Remote Senior Investigator - Healthcare Compliance
$60.2k - $107.4kUnitedhealth Group
- Remote job
UnitedHealth Group seeks a Senior Investigator to manage agent/broker complaints across various business lines while adhering to regulations. The position offers telecommuting flexibility across the U.S., allowing for a dynamic work environment. Responsibilities include conducting investigations, documenting findings, and acting as a subject matter expert on compliance issues. Ideal candidates will have investigative and healthcare experience, with strong communication and analytical skills. A range of $60,200 to $107,400 offers competitive salaries and extensive benefits. #J-18808-Ljbffr UnitedHealth Group
$71.1k - $97.8k
...our caring community The Senior Fraud and Waste Investigator conducts investigations of... ...brand integrity and compliance. The Senior Investigator... ...WORK STYLE: Work at home, remote. While this is a remote position... ...experience Knowledge of healthcare payment methodologies...Remote workSeniorBi-weekly payWeekly payFull timeTemporary workApprenticeshipWork from homeHome officeMonday to Friday- ...Job Description Position Summary We are seeking a Senior Healthcare Fraud Investigator to support our program integrity efforts through hands... ...risk, analyzing claims activity, and supporting compliance with state and federal healthcare regulations—particularly...Remote workSenior
$86.8k - $117.6k
...Victorias Secret Co is looking for a Sr Investigator, Ethics & Compliance to conduct thorough investigations of company policy violations. This remote full-time role requires at least 5-7 years of experience in HR investigations and offers a salary range from $86,800...Remote workSeniorFull time$70k - $90k
...Cotiviti is seeking a Senior Investigator to support the post-pay Fraud Waste & Abuse team. In this role, you will analyze incidents of fraud... ...and strong communication skills are vital. The position is remote with compensation ranging from $70,000 to $90,000 per year,...Remote workSenior$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 degree, 5-8 years of experience in healthcare FWA investigations, and...Remote workSenior- ...Summary of Job Conduct complex, in-depth investigations of reported fraud involving the full range of healthcare products. Develop and maintain relationships with law enforcement (HHS-OIG, FBI, DOJ), regulatory agencies (DFS, MEDIC, OMIG, MFCU) and with industry peers....Remote workSeniorWork experience placement
$86.8k
...and conducting fair, prompt, and comprehensive investigations to join us as a Sr Investigator, Ethics & Compliance at Victoria’s Secret & Co. This is a strategic position... ...well as outside counsel. This is a full-time, remote position that may require domestic travel. Your...Remote workSeniorFull timeWork at office$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... ...detect potential fraud, waste, abuse, or non-compliance. Leverages claims data, dashboards, and predictive...Remote workSeniorWork experience placementWork at officeWork from home- ...A leading healthcare organization in New York is seeking an experienced Fraud Investigator to conduct complex investigations of reported fraud. The ideal candidate will maintain regulatory agency relationships and provide guidance to the Fraud Investigators. They should...Senior
$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 jobSenior- UnitedHealthcare is seeking a Senior Investigator to identify and prevent healthcare fraud, waste, and abuse. The position involves conducting investigations and developing strategies to address complex cases. Candidates should possess a Bachelor's degree or equivalent...Remote jobSeniorFull timeFlexible hours
- 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 jobSenior
- 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 jobSenior
- CareOregon is seeking a compliance professional with expertise in fraud, waste, and abuse (FWA) for a remote position. The ideal candidate will have a minimum of 5 years... ...effective FWA programs, conducting advanced investigations, and preparing reports. The role offers...Remote jobSenior
$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 jobSenior- CareOregon is seeking a 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...Remote jobSenior
$60.2k - $107.4k
A leading health care company seeks a Senior Investigator in Columbus, Ohio to identify and investigate healthcare fraud and abuse. The role requires analyzing data, conducting... ...field investigations, and maintaining compliance with regulations. Qualifications include a...Remote jobSeniorFlexible hours- 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...SeniorWork from home
$56.2k - $101k
...A national healthcare organization is seeking a candidate to audit medical records and identify inappropriate billing practices. Responsibilities include performing reviews, investigating billing patterns, and recommending next steps for providers. Qualified candidates...Remote workFlexible hours$61.5k - $136.1k
...is seeking a dynamic individual for its Fraud Investigations team. The role involves identifying and managing complex healthcare fraud investigations, preparing reports for... ...visibility three days a week, with the option of remote work for two days. Strong communication...Remote workSeniorWork at office3 days per week- A major healthcare organization is looking for an individual to investigate healthcare fraud and abuse within a dynamic role. You will be responsible for auditing claims, developing reports on fraud activity, and coordinating with various stakeholders, including regulatory...Remote jobSeniorFlexible hours
- Verity Credit Union is looking for a Senior AML/Fraud Investigator to support fraud and anti-money laundering initiatives. This fully remote role based in Seattle, WA requires extensive investigative skills, compliance knowledge, and collaboration with law enforcement....Remote jobSenior
- Kids for the Future is looking for a Senior AML/Fraud Investigator at our Seattle, WA Headquarters. This remote position involves minimizing risk through the development... ...analytical skills and experience in banking compliance and fraud detection. You will mentor staff and...Remote jobSenior
$115k - $165k
UCLA Outpatient Clinics is seeking a Senior Compliance Investigator in Los Angeles to lead complex compliance investigations regarding potential regulatory concerns. The role involves gathering and analyzing evidence, conducting interviews, and preparing comprehensive...Senior- Prospect Infosys Inc in Denver, Colorado, is seeking a Compliance Investigator to lead thorough investigations across various business areas... ...are required. The ideal candidate will have experience in healthcare compliance and possess strong organizational and interpersonal...Senior
$115k - $165k
...University of California - Los Angeles Health is seeking a Senior Compliance Investigator to lead compliance investigations involving potential... ...relevant experience, strong analytical skills, and knowledge of healthcare regulations. Responsibilities include gathering and...Senior- UCLA Health is searching for a Senior Compliance Investigator to lead investigations focusing on integrity and regulatory compliance within healthcare. You will analyze evidence, conduct interviews, and prepare comprehensive reports while collaborating with stakeholders...Senior
$115k - $165k
Direct Jobs is seeking a Senior Compliance Investigator in Los Angeles, California to lead complex investigations into compliance concerns, including... ...years of relevant experience, and strong knowledge of healthcare regulations. Responsibilities include gathering evidence,...Senior- Bottlenotes Inc. is seeking a Certified Healthcare Investigator to oversee incident management at their Intermediate Care Facility in Sewickley, PA. The investigator will ensure compliance with federal, state, and agency regulations while providing education and guidance...Senior
$143k - $243k
...A healthcare benefit management company seeks a Senior Principal Actuary to provide actuarial direction and innovative modeling concepts. This remote role requires strong strategic pricing expertise and leadership skills with a minimum of 10 years in actuarial work. The...Remote workSenior
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