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

Remote Healthcare Fraud & Waste Investigator

Humana Inc

Topeka, KS
  • Remote job

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 Humana Inc

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

     ...our caring community The Fraud and Waste Professional is responsible...  ...conducting comprehensive investigations of reported, alleged or suspected...  ...Analyze healthcare payment methodologies, billing...  ...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

    Ewing, NJ
    1 day ago
  •  ...Humana, Inc. is seeking a Fraud and Waste Professional to conduct comprehensive investigations of reported or suspected fraud related to Medicaid programs. The role...  ...provider records to ensure billing integrity. Fully remote in the contiguous US with periodic travel... 
    Remote work

    Humana

    Dover, DE
    1 day ago
  •  ...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
    2 days ago
  •  ...Healthcare Fwa InvestigatorLevels (Investigator, Sr. Investigator, etc) will depend on experience and qualifications...  ...and prevention of healthcare fraud, waste and abuse (FWA). We are growing and...  ...skillsAbility to work independently within a remote team, under minimal... 
    Remote work

    Integrity Advantage

    Toms River, NJ
    2 days ago
  •  ...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
    2 days ago
  •  ...Humana Inc. is seeking a Fraud and Waste Professional to conduct comprehensive investigations of reported, alleged or suspected fraud in Medicaid. The role coordinates with law enforcement, performs on-site audits to verify billing integrity, and prepares complex investigative... 
    Remote work

    Humana

    New York, NY
    4 days ago
  •  ...Senior Healthcare Fraud InvestigatorArlo Solutions is supporting the Department...  ...personnel.Location: REMOTE - Local to Washington, DCClearance...  ...care provider fraud, waste and abuse (FWA) and coordinated...  ...status taxonomy, and standard investigation templates.Overpayment &... 
    Remote work
    Contract work
    For contractors
    Work at office
    Local area

    Arlo Solutions

    Washington DC
    4 days ago
  •  ...Humana, Inc. is seeking a Fraud and Waste Professional to conduct comprehensive investigations of suspected fraud within the Medicaid program. You will coordinate...  ...necessity and billing practices. The role is fully remote in the contiguous US, with potential travel for... 
    Remote work

    Humana

    Honolulu, HI
    2 days ago
  • $69.4k - $99.2k

     ...Summary The Medicaid Fraud, Waste & Abuse (FWA) Senior Analyst...  ...up questions, and supporting investigations through data analysis, documentation...  ...(Up to 25%) Fully remote opportunity with the option...  ...who care deeply about making healthcare work better for everyone. Build... 
    Remote work
    Full time
    Work at office
    Flexible hours

    Gainwell Technologies LLC

    Remote
    2 days ago
  • Humana Inc. is seeking a Fraud and Waste Professional who will conduct comprehensive investigations of suspected fraud in Medicaid-related processes. The role involves on...  ...law enforcement to support adjudication. Fully remote within the contiguous US with occasional travel... 
    Remote job

    Humana Inc

    Austin, TX
    2 days ago
  •  ...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
    2 days ago
  •  ...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
    4 days ago
  • Sentara Health Plans in the United States is hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) for a remote role. The position is full-time (40 hours) with occasional travel to Virginia Beach. You will contribute to deep investigations... 
    Remote work
    Full time

    Sentara Health

    Crystal Bay, NV
    9 hours ago
  •  ...to payment decisions, and researching claims data to uncover fraud, waste, and abuse.Telework is available from anywhere in the United...  ...candidate will review Medicare payments, develop cases for investigations, and collaborate with external agencies as needed.J-18808-Ljbffr... 
    Remote work

    Peraton

    Reston, VA
    6 hours ago
  •  ...support the DDVA VHA program in establishing and operating a high-visibility Fraud Rapid Response Center through a 100% remote work arrangement. The role focuses on detecting and responding to healthcare FWA while safeguarding taxpayer dollars. The Analyst will develop... 
    Remote work

    Piper Companies

    New York, NY
    1 day ago
  • $65.97k - $124.99k

    A healthcare services provider is seeking a Clinical Fraud Investigator II, requiring an Associate Degree in Nursing and CPC certification. Responsibilities include analyzing...  ...clinical fraud investigation. This role offers remote work flexibility within certain commuting... 
    Remote work

    Elevance Health

    United States
    4 days ago
  • $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
    7 days ago
  • $85k - $105k

     ...Healthcare Fraud InvestigatorCGS is seeking a Healthcare Fraud Investigator to provide legal support for a large government project in Nashville, TN. The candidate must...  ...litigation.Analyze data for evidence of fraud, waste and abuse.Review and evaluate referrals to determine... 
    Work experience placement
    Work at office
    Local area

    Contact Government Services LLC

    Washington DC
    4 days ago
  •  ...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
    1 day ago
  •  ...Molina Healthcare in Iowa Center seeks an Investigative Support Specialist for its Special Investigation Unit (SIU). You will support prevention, detection, investigation, and reporting of health care fraud, waste, and abuse (FWA) and ensure coding accuracy according... 

    Molina Healthcare

    Sioux Center, IA
    3 days ago
  •  ...Highmark Health in Maryland is seeking an investigator to develop and maintain an anti-fraud program, conduct investigations of fraud, waste and abuse among providers, members, facilities, and employees, and prepare cases for law enforcement. The role requires interviewing... 

    Highmark Health

    Annapolis, MD
    1 day ago
  •  ...Peraton seeks a Fraud Investigator to conduct high‑level investigations in Medicare fraud, waste, and abuse. The role involves analyzing cases, interviewing witnesses, and coordinating with state and federal partners to develop referrals and corrective actions. Responsibilities... 
    Remote work

    Peraton

    Atlanta, GA
    2 days ago
  •  ...Highmark Inc. is seeking a seasoned investigator to develop and maintain an anti-fraud program, conduct complex investigations into fraud, waste and abuse, and testify when required. This role involves onsite/offsite interviews, field investigations, and coordination... 

    Highmark Health

    Boston, MA
    1 day ago
  •  ...Highmark Health seeks an experienced anti-fraud professional to develop and maintain fraud, waste and abuse programs across providers, members, and facilities. You will lead investigations, coordinate with law enforcement, and prepare cases for referral to authorities... 
    Work at office

    Highmark Health

    Topeka, KS
    2 days ago
  •  ...CareSource seeks an experienced SIU III to investigate high-complexity healthcare fraud, waste, and abuse. The role analyzes provider billing data, identifies patterns, and develops actionable investigation outcomes. You will coordinate audits, advise on corrective actions... 

    CareSource

    New York, NY
    3 days ago
  • $77.5k - $99k

     ...appointed by states and managed healthcare organizations to better serve more...  ...The Program Integrity Fraud Audit & Investigations Analyst conducts fraud, waste, and abuse (FWA) investigations...  ...required. Working Conditions: Remote work with occasional business travel... 
    Remote work
    Local area

    Public Partnerships | PPL

    Oregon State
    3 days ago
  • Mass General Brigham Health Plan is seeking a Data Analyst to lead investigations into suspected fraud, waste, and abuse. The role includes data analysis, public records reviews, and documenting findings in concise reports. You will examine provider and member information... 
    Full time

    Mass General Brigham

    Somerville, MA
    3 days ago
  • 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
    2 days ago
  • 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 coordination... 

    Highmark Health

    Montgomery, AL
    2 days ago
  •  ...Peraton is seeking a Fraud Investigations Manager to lead the SGS team in detecting fraud, waste, and abuse. The role involves directing investigators, overseeing case development for referrals, and supporting data requests for active investigations. Requirements include... 
    Remote work

    Peraton

    United States
    2 days ago

Do you want to receive more vacancies?

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