Remote Healthcare Fraud & Waste Investigator

Humana

Humana Inc. is seeking a Fraud and Waste Professional to conduct investigations of reported, alleged or suspected fraud involving Medicaid programs. You will coordinate with law enforcement, assemble evidence, and prepare complex investigative and audit reports. This remote role uses data analysis to detect irregularities, reviews claims and provider records, and partners with cross-functional teams to strengthen program integrity.

#J-18808-Ljbffr

Apply

Vacancy posted 3 days ago

Similar jobs that could be interesting for youBased on the Remote Healthcare Fraud & Waste Investigator in Topeka, KS vacancy

Fraud and Waste Investigator
$65k - $88.6k
...of our caring community The Fraud and Waste Professional is responsible... ...conducting comprehensive investigations of reported, alleged or suspected... .... Responsibilities Analyze healthcare payment methodologies,... ...and Waste Work Style Fully remote in the contiguous US, with...
Remote work
Full time
Temporary work
Apprenticeship
Work at office
Work from home
Home office
Monday to Friday
Humana
Honolulu, HI
3 days ago
Remote Healthcare Fraud & Waste Investigator
...Humana Inc. is seeking a Fraud and Waste Professional to conduct comprehensive investigations of reported, alleged or suspected fraud within Medicaid-related programs... ...to ensure compliance and integrity. Fully remote in the contiguous US with some travel to Humana...
Remote work
Humana
Albany, NY
3 days ago
Remote Healthcare Fraud & Waste Investigator
...Humana Inc. is seeking a Fraud and Waste Professional to conduct comprehensive investigations and coordinate with law enforcement to protect the Medicaid program. This fully remote role supports nationwide program integrity efforts and requires strong analytical and communication...
Remote work
Humana
Juneau, AK
4 days ago
Remote Healthcare Fraud & Waste Investigator
...Humana Inc. seeks a Fraud and Waste Professional to conduct comprehensive investigations of reported or suspected fraud within Medicaid... .... The position is fully remote in the contiguous US, with... ...Bachelor's degree and 2+ years in healthcare fraud investigations, plus...
Remote work
Humana
Boise, ID
3 days ago
Remote Healthcare Fraud & Waste Investigator
Humana, Inc. is seeking a Fraud and Waste Professional to conduct comprehensive investigations of reported or suspected fraud impacting Medicaid programs. The role involves... ...and billing practices. The position is fully remote across the contiguous US with occasional travel...
Remote job
Humana Inc
Salem, OR
4 days ago
Senior Healthcare Fraud Investigator
$115k
...Piper Solutions is seeking a Senior Healthcare Fraud Investigator to support a mission focused on protecting... ...initiatives. This position is remote and candidates must be local to Washington... ...will lead healthcare fraud, waste, and abuse (FWA) lead development and...
Remote work
For contractors
Local area
Zachary Piper Solutions
Washington DC
4 days ago
Healthcare Fraud Investigator
...Providing investigative support for special investigation unit activities, the full-time Healthcare Fraud Investigator will focus on the prevention, detection, and... ...of healthcare fraud, waste, and abuse, while working remotely. Key responsibilities Conducts preliminary...
Remote work
Full time
Virtual Vocations Inc
United States
4 days ago
Senior Healthcare Fraud Investigator
...To support the DVA VHA in establishing a Fraud Rapid Response Center, the remote Senior Healthcare Fraud Investigator will lead case development by reviewing analytics-... ...federal investigators to combat healthcare fraud, waste, and abuse. Key responsibilities: Review and...
Remote work
Virtual Vocations Inc
United States
3 days ago
Remote Healthcare Fraud Investigator
...Centene Corporation is seeking an investigator to conduct fraud, waste, and abuse investigations across referrals, claims... ...a Bachelor's degree and 2+ years in healthcare investigations, with opportunities to work in a remote, hybrid, or onsite setting and benefit from...
Remote work
Centene Corporation
United States
4 days ago
Medicaid Fraud, Waste & Abuse (FWA) Analyst
$69.4k - $99.2k
...your skills and capabilities. Medicaid Fraud, Waste & Abuse (FWA) Senior Analyst plays a... ...to follow-up questions, and supporting investigations through data analysis, documentation,... ...related activities (Up to 25%) Fully remote opportunity with the option to work...
Remote work
Full time
Work at office
Flexible hours
Gainwell Technologies LLC
Ohio
3 days ago
Healthcare Fraud Investigator
...Healthcare Fwa Investigator Levels (Investigator, Sr. Investigator, etc) will depend on experience... ...investigation and prevention of healthcare fraud, waste and abuse (FWA). We are growing and... ...to work independently within a remote team, under minimal supervision...
Remote work
Integrity Advantage
United States
5 days ago
Senior Healthcare Fraud Investigator
$105k - $115k
...Piper Solutions is seeking a Senior Healthcare Fraud Investigator to support the DVA VHA in establishing... ...and response to healthcare fraud, waste, and abuse (FWA) to protect Veterans... ...on experience and qualifications. Remote work arrangement with on-site requirements...
Remote work
For contractors
Work at office
Piper Companies
United States
2 days ago
Healthcare Fraud Investigator
...Job Opportunity Council Capital is a healthcare-focused private equity firm based in... ...analytics with expert review to surface fraud, waste, and abuse across Medicare, Medicaid,... ...you will not manage anyone. Strong investigators here come from healthcare payer/vendor...
Remote work
City of Groton
United States
12 hours ago
Senior Healthcare Fraud Investigator
$105k - $115k
...Piper Solutions is seeking a Senior Healthcare Fraud Investigator to support a Government Consulting company... ...(OIC). This position is 100% remote and focused on healthcare fraud lead... ...Investigator: Review and validate fraud, waste, and abuse (FWA) leads generated...
Remote work
Work at office
Local area
Zachary Piper Solutions
Zachary, LA
4 days ago
Fraud Investigator
$77.1k - $92.52k
...Regular Full-Time Office: Remote Salary: $77,099.... ...challenges of affordable healthcare continue to create new... ...Responsibilities: The SIU Fraud Investigator is responsible for... ...allegations and indicators of fraud, waste, and abuse (FWA) involving...
Remote work
Full time
Part time
Work at office
Flexible hours
MJHS
New York, NY
16 hours ago
SIU Fraud Investigator
$79.56k - $115.72k
...exciting place to be within the healthcare industry. As a member of... ...potential fraudulent, wasteful, or abusive claim submissions... ...conducting confidential investigations of suspected fraud, waste & abuse (FWA)... ...0-5:00 PM Eastern Time Remote workspace requirements, including...
Remote work
Full time
Contract work
Work at office
Local area
Monday to Friday
Flexible hours
Shift work
MGH Institute of Health Professions
Somerville, MA
5 days ago
Senior Healthcare Fraud Investigator (MI) - Remote
UnitedHealthcare is seeking a Senior Investigator to identify and prevent healthcare fraud, waste and abuse. The role leverages claims data and guidelines to detect aberrant billing patterns and supports investigations, including field work and records collection. Based...
Remote job
United Healthcare Corp.
Southfield, MI
2 days ago
Remote Healthcare Fraud Investigator
...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
New York, NY
4 days ago
Remote Healthcare Fraud Investigator
...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
Peraton
Herndon, VA
1 day ago
Healthcare Fraud Investigator (Remote)
$68.3k - $113.9k
...Fraud Investigator – Special Investigations Unit Join our Special Investigations Unit (SIU) as a Healthcare Fraud Investigator , supporting our U.S. Commercial Healthcare business. In this role, you will conduct and support investigations and audits involving potentially...
Remote work
Full time
Contract work
Work at office
Local area
Work from home
Cigna Healthcare
Connecticut
2 days ago
Remote Healthcare Fraud Investigator II
Elevance Health is seeking an Investigator II to identify, investigate and develop cases against perpetrators of healthcare fraud to recover funds paid on fraudulent claims. The role supports data mining, coding review, and coordination with law enforcement, with in-person...
Remote job
Elevance Health
Wilmington, DE
2 days ago
FWA (Fraud, Waste, and Abuse) Analyst
$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 work
Full time
Flexible hours
Gainwell Technologies LLC
Remote
9 days ago
Healthcare Fraud Investigator
$85k - $105k
...Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in... ...standards for litigation. Analyze data for evidence of fraud, waste and abuse. Review and evaluate referrals to determine the...
Full time
Work experience placement
Work at office
Local area
CGS Federal (Contact Government Services)
Arlington, WA
1 day ago
Fraud Investigator
...Conducting fraud, waste, and abuse investigations, the full-time SIU Investigator will review referrals, claims... ...with various stakeholders in a remote setting. Key responsibilities Conducts... ...in Business, Criminal Justice, Healthcare Administration, Public Health, or a...
Remote work
Full time
Virtual Vocations Inc
United States
2 days ago
Senior Healthcare Fraud Investigator
...Highmark Inc. seeks an experienced Anti-Fraud Investigator to develop and maintain an anti-fraud program, deliver training, and file Fraud Plans and Reports. The role conducts investigations of fraud, waste and abuse by providers, members, facilities, pharmacies, groups...
Highmark Health
Saint Paul, MN
3 days ago
Healthcare Fraud Investigator
...Highmark Inc. is seeking an experienced anti-fraud professional to develop and maintain an comprehensive fraud program and conduct investigations into fraud, waste and abuse across providers, members, facilities and employees. The role requires testimony in court and...
Highmark Health
Montgomery, AL
3 days ago
Healthcare Fraud Investigator
...Highmark Inc. seeks an experienced anti-fraud investigator to develop and maintain an enterprise fraud program, deliver training, and file fraud... ...and reports. You will conduct investigations into fraud, waste and abuse across providers, members, facilities, pharmacies,...
Highmark Health
Baton Rouge, LA
3 days ago
Senior Fraud Investigator
...Independently leading complex fraud, waste, and abuse investigations, the full-time Senior Fraud Investigator... ...and support corrective actions in a remote work environment. Key... ...Degree in Business, Criminal Justice, Healthcare Administration, Public Health, or a...
Remote work
Full time
Virtual Vocations Inc
United States
4 days ago
Fraud Investigator
$51k - $82k
...Fraud Investigator SafeGuard Services (SGS), a subsidiary of Peraton, performs data analysis,... ..., and make referrals to recover fraud, waste, and abuse. We are looking to add a... ...procedures ~ Knowledge and experience in the healthcare industry. ~ Strong investigative...
Remote work
Contract work
For contractors
Flexible hours
Shift work
Night shift
Peraton
United States
5 days ago
Fraud Investigator
...needed; Providing a deterrent against waste, fraud, and abuse of Federal and State funds;... ..., mission, and values by detecting and investigating allegations of fraud. The position is... ...flexible schedules, training and more ~ Remote work arrangements for eligible...
Remote work
Full time
Contract work
Temporary work
Part time
For contractors
Work experience placement
Work at office
Flexible hours
2 days per week
State of Colorado
Denver, CO
18 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Healthcare Fraud & Waste Investigator. Be the first to apply!