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

Remote Healthcare FWA Investigator - Program Integrity

TriWest Healthcare Alliance

A healthcare organization is seeking a PI Investigator responsible for investigating fraud, waste, and abuse. This role requires 2 years of relevant experience and can be performed remotely in several U.S. states. The ideal candidate will have a background in healthcare claims analysis, data analysis techniques, and knowledge of billing regulations. Responsibilities include researching and documenting FWA issues, ensuring compliance with federal guidelines, and supporting the Program Integrity objectives. #J-18808-Ljbffr

Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Healthcare FWA Investigator - Program Integrity in Phoenix, AZ vacancy
  •  ...candidate to manage fraud, waste, and abuse (FWA) responsibilities effectively. This position involves conducting investigations, overseeing compliance, and ensuring...  ...measures are implemented to uphold operational integrity and promote efficient systems. The ideal candidate... 
    Remote job
    Work from home

    CareOregon

    Salt Lake City, UT
    1 day ago
  •  ...with fraud, waste, and abuse (FWA) standards. This role involves developing effective FWA programs, conducting audits, and...  ...least 2 years of experience in a healthcare setting focused on compliance...  ...auditing. Strong communication and investigative skills are essential, along... 
    Remote job

    CareOregon

    Madison, WI
    3 days ago
  •  ...professional to oversee their fraud, waste, and abuse program. The role includes developing effective measures to prevent and investigate fraud cases, preparing compliance reports, and providing training regarding FWA policies. Candidates should have a minimum of 2 years... 
    Remote job

    CareOregon

    New York, NY
    3 days ago
  • $70k - $90k

     ...Senior Investigator - Pre-Pay (Healthcare FWA) Job Location: US-Remote Overview As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through data analysis (a high level of proficiency with Excel is required). This is not... 
    Remote work
    Work experience placement
    Work at office
    Work from home

    Cotiviti

    New York, NY
    2 days ago
  • $70k - $90k

     ...A leading healthcare analytics firm is seeking a Senior Investigator to investigate incidents of healthcare fraud, waste, and...  ...abuse through data analysis. This remote position requires a Bachelor's...  ...years of experience in healthcare FWA investigations, and advanced Excel... 
    Remote work

    Cotiviti

    New York, NY
    2 days ago
  •  ...a dynamic role focused on advocacy and program integrity through compliance management. Here, you...  ...the quality of care, and influence healthcare outcomes on a meaningful scale. Enjoy the...  ...outcomes for vulnerable populations Remote work - enjoy the convenience and balance... 
    Remote work
    Full time
    Temporary work
    Work at office
    Work from home

    The CKHobbie Group

    Pittsburgh, PA
    1 day ago
  • $60.2k - $107.4k

    A leading healthcare organization seeks a Senior Investigator Pharmacy to prevent and investigate healthcare fraud and abuse. Responsibilities include assessing misconduct complaints and analyzing trends. Required qualifications include a degree and relevant experience... 
    Remote job

    UnitedHealth Group

    Los Angeles, CA
    5 days ago
  • UnitedHealthcare is seeking a Senior Investigator in Columbus, Ohio to combat healthcare fraud, waste, and abuse. This position involves investigating complex cases using claims data and collaborating with federal/state regulators. Telecommuting flexibility is available... 
    Remote job

    UnitedHealthcare

    Columbus, OH
    5 days ago
  • UnitedHealth Group is seeking a Senior Investigator responsible for identifying and preventing healthcare fraud, waste, and abuse. This role offers telecommuting flexibility and requires investigating complex fraud cases, analyzing data trends, and collaborating with regulatory... 
    Remote job

    UnitedHealth Group

    Dallas, TX
    1 day ago
  •  ...develop and operate effective fraud, waste, and abuse (FWA) programs. The role requires a minimum of 5 years in compliance and at least one year focusing on healthcare fraud. The candidate will perform FWA investigations, prepare detailed reports and educate staff on... 
    Remote job

    CareOregon

    Wisconsin
    1 day ago
  •  ...professional with expertise in fraud, waste, and abuse (FWA) for a remote position. The ideal candidate will have a minimum...  ...include developing and maintaining effective FWA programs, conducting advanced investigations, and preparing reports. The role offers competitive... 
    Remote job

    CareOregon

    Salt Lake City, UT
    4 days ago
  • $60.2k - $107.4k

    A healthcare organization is seeking a Senior Investigator responsible for identifying, investigating, and preventing healthcare fraud, waste, and abuse. This...  ...travel. The position offers the flexibility to work remotely from anywhere in the U.S. Candidates should have at... 
    Remote job

    UnitedHealthcare

    Houston, TX
    2 days ago
  •  ...Compliance Analyst to contribute to the development and operation of an effective Fraud, Waste, and Abuse (FWA) program. Key responsibilities will include conducting investigations, preparing audit reports, and educating staff on compliance requirements. The ideal candidate will... 
    Remote job

    CareOregon

    Phoenix, AZ
    1 day ago
  •  ...Job Description Position Summary We are seeking a Senior Healthcare Fraud Investigator to support our program integrity efforts through hands-on investigation of potential fraud, waste, and abuse (FWA). This role is ideal for someone who thrives on digging into... 
    Remote work

    Community Care Plan

    Jacksonville, FL
    10 days ago
  •  ...efficient processes to program and patient health....  ...Responsibilities Payment Integrity & FWA Domain Expertise...  ...payment recovery, SIU investigations, and provider fraud and...  ...Bachelor’s degree in healthcare administration,...  ...functions. This is an office/remote position. While... 
    Remote work
    Work at office
    Shift work

    DOMA Technologies

    Virginia Beach, VA
    4 days ago
  • The Commonwealth of Massachusetts is hiring a Program Integrity Compliance Specialist in Boston. This full-time role focuses on supporting early childhood programs by investigating complaints and non-compliance issues. Candidates must have extensive experience in program... 
    Full time

    Commonwealth of Massachusetts

    Boston, MA
    2 days ago
  •  ...issuance of all programmatic benefits. Investigators work in both an independent and team-oriented...  ...to investigate allegations of possible program eligibility abuse and fraud, apply...  ...for other functions of the Program Integrity unit as needed, including work assigned... 
    Work experience placement
    Work at office

    Adams County

    Commerce City, CO
    2 days ago
  • $1,833.39 per month

    The State of Florida is seeking a Medical/Health Care Program Analyst in Orlando to conduct investigations and audits related to Medicaid fraud prevention. This full-time position requires strong analytical skills and the ability to travel. Salary is set at $1,833.39 biweekly... 
    Full time

    State of Florida

    Orlando, FL
    1 day ago
  • $60k - $92k

     ...Levels (Investigator, Sr. Investigator, etc) will depend on experience...  ...and qualifications. Integrity Advantage is a small...  ...investigation and prevention of healthcare fraud, waste and abuse (FWA). We are growing and...  ...work independently within a remote team, under minimal... 
    Remote work
    Full time

    HireAligned

    Remote
    5 days ago
  • $71.3k - $124.5k

     ...CT, NY, NJ, PA, MD, DE, OH). Remote position but must reside in...  ...adoption of best practices, integrating our solutions into curricula...  ...nurses for a rapidly evolving healthcare landscape...  ...of competitive benefits and programs to help meet your needs and... 
    Remote work
    Work at office

    Wolters Kluwer

    United States
    2 days ago
  • CareOregon is looking for a professional to manage fraud, waste, and abuse compliance efforts. This role involves investigating FWA cases and preparing detailed reports for audit findings. Candidates should have a minimum of 5 years in audit or compliance, including a year... 
    Work from home

    CareOregon

    Madison, WI
    4 days ago
  •  ...JOB DESCRIPTION Provides investigative support for special...  ...coding fraud, waste and abuse (FWA). Investigates and resolves instances...  ...), and applicable software program(s) proficiency. In some...  ...Internal Job Board. Molina Healthcare offers a competitive benefits... 
    Remote work
    Contract work
    Work at office
    Local area

    Molina Healthcare

    United States
    2 days ago
  •  ...a dynamic role focused on advocacy and program integrity through compliance management. Here, you...  ...the quality of care, and influence healthcare outcomes on a meaningful scale. Enjoy the...  ...outcomes for vulnerable populations Remote work - enjoy the convenience and balance... 
    Remote work
    Full time
    Temporary work
    Work at office

    The CKHobbie Group

    Harrisburg, PA
    1 day ago
  •  ...reflection of our clients and the people they serve. Healthcare Compliance Investigator I Work Location: Remote - Must be Licensed in the State of Ohio Position...  ...the federal laws relating to the F-1 STEM EAD program, this position is not eligible to support a STEM EAD... 
    Remote work
    H1b
    Work at office
    Work from home
    Flexible hours

    Staffing Solutions Organization LLC (SSO)

    Brooklyn, NY
    5 days ago
  • $85.1k - $95k

    Title FRAUD INCIDENT PROGRAM MANAGER Status EXEMPT Report To DIRECTOR...  ...FRAUD PREVENTION AND RISK INVESTIGATIONS Job Code 11966 Pay Range $...  ..., and ensure operational integrity and compliance with...  ...seven days a week; occasional remote diagnosis; occasional travel... 
    Remote work
    Work experience placement
    Work at office
    Local area

    Golden 1 Credit Union

    Sacramento, CA
    4 days ago
  • $49.7k - $88.8k

     ...within the organization Conduct investigations of low- to moderately complex...  ...Employee Assistance Program Employee Referral Bonus Program...  ...Qualifications Experience in healthcare fraud, waste, and abuse investigations...  ...regulations related to FWA Experience with data analysis... 
    Remote job
    Minimum wage
    Full time
    Temporary work
    Work experience placement
    Local area
    Monday to Friday

    UnitedHealth Group

    Omaha, NE
    5 days ago
  • $60.2k - $107.4k

    Senior Investigator At UnitedHealthcare, we're simplifying the health care...  ...and prevention of healthcare fraud, waste and abuse. The Senior...  ...full and comprehensive benefit program, performance rewards, and a management...  ...care fraud, waste and abuse (FWA) 2+ years of experience in... 
    Remote job
    Minimum wage
    Full time
    Temporary work
    Work experience placement
    Local area
    Monday to Friday

    UnitedHealthcare

    Columbus, OH
    5 days ago
  • Adams County is seeking an experienced Community Support Case Manager in Commerce City, Colorado. The role involves investigating allegations of program eligibility abuse, communicating with various stakeholders, and maintaining comprehensive reports. Candidates should... 

    Adams County

    Commerce City, CO
    2 days ago
  • Health First is seeking a qualified individual to investigate and detect potential healthcare fraud, waste, and abuse (FWA) in New York. The primary responsibilities include conducting audits of medical records, analyzing billing practices, and preparing reports for law... 
    Full time
    Work at office
    Day shift

    Health First

    Florida, NY
    2 days ago
  • $53k - $99k

    A leading healthcare organization in Honolulu is looking for an investigator to manage, resolve, and prevent Fraud, Waste, and Abuse cases. You will work with various...  ...skills and a fundamental understanding of FWA. This full-time role offers a hybrid work environment... 
    Full time

    HMSA

    Honolulu, HI
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Healthcare FWA Investigator - Program Integrity. Be the first to apply!