, waste, and abuse (FWA) investigations and serves as the team's lead... ...but not required. Working Conditions: Remote work with occasional business travel Supervisory...Remote workLocal area- ...payment decisions, and researching claims data to uncover fraud, waste, and abuse.Telework is available from anywhere in the United States.... ...will review Medicare payments, develop cases for investigations, and collaborate with external agencies as needed.J-18808...Remote work
- ...Peraton is seeking a Fraud Investigations Manager to lead the SGS team in detecting fraud, waste, and abuse. The role involves directing investigators, overseeing case development for referrals, and supporting data requests for active investigations. Requirements include...Remote work
- ...Proactively identifying instances of fraud, waste, and abuse, the full-time Senior Fraud Analyst will... ...anomaly detection algorithms in a remote work environment. Key responsibilities... ...to tasks Background in Special Investigations Unit (SIU) or Payment Integrity Independent...Remote workFull time
- Novig, located in New York, New York, is seeking a Fraud and Risk Specialist. The successful candidate will investigate multi-accounting, bonus abuse, and suspicious betting patterns, ensuring marketplace integrity. This full-time role offers a salary between $65K-$75K...Remote jobFull time
- ...Room and provides analytical and operational support for fraud, waste and abuse leads, case development and governance reporting. The Program... ..., drafts SOPs and reports, and coordinates with federal investigators and VA leadership. The role requires a Tier 2/MBI clearance...Remote work
- ...Hartford in Scottsdale, AZ is seeking a Sr Medical Bill Examiner (CPC) to review complex medical invoices for workers’ compensation.... ...to accuracy and regulatory compliance. This role offers a hybrid/remote arrangement with core hours across time zones, strong data-entry...Remote job
$1,500 - $2,000 per month
...talented and motivated Shopper Risk Fraud Operations analyst who is... ...users and transactions for abusive or fraudulent behavior. Our... ...and abuse for manual review. Investigate individual transactions using... ...every employee that we hire. #Li-remote #Full-Time #J-18808-Ljbffr...Remote workHourly payFull timeFor contractorsWork experience placementShift work$188.4k - $282.6k
...your career. About The Team Abuse Operations is the front-line... ...handling active product abuse and fraud impacting Stripe and its... ...spanning Incident Managers, Investigators, Forward Deployed Security Engineers... ...either in an office or a remote location (35+ miles or 56+ km...Remote workWork at officeLocal areaWork from homeRelocation- ...Peraton’s SafeGuard Services (SGS) is seeking a Fraud Investigator to conduct complex investigations into medical professional services, develop cases for potential referrals, and coordinate with law enforcement and other agencies. The role requires independent judgment...Remote work
- ...Peraton seeks a Fraud Investigator for SafeGuard Services to conduct complex investigations of medical providers and develop actionable cases for law enforcement referrals and overpayment recovery. The role requires strong investigative, communication, and organizational...Remote work
- ...better today and tomorrow.Section 1: Position SummaryThe Senior Fraud Investigator is a senior individual contributor responsible for leading... ...of education and relevant experience preferredFor all virtual remote positions, in order to ensure associates can effectively...Remote workFull timeSecond job
$66k - $106k
...Fraud Investigator- Medicare Responsibilities SafeGuard Services (SGS), a subsidiary of Peraton, performs data analysis, investigation... ...deter, reduce, and make referrals to recover fraud, waste, and abuse. We are looking to add an Fraud Investigator to our SGS...Remote workContract workFor contractorsFlexible hoursShift workNight shift
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