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

Apply

Vacancy posted 5 days ago

Similar jobs that could be interesting for youBased on the Remote Healthcare FWA Investigator - Program Integrity in Phoenix, AZ vacancy

Program Integrity Investigator (Healthcare Fraud Waste & Abuse)
Profile We offer remote work opportunities (AK, AR... ...DOD background investigation for this position. Veterans... ...of the Director, Program Integrity and reports directly... ...fraud, waste and abuse (FWA) cases as defined by... ...Veterans Affairs (VA), the Healthcare Finance...
Remote work
Contract work
For subcontractor
Interim role
TriWest Healthcare Alliance
Phoenix, AZ
1 day ago
Senior Investigator - Pre-Pay (Healthcare FWA)
$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
3 days ago
Senior Pre-Pay FWA Investigator Remote Data Analytics
$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
3 days ago
Full-time Remote Investigator
...job application. Healthcare Fraud Shield will... ...prevention and payment integrity solutions, is... ...Clinical Coder/Fraud Investigator to join our team.... ...specialties) pertaining to FWA investigations as... ...Assistance Program (EAP) Professional... ...initiatives Remote work eligible REMOTE...
Remote work
Full time
Flexible hours
Healthcare Fraud Shield
Chesterfield, MO
3 days ago
Remote/Hybrid Registered Nurse (RN) - Advocacy & Program Integrity (Medical Assistance Expert)
...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
United States
4 days ago
Healthcare Fraud Investigator at Integrity Advantage (Remote)
$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
26 days ago
Senior Healthcare Integrations Program Manager
...seeking a Senior Project Manager in Integrations who will lead various healthcare integration projects. The role... ...Applicants should have at least 8 years of program management experience and 4 years... ...standards. Benefits include remote work options, health insurance, a...
Remote work
Aledade, Inc.
Washington DC
20 hours ago
Healthcare Program Integrity Solutions Consultant
...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
5 days ago
Sr. Program Integrity Analyst
$130k - $155k
...about transforming the healthcare space by building the... .... The Sr Program Integrity Analyst is a key member... ...the intersection of investigative analysis, product development... .... This is a fully remote opportunity for... ...knowledge of how FWA manifests in Medicaid...
Remote work
Full time
Local area
Night shift
HHA eXchange
United States
5 days ago
Remote Healthcare FWA Investigator (Senior)
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
2 days ago
Program Integrity Support Spec
$65k - $68k
...We offer remote work opportunities (AK, AR, AZ,... ...adjudicated DOD background investigation for this position.... ...of the Director, Program Integrity and reports directly... ...Fraud, Waste and Abuse (FWA) case development activities... ...Specialist utilizes healthcare billing, claim...
Remote work
Contract work
Temporary work
Interim role
Work at office
Local area
Shift work
Triwest Healthcare
United States
5 days ago
Healthcare Fraud Investigator - Medicaid
...Description Healthcare Fraud Investigator - Medicaid Remote, U.S. Based @Orchard LLC is retained by a not-... ...of health care and human services programs. We have multiple lines of business... ...program who will ensure the integrity and accuracy of claims processes...
Remote work
Orchard , CO
United States
1 day ago
Full Time Investigator
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
3 days ago
Clinical Content Specialist - Nursing (Integration Nurse Educator/Traditional Programs)
$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 QUALIFICATIONS... ...of competitive benefits and programs to help meet your needs and...
Remote work
Work at office
Wolters Kluwer
East Montpelier, VT
2 days ago
Remote/Hybrid Registered Nurse (RN) - Advocacy & Program Integrity (Hospice Expert)
...adynamic role focused on advocacy and program integrity through compliance management. Here, you... ...safeguard the quality of care, and influence healthcare outcomes on ameaningful scale. Enjoy... ...outcomes for vulnerable populations Remote work - enjoy the convenience and...
Remote work
Full time
Temporary work
Work at office
The CKHobbie Group
Harrisburg, PA
2 days ago
Senior Medical Coder & Program Integrity Lead (Remote)
...The State of Washington is seeking a Lead Medical Coder to serve as an expert in medical coding and Medicaid program integrity. This position focuses on ensuring compliance with coding standards and reducing fraud, waste, and abuse. As the subject matter expert, you...
Remote work
State of Washington
Olympia, WA
3 days ago
Post-Market Quality Investigator - Medical Devices
...the onsite engineers conduct investigations of suspected non-conforming... ...accommodation for this Office/Remote position. How we work... ...everywhere has access to the quality healthcare that we all deserve. Do the... ...Total Rewards benefits program, which includes a generous PTO...
Remote work
Hourly pay
Full time
Work at office
Immediate start
Work visa
Relocation package
Philips Iberica SAU
Lower Chichester, PA
5 days ago
R.A. Jones Systems Integration Program Manager
...the beverage, chemicals, food, pharma & healthcare, and industrial goods industries. R.A... ...professional leadership for our Integration Program Manager role in support of R.A Jones customers... .../external cross-functional and remote project teams. Strong program management...
Remote work
Temporary work
Work at office
Flexible hours
Lean Six Sigma Black Belt
Erlanger, KY
3 days ago
Medical Director- Principal Investigator (PI): Part-Time
...Director functions as a Principal Investigator (PI) for clinical trials... ...to patient safety and data integrity. Provide training as... ...and experience ~3-5 years healthcare experience in a US community... ...mail, telephone, chat, webcam (remote sessions such as MS Teams or...
Remote work
Long term contract
Full time
Part time
Casual work
Local area
Afternoon shift
ELLIGO HEALTH RESEARCH INC
Austin, TX
27 days ago
Remote SIU Investigator: Healthcare Coding & Fraud
A leading company in healthcare fraud prevention is seeking a talented... ...or Clinical Coder/Fraud Investigator. This full-time role involves... ...guidelines. The position is remote work eligible, requiring a CPC... ...fraud and ensuring payment integrity. #J-18808-Ljbffr Healthcare...
Remote job
Full time
Healthcare Fraud Shield
Chesterfield, MO
2 days ago
Remote Senior Investigator, Fraud & FWA Analysis
UnitedHealthcare is looking for a Senior Investigator to help identify and prevent healthcare fraud, waste, and abuse. This role is critical in maintaining integrity within the healthcare system, making a direct impact on the lives of many. The position includes flexible...
Remote job
Flexible hours
UnitedHealthcare
East Brunswick, NJ
3 days ago
Healthcare Compliance Investigator
...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
1 day ago
Investigator (Remote/Telework)
$56.2k - $101k
Position Purpose Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing... ...Flexible approach to work with remote, hybrid, field or office schedules... .... Benefits may be subject to program eligibility. Equal Opportunity & Accommodations...
Remote work
Work at office
Flexible hours
Centene Management Company LLC
New York, NY
3 days ago
Clinical Program Manager
...Join to apply for the Clinical Program Manager role at Triangle... ...ensure clinical functions are integrated Responsible for ensuring the... ...dependency patients. Inpatient healthcare experience. Prior management... ...Consultant - Clinical Operations (Remote) Raleigh, NC $80,000.00-$200,...
Remote work
Full time
Work from home
Flexible hours
Triangle Springs
Raleigh, NC
4 days ago
Physician Pathways Program - Gastroenterology - Auburn, MA or Remote
...member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical... ...from training into practice The customized program will be completed at within Reliant Medical Group sites...
Remote work
Local area
Work from home
Stryker
Auburn, MA
2 days ago
SIU Investigator Lead (Must live in OH or surrounding states)
$83k - $132.8k
...Summary: The Special Investigations Unit (SIU) Investigator Lead... ...and monitoring of emerging FWA trends and conducting research... ...monitoring of the Annual Program Integrity Fraud, Waste and Abuse Plan... ...) years of experience in Healthcare Fraud, Healthcare data analysis...
Remote work
Hourly pay
Work experience placement
Live in
Work at office
CareSource
United States
3 days ago
Senior Healthcare Fraud & Compliance Investigator (Remote)
$71.1k - $97.8k
...The Senior Fraud and Waste Investigator conducts investigations of allegations... ...risk issues affecting brand integrity and compliance. The Senior... ...Work Style: Work at home, remote. While this is a remote... ...experience Knowledge of healthcare payment methodologies Inquisitive...
Remote job
Bi-weekly pay
Temporary work
Apprenticeship
Work from home
Home office
Monday to Friday
Humana Inc
Washington DC
2 days ago
Deputy Chief Medical Investigator
$44.45 per hour
...Deputy Chief Medical Investigator Location US-KS-Olathe... ...26-3803 Category Healthcare, Welfare, and Social Services... ...- Regular (Full Benefits) Remote No Post End Date... ...health insurance, wellness programs and discounts, retirement programs...
Remote work
Full time
Work at office
Monday to Friday
Shift work
Night shift
Afternoon shift
Johnson County Government
Olathe, KS
4 days ago
Sexual Assault Forensic Examiner (SAFE) Program Manager
$85k - $95k
...Sexual Assault Forensic Examiner (SAFE) Program Manager to lead our SAFE Program. We are... ...from the nursing, public health or healthcare administration fields who is interested... ...Setting: Community-based Hybrid remote What you will bring to this position:...
Remote work
Full time
Relocation
Relocation package
Flexible hours
Shift work
Weekday work
Crisis Service
Buffalo, NY
2 days ago
Medical Claims Investigator
$50k - $55k
...- we strive to bend the cost curve in healthcare for all. Our dedication to service excellence... ...of direct experience in medical claims investigation or data mining / coordination of... ...guidelines, i.e. Medicare and State Medicaid Programs Familiarity with automated medical...
Remote work
Temporary work
Work at office
Flexible hours
Claritev
United States
2 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!