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

Remote Healthcare Fraud & Waste Investigator

$65k - $88.6k

Humana

Humana Inc. is seeking a Fraud and Waste Investigator to conduct investigations of fraudulent and abusive practices. The role is remote nationwide with standard 40-hour weeks and a pay range of $65,000–$88,600 per year. The ideal candidate will hold a Bachelor's degree and at least two years in healthcare fraud investigations, with knowledge of healthcare payment methodologies, strong analytic and communication skills, and willingness to travel up to 5%. #J-18808-Ljbffr

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Healthcare Fraud & Waste Investigator in Brooklyn, NY vacancy
  • $65k - $88.6k

     ...Humana is looking for an experienced Healthcare Investigator to join its industry leading Special...  ...do you have a passion for combating Fraud, Waste, and Abuse in the Health Care Industry...  ...STYLE: Work at Home. While this is a remote position, occasional travel to Humana... 
    Remote work
    Full time
    Temporary work
    For contractors
    Apprenticeship
    Work experience placement
    Work at office
    Local area
    Work from home
    Home office
    Monday to Friday

    Humana

    Harrisburg, PA
    4 days ago
  •  ...Humana Inc. is seeking an experienced Healthcare Investigator to join its industry-leading Special Investigations Unit (SIU). The role involves...  ...investigations. Ideal candidates have 2+ years in healthcare fraud investigations, strong data analysis skills (Excel/PowerBI),... 
    Remote work

    Humana

    New York, NY
    21 hours ago
  •  ...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
    2 days ago
  • Centene Corporation, a national leader in diversified healthcare, seeks a seasoned investigator to guide team members, investigate fraud, waste and abuse, and mentor staff. This remote role covers the continental United States and emphasizes compliance with CMS guidelines... 
    Remote job

    Centene Corporation

    New York, NY
    1 day ago
  •  ...is partnering with a mission driven healthcare organization to recruit a Special Investigation Unit Investigator III- Healthcare. This remote opportunity on the West Coast hours focuses...  ...integrity by investigating complex fraud, waste, and abuse in healthcare. You will... 
    Remote job

    The Intersect Group

    Los Angeles, CA
    1 day ago
  • $65k - $88.6k

    ## Fraud and Waste InvestigatorApplylocations: Remote Nationwidetime type: Full timeposted on: Posted Yesterdayjob...  ...and Waste Professional 2 conducts investigations of allegations of fraudulent and...  ...2 years of experience in healthcare fraud investigations* Knowledge... 
    Remote work
    Bi-weekly pay
    Weekly pay
    Full time
    Temporary work
    Work at office
    Work from home
    Home office
    Monday to Friday

    Humana Inc

    Brooklyn, NY
    1 day ago
  •  ...Profile We offer remote work opportunities (AK, AR, AZ, CO,...  ...adjudicated DOD background investigation for this position. Veterans,...  ...and reporting of suspected fraud, waste and abuse (FWA) cases as defined...  ...Veterans Affairs (VA), the Healthcare Finance Administration (HCFA... 
    Remote work
    Contract work
    For subcontractor
    Interim role

    TriWest Healthcare Alliance

    Phoenix, AZ
    4 days ago
  • $64k - $68k

     ...We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA...  ...adjudicated DOD background investigation for this position....  ...and reporting of suspected fraud, waste and abuse (FWA) cases as defined...  ...Veterans Affairs (VA), the Healthcare Finance Administration (HCFA... 
    Remote work
    Contract work
    Temporary work
    For subcontractor
    Interim role
    Local area
    Shift work

    Triwest Healthcare

    United States
    4 days ago
  •  ...UnitedHealth Group in Omaha, Nebraska, seeks an investigator to assess fraud and misconduct allegations. You will conduct investigations, analyze data, and ensure compliance with regulations while collaborating with internal and external partners. The ideal candidate... 
    Remote work

    UnitedHealth Group

    Omaha, NE
    2 days ago
  •  ...Centene Corporation is seeking an investigator in Arkansas to tackle healthcare fraud and abuse activities. The role involves conducting thorough investigations, performing data analysis, and preparing reports for federal and state agencies. The ideal candidate should... 
    Remote work
    Flexible hours

    Centene Corporation

    Little Rock, AR
    2 days ago
  • Centene Management Company LLC is seeking candidates for a position dedicated to investigating allegations of healthcare fraud and abuse within the Kentucky Medicaid Program. The ideal applicant will have a Bachelor's Degree in a related field and a minimum of three years... 
    Remote job

    Centene Management Company LLC

    Brooklyn, NY
    2 days ago
  •  ...Estágios e Treinamentos seeks a Medicaid Fraud Investigator to join its Special Investigations Unit. This role focuses on identifying healthcare fraud, conducting audits, data analysis...  ...skills, and MS Office proficiency. Remote work from the Chicago area is preferred... 
    Remote job

    Ellenco Estágios e Treinamentos

    Chicago, IL
    2 days ago
  • Navanti Group, LLC is seeking a senior healthcare fraud investigator and OSINT analyst to support a sensitive federal law-enforcement customer. The...  ...indicators of fraudulent activity. The position is fully remote, requires an active Top Secret clearance, and demands 5+ years... 
    Remote job

    Navanti Group

    Arlington, VA
    3 days ago
  • The Intersect Group is seeking a Special Investigation Unit Investigator II to lead complex healthcare fraud investigations. The role focuses on reviewing claims activity...  ...comply with regulatory guidelines. Remote work is available on West Coast hours. You will... 
    Remote job

    The Intersect Group

    Los Angeles, CA
    1 day ago
  • A leading health organization seeks an investigator for healthcare fraud allegations. Responsibilities include conducting investigations, analyzing...  ...a minimum of 5 years in fraud investigations. This is a remote role with a strong preference for residents of New York.... 
    Remote job

    Centene Corporation

    New York, NY
    2 days ago
  • The Cigna Group in Miami, FL is hiring a Bilingual Junior Healthcare Fraud Investigator to join the Special Investigations Unit. You will support audits and investigations of potentially fraudulent claim activity by providers, using analytical and investigative skills to... 
    Remote job

    Cigna Health and Life Insurance Company

    Miami, FL
    1 day ago
  • 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 data, managing complex cases, and driving... 
    Remote work
    Work at office

    Community Care Plan

    Florida, NY
    3 days ago
  • $60k - $92k

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

    HireAligned

    Remote
    more than 2 months ago
  •  ...To support fraud prevention efforts, the temporary remote Fraud Operations Analyst will investigate fraud-related cases, analyze data for suspicious activity, and conduct verification...  ...calls with providers in a fast-paced healthcare environment. Key responsibilities Review... 
    Remote work
    Temporary work
    Work at office

    Virtual Vocations Inc

    United States
    3 days ago
  •  ...Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator...  ...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

    Cgsfederal

    Los Angeles, CA
    3 days ago
  • $85k - $105k

     ...Mid-Level Department: Litigation Support. CGS is seeking a Healthcare Fraud Investigator to provide legal support for a large Government Project in...  ...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)

    Oklahoma City, OK
    2 days ago
  •  ...hope. Overview Responsible for complex fraud and abuse investigations and data analysis to identify trends,...  ...multiple perpetrators or intricate healthcare fraud schemes. Investigate fraud and...  ...determine validity of allegations of fraud waste and abuse. May include conversations... 
    Local area

    ViziRecruiter

    Grand Rapids, MI
    2 days ago
  •  ...Highmark Inc. seeks a detail-oriented investigator to develop and maintain an anti-fraud program, conduct investigations into fraud/waste/abuse, and coordinate with law enforcement, regulators, and internal committees. The role may involve onsite or offsite interviews... 

    Highmark Health

    Nashville, TN
    4 hours ago
  • Company: Navanti Group, LLC Location: Remote Employment Type: Part-Time / Consultant...  ..., with workload varying based on investigative tasking. The position is anticipated to...  ...Overview Navanti Group is seeking a senior healthcare fraud investigator and Open-Source... 
    Remote work
    Part time
    Work at office
    Monday to Friday
    10 hours per week

    Navanti Group

    Arlington, VA
    3 days ago
  •  ...an exciting place to be within the healthcare industry. As a member of Mass General...  ...at identifying potential fraudulent, wasteful, or abusive claim submissions. In...  ...Responsible for conducting confidential investigations of suspected fraud, waste & abuse (FWA) involving... 
    Contract work
    Work at office
    Local area
    Flexible hours

    Mass General Brigham Health Plan

    Somerville, MA
    15 hours ago
  •  ...Independently leading complex fraud, waste, and abuse investigations, the full-time Senior Fraud Investigator...  ...support corrective actions while working remotely. Key responsibilities Lead...  ...Degree in Business, Criminal Justice, Healthcare Administration, Public Health, or a... 
    Remote work
    Full time

    Virtual Vocations Inc

    United States
    15 hours ago
  •  ...Highmark Health is seeking an experienced investigator to develop and maintain an anti-fraud program and conduct investigations into fraud, waste and abuse affecting providers, members and affiliated entities. You may testify in court, coordinate with law enforcement,... 

    Highmark Health

    Cheyenne, WY
    2 days ago
  • CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The role requires initiative...  ...ability to work under pressure, with a focus on fraud, waste and abuse in healthcare. The ideal candidate will review data... 
    Full time

    Cgsfederal

    Atlanta, GA
    3 days ago
  • Medica in Minnetonka, MN is seeking an SIU Investigator III to lead complex investigations into fraud, waste, and abuse involving members, providers, and employees. You will work with legal teams and regulatory agencies, perform on-site audits, analyze evidence, and prepare... 
    Work at office

    Medica

    Hopkins, MN
    1 day ago
  •  ...Conducting fraud, waste, and abuse investigations, the full-time remote Fraud Investigations Analyst will lead quality control efforts, manage regulatory deliverables, and ensure compliance with Medicaid standards while preparing documentation for regulatory inquiries... 
    Remote work
    Full time

    Virtual Vocations Inc

    United States
    15 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!