Healthcare Fraud Investigator — Remote & Impactful
Centene Management Company
- Remote job
Centene Management Company seeks an experienced investigator to conduct fraud, waste, and abuse (FWA) investigations in a healthcare setting in Texas. You will use referrals, claims data, and interviews to identify potential misconduct and support case resolution. You will analyze and document investigative activities, coordinate with compliance, legal, and external agencies, and assist with audits and recovery efforts. The role requires 2+ years in relevant investigations and a related degree. #J-18808-Ljbffr Centene Management Company
$65k - $88.6k
...caring community The Fraud and Waste Professional... ...conducting comprehensive investigations of reported, alleged... ...Analyze healthcare payment methodologies,... ...your skills to make an impact Bachelor's degree... ...Work Style Fully remote in South Carolina, with...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...Role: The Senior Risk & Fraud Investigator is part of the Risk team and... ...encourage innovation and have an impact on our overall risk programs... ...health benefits. Remote-First Culture: Fully remote... ...network allowed amounts between health plans and healthcare providers....Remote workFull timeWork experience placementLocal areaWork from home
$77.1k - $92.52k
...Regular Full-Time Office: Remote Salary: $77,099.... ...challenges of affordable healthcare continue to create new... ...fulfillment of having a lasting impact on the communities we serve.... ...Responsibilities: The SIU Fraud Investigator is responsible for...Remote workFull timePart timeWork at officeFlexible hours- ...Centene Corporation is seeking an SIU Investigator in the United States to conduct fraud, waste, and abuse investigations using referrals, claims data, medical records, and interviews. You will prepare reports, coordinate with internal teams, and support program integrity...Remote work
- ...Providing investigative support for special investigation unit activities, the full-time Healthcare Fraud Investigator will focus on the prevention, detection, and investigation... ...healthcare fraud, waste, and abuse, while working remotely. Key responsibilities Conducts...Remote workFull time
- ...Centene Corporation is seeking an investigator to conduct fraud, waste, and abuse investigations across referrals,... ...requires 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
$68.3k - $113.9k
...applications and next steps. Our partner is looking for a Healthcare Fraud Investigator based in the United States. In this role, you will help protect... ...support recovery efforts or legal proceedings. This fully remote opportunity offers the chance to apply your investigative...Remote workContract workWork at office- ...Delta Dental of Michigan is seeking a Special Investigations Unit Investigator to join our team in Michigan. The role focuses on research... ...communications for auditees and senior management, supporting compliance and anti-fraud efforts across Delta Dental #J-18808-LjbffrRemote work
$79.56k - $115.72k
...an exciting place to be within the healthcare industry. As a member of Mass General... ...Responsible for conducting confidential investigations of suspected fraud, waste & abuse (FWA) involving... ...generally 8:30-5:00 PM Eastern Time Remote workspace requirements, including privacy...Remote workFull timeContract workWork at officeLocal areaMonday to FridayFlexible hoursShift work- ...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... ...but you will not manage anyone. Strong investigators here come from healthcare payer/vendor...Remote work
- ...Jobgether, on behalf of a partner company, seeks a Healthcare Fraud Investigator in the United States. You will protect healthcare resources by investigating... ...with providers, insurers and law enforcement. This fully remote role requires at least three years of health insurance...Remote work
- ...Centene Corp. is hiring a SIU Investigator to conduct fraud, waste, and abuse investigations remotely in Texas. You will review referrals, claims data, medical records... ...as needed. The role requires 2+ years in healthcare investigations, a bachelor's degree in a related...Remote work
- ...Healthcare Fwa InvestigatorLevels (Investigator, Sr. Investigator, etc) will depend on experience and qualifications... ...investigation and prevention of healthcare fraud, waste and abuse (FWA). We are... ...to work independently within a remote team, under minimal...Remote work
- Cotiviti is seeking an Investigator to scrutinize suspected healthcare fraud, waste, or abuse using data analysis. This is a remote, work-from-home role within the United States. Responsibilities include analyzing patterns, producing written summaries, and supporting legal...Remote jobWork from home
- Grow Financial Federal Credit Union is seeking a Fraud Investigator II to independently manage a broad range of fraud case types and support fraud prevention initiatives. The role emphasizes daily review of predictive reports and collaboration with technical partners to...Remote jobWork from home
- Grow Financial Federal Credit Union is seeking a Fraud Investigator II to independently manage a broad range of fraud case types and support fraud prevention initiatives. You will review predictive reports daily and collaborate with technical partners to understand outputs...Remote jobWork from home
- Grow Financial Federal Credit Union is seeking a Fraud Investigator II to join our remote-work team. You will independently manage a broad range of fraud case types, review predictive reports daily, and collaborate with technical partners to detect patterns. You will participate...Remote jobWork from homeFlexible hours
- Grow Financial Federal Credit Union is seeking a Fraud Investigator II to independently manage diverse fraud case types and contribute to prevention initiatives. The role collaborates with technical partners to analyze system outputs and fraud patterns, with emphasis on...Remote jobWork from home
- Grow Financial Federal Credit Union is seeking a Fraud Investigator II to independently manage a broad range of fraud cases and help prevent losses across the credit union. You will work primarily from home, collaborating with technical partners and reviewing predictive...Remote jobWork from home
- Grow Financial Federal Credit Union is seeking a Fraud Investigator II to independently manage a broad range of fraud cases and support prevention initiatives. You will review predictive reports daily, act on accounts, and collaborate with technical partners to interpret...Remote jobWork at officeWork from home
- Grow Financial Federal Credit Union, a member-owned credit union in the United States, seeks a Fraud Investigator II to independently manage a broad range of fraud cases and contribute to prevention initiatives from a primarily home-based setting. You will review predictive...Remote jobWork from home
- Grow Financial Federal Credit Union is seeking a Fraud Investigator II to independently manage a wide range of fraud case types and support fraud prevention initiatives. The role collaborates with technical partners to understand system outputs and fraud patterns, and...Remote jobWork from home
- Grow Financial Federal Credit Union is seeking a Fraud Investigator II to manage diverse fraud cases and help prevent loss. The role emphasizes reviewing predictive reports, coordinating with technical partners, and educating members and staff on fraud topics. Candidates...Remote jobWork at officeWork from home
- Grow Financial Federal Credit Union is seeking a Fraud Investigator II to independently manage diverse fraud cases and support prevention initiatives. The role involves collaboration with technical partners to interpret system outputs and fraud patterns, with emphasis...Remote jobWork from home
- Cotiviti is hiring a Senior Investigator to analyze data and investigate suspected healthcare fraud, waste, and abuse from a remote/home-based position aligned with the post-pay Fraud Waste & Abuse team. The role involves interviews, reporting findings, and may require...Remote jobCasual workWork from home
- CVS Health in Wisconsin is seeking a Senior Investigator to lead complex investigations into healthcare fraud and abuse. You will handle high-profile cases, protect Medicaid claims, and prepare findings for clinical and legal review while documenting activity in our tracking...
- Grow Financial Federal Credit Union is seeking a Fraud Investigator II to independently manage a broad range of fraud cases and contribute to fraud prevention initiatives. This role bridges operational execution with emerging fraud trends and supports collaboration with...Remote job
- Grow Financial Federal Credit Union in the United States is seeking a Fraud Investigator II to independently manage a broad range of fraud case types and contribute to fraud prevention initiatives. This role blends operational execution with emerging fraud trends and collaborates...Remote job
- Grow Financial Federal Credit Union is seeking a Fraud Investigator II focused on independently managing a broad range of fraud case types and... ...strong communication skills, and the ability to work from a remote or #J-18808-Ljbffr Grow Financial Federal Credit UnionRemote job
- UnitedHealthcare in the United States is seeking a Senior Investigator to identify, investigate, and prevent healthcare fraud, waste, and abuse. This role uses claims data and guidelines to detect aberrant billing and conducts investigations, including potential fieldwork...Remote job
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