Remote Fraud Investigator: Data-Driven, Impactful Healthcare
UnitedHealthcare
- Remote job
UnitedHealthcare seeks an Investigator for Omaha, NE, responsible for tackling healthcare fraud, waste, and abuse through in-depth analysis and investigative methodologies. The role involves conducting investigations and collaborating with regulatory agencies while ensuring compliance with federal and state regulations. With a focus on flexible telecommuting, this position offers a competitive compensation package and numerous employee benefits. Join us to make a significant impact on healthcare by simplifying access to quality care and improving community health outcomes. #J-18808-Ljbffr UnitedHealthcare
$56.2k - $101k
...located in Topanga, California, seeks a healthcare fraud investigator to conduct thorough investigations of... ...experience. You will analyze claims data, develop reports, and provide updates... ...various work schedule options including remote and hybrid. #J-18808-Ljbffr CenteneRemote workData$56.2k - $101k
Centene Management Company LLC is looking for a skilled investigator to focus on potential healthcare fraud and abuse activities. The candidate will analyze claims, conduct investigations, and prepare detailed reports for regulatory agencies. A Bachelor's degree in Business...Remote jobDataFlexible hours- ...ABA - BCBAs is hiring a BCBA for a fully remote position based in Arizona. The role involves... ...and possess strong supervision and data analysis skills. The company offers competitive... ...BCBAs to thrive and make a meaningful impact in children's lives. #J-18808-Ljbffr Total...Remote jobData
$62k - $93k
Premier, Inc is seeking an Analyst to enhance performance improvement in healthcare systems. This role involves data analysis, developing presentations, and collaborating within client engagement teams. Candidates must demonstrate knowledge of healthcare and analytics tools...Remote jobData- ...Seeking a full-time remote Healthcare Fraud Investigator, the successful candidate will manage complex investigations into healthcare fraud, waste, and abuse, utilizing data analysis techniques and serving as a subject matter expert while collaborating with various stakeholders...Remote workDataFull time
- ...seeking a Decision Scientist in Woonsocket, RI to create and implement analytical models for patient data. The role involves cost-benefit analysis, evaluating healthcare programs, and integrating decision models into workflows. The ideal candidate will have a Bachelor’s...Remote jobData
- ...Interoperability platform that enhances healthcare data retrieval processes. The... ...standards like FHIR. This remote position leads a small team,... ...development and directly impacting patient data access and... ...contributions and promotes a results-driven culture. #J-18808-Ljbffr...Remote workData
- ...Association Executives is looking for a Remote Salesforce and Analytics Manager to... ...with the ability to provide insightful data analyses to support organizational strategies... ..., all while contributing to an impactful mission-driven organization dedicated to child safety...Remote jobData
- ...Operations Intern to support various aspects of their business operations. This remote, part-time role involves reporting, content uploads, and providing data-driven insights that impact decision-making. You'll work closely with a small, dynamic team and gain hands-on...Remote jobDataPart timeInternship
$85k - $105k
...Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level CGS is seeking a Healthcare Fraud Investigator to provide legal support... ...Responsibilities will include: Review, sort, and analyze data using computer software programs such as Microsoft Excel....Remote workDataFull timeWork experience placementWork at officeLocal area- ...position involves enhancing website performance through data-driven insights, A/B testing, and collaboration with... ...grasp of web analytics platforms. This temporary remote role offers a competitive hourly rate and impactful responsibilities to improve user engagement and...Remote jobDataHourly payTemporary work
$200k
...equity - Principal Product Manager - AI-Driven Healthcare Platform - Remote $200k + equity - Principal Product... ...the future of an industry that impacts millions. With significant early traction... ...in a dynamic environment. Drive the Data Flywheel: Design and optimize data...Remote jobDataFull timeFlexible hours$49.7k - $88.8k
UnitedHealthcare At Home is looking for an Investigator to identify, investigate, and prevent healthcare fraud, waste, and abuse. This role involves data analysis, conducting investigations, and ensuring compliance with regulations. Candidates residing in Nebraska can...Remote jobData- Centene in San Fernando, CA is looking for a candidate to investigate potential healthcare fraud and abuse, assisting in claims audits and investigations with a focus on documentation and data analysis. The ideal candidate will possess a Bachelor's degree in relevant fields...Remote jobDataFlexible hours
$56.2k - $101k
Centene in La Palma, CA, is hiring an investigator to focus on identifying potential healthcare fraud and abuse. This role requires a Bachelor’s Degree and at least... ...responsible for conducting investigations, analyzing data, and preparing reports on findings. The position...Remote jobDataFlexible hours- 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 has...Remote jobData
- ...LLC is seeking candidates for a position dedicated to investigating allegations of healthcare fraud and abuse within the Kentucky Medicaid Program. The ideal... ...ensuring compliance. The role includes tasks such as data analysis, audit organization, and preparing...Remote jobData
- UnitedHealthcare is seeking a Senior Investigator Pharmacy to identify, investigate and prevent healthcare fraud, waste, and abuse. This role focuses on utilizing claims data and conducting field investigations. Applicants must reside within commutable distance to Los Angeles...Remote jobDataWork experience placementWork at office
- Centene Management Company LLC is seeking a skilled investigator to handle allegations of healthcare fraud and abuse in New York. In this role, you'll plan, organize... ...claims investigations, utilizing your expertise in data mining and report creation. The ideal candidate will...Remote jobDataFlexible hours
- Centene Corporation is looking for a dedicated individual to investigate healthcare fraud and abuse in California. You’ll conduct investigations, analyze data, and prepare detailed reports for federal and state agencies. A Bachelor's degree in a relevant field and experience...DataFlexible hours
$85k - $105k
Contact Government Services is seeking a Healthcare Fraud Investigator in Austin, Texas, to provide legal support for a government project. The role involves data analysis, reviewing financial records, and ensuring compliance with legal standards. The ideal candidate has...Data$85k - $105k
Contact Government Services is seeking a Healthcare Fraud Investigator to provide legal support for a significant government project. The role requires... ...,000 to $105,000 per year with responsibilities including data analysis and client interaction. #J-18808-Ljbffr Contact...Data$56.2k - $101k
Centene is seeking a Healthcare Fraud Investigator in Palos Verdes Peninsula, CA, responsible for investigating allegations of healthcare fraud and abuse. Candidates will conduct investigations, document findings, and develop reports for referral to regulatory agencies....Data- ...Fraud Analyst, Fraud Investigations United States - Remote Operations – Fraud / Full Time / Remote... ...immediate impact from fraud while ML... ...Product, Engineering, Data and ML teams to execute... ..., ownership‑driven mindset—you identify... ...schedule. Private Healthcare benefits. Enhanced...Remote workDataPermanent employmentFull timeImmediate startWorldwideHome office
$70k - $105k
...to join a mission-driven fintech at an inflection... ...and real impact from day one. About... ...has a distinct fraud profile. Minor cardholders... ...activity investigation, reporting directly... ...with transaction data, identifying patterns... ...Flexible time off Remote-first, NYC...Remote workDataH1bVisa sponsorshipWork visaFlexible hours$79k - $100k
...consulting firm is seeking a Public Health Consultant to lead data-driven projects aimed at strengthening public health systems. The role... ..., and quality improvement, and is comfortable working remotely. The expected salary range is $79,000 - $100,000 annually with...Remote workData- ...can help fuel purpose-driven innovation that expands... ...multifamily mortgage fraud investigations by applying multifamily... ...for this role.THE IMPACT YOU WILL MAKEThe Multifamily... ..., misrepresentation, data integrity concerns,... ...job is noted as open to remote.Fannie Mae is an equal...Remote workDataWork at office
- ...that what we do has a direct impact on people's lives, with our core... ...for a passionate Staff Fraud Risk Analyst who is highly self... ...will help SoFi develop better data driven fraud decisioning by: Architect... ...we are unable to accommodate remote work from Hawaii or Alaska at...Remote workDataWork experience placement
$50k - $70k
EXL is seeking an experienced Premium Auditor to work remotely. The ideal candidate will possess at least 2 years of premium auditing experience along with strong communication and time management skills. Responsibilities include scheduling audits and obtaining documentation...Remote jobDataHourly payFlexible hours$70k - $88k
...and your career while impacting the lives of people around... ...big and move fast, driven by our commitment to put... ...PowerPoint.Understanding of data analytics and use for... ..., preferably in a healthcare/ medical sale noninsurance... ...be mandatory.Location:Remote - USActual compensation...Remote jobDataWork at officeFlexible hours
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