Remote Healthcare Fraud Investigator
$49.7k - $88.8kdivvyDOSE
- Remote job
UnitedHealthcare is seeking an Investigator to identify and prevent healthcare fraud, waste, and abuse. This role involves conducting investigations and analyzing data to detect fraudulent practices, requiring an Associate's degree and a minimum of 1 year of experience in healthcare fraud investigations. Flexibility to work remotely is offered, and the salary ranges from $49,700 to $88,800 annually. The position includes benefits such as health insurance and 401k contributions. #J-18808-Ljbffr divvyDOSE
- ...Hispanic Alliance for Career Enhancement is seeking a Senior Healthcare Fraud Investigator for their Special Investigations Unit. This role involves... ..., and cooperation with law enforcement. The position is remote and full-time, requiring 3-5 years of investigative experience...Remote workFull time
- ...Description Healthcare Fraud Investigator - Medicaid Remote, U.S. Based @Orchard LLC is retained by a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services...Remote work
$78.32k - $128.16k
Elevance Health seeks an Investigator II in Los Angeles to investigate healthcare fraud cases, requiring a BA/BS and at least 3 years of experience. The role entails... ...collaboration while providing the flexibility of remote work. The salary range is $78,320 to $128,160,...Remote work- ...Alliance for Career Enhancement is seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit. This role... ...suspected healthcare fraud, waste, and abuse while enabling remote work anywhere in the United States. The ideal candidate...Remote jobWork at office
- 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
- 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 job
$49.7k - $88.8k
UnitedHealthcare is seeking an Investigator to oversee the identification, investigation, and prevention of health care fraud, waste, and abuse. The role involves analyzing claims data to detect aberrant billing practices and conducting related field investigations. Successful...Remote jobWork 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, and execute claims investigations, utilizing your expertise in data mining and report creation. The ideal...Remote jobFlexible hours
- Nerdleveltech is looking for a Bilingual Spanish Junior Healthcare Fraud Investigator based in New York. This role is ideal for recent graduates with a Bachelor's degree in Criminal Justice. You will support Cigna’s Special Investigations Unit and engage in audits/investigations...Remote job
$61.5k - $136.1k
...Corporation is seeking a dynamic individual for its Fraud Investigations team. The role involves identifying and managing complex healthcare fraud investigations, preparing reports for... ...three days a week, with the option of remote work for two days. Strong communication...Remote workWork at office3 days per week$50k - $55k
...Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all... ...along with two (2) years of direct experience in medical claims investigation or data mining / coordination of benefits auditing....Remote workTemporary workWork at officeFlexible hours$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 jobFlexible hours$46.99k - $112.2k
Hispanic Alliance for Career Enhancement is looking for an experienced Senior Healthcare Fraud Investigator to join the Special Investigations Unit in the United States. In this full-time position, you will manage complex investigations into healthcare fraud, waste, and...Remote jobFull time- ...Gainwell Technologies is seeking a Fraud and Abuse Review Nurse- Remote to provide expertise in healthcare auditing. This role involves conducting objective audits of service documentation, collaborating with internal teams, and identifying potential fraud while ensuring...Remote work
- Centene Corporation is searching for an investigative professional focused on health care fraud, waste, and abuse. This position allows for remote work with candidates preferred from Ohio. Major responsibilities include conducting investigations, performing data analysis...Remote jobFlexible hours
- UnitedHealthcare is seeking a Senior Investigator Pharmacy in Los Angeles to lead investigations into healthcare fraud, waste, and abuse. This role involves assessing misconduct allegations, conducting investigations, and reporting findings to regulators. The ideal candidate...Remote workFlexible hours
$60k - $92k
...Levels (Investigator, Sr. Investigator, etc) will depend on experience and qualifications... ...detection, investigation and prevention of healthcare fraud, waste and abuse (FWA). We are growing... ...to work independently within a remote team, under minimal supervision Benefits...Remote workFull time- ...Job Description Job Description Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The...Full timeWork experience placementWork at officeLocal area
- ...it easy for people and organizations to access and pay for healthcare abroad. By combining digital innovation with human-centered... ...embrace every journey and say “yes” to new possibilities. The Fraud Investigator is on the front line of the company's effort to reduce...
$46.99k - $122.4k
...The Hispanic Alliance for Career Enhancement is seeking a dedicated investigator for healthcare fraud cases based in Missouri, Louisiana. The role requires extensive knowledge of healthcare fraud prevention and the ability to interact effectively with various stakeholders...- 4004 Aetna Medicaid Administrators is looking for an Investigator to conduct high-level investigations into healthcare fraud and abuse. This role involves preventing payment of dubious claims and collaborating with stakeholders on clinical issues. Ideal candidates should...
- ...Job Description Job Description Healthcare Fraud Investigator Employment Type: Full-Time, Experienced Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Oxford, MS. The...Full timeFor contractorsInterim roleLocal areaFlexible hours
- ...Description Job Description We are seeking a Health Care Fraud Investigator (HCF Investigator)to support the U.S. Attorney’s Office (... ...complex investigations related to civil and administrative healthcare fraud matters , directly supporting Assistant U.S. Attorneys...Interim roleWork at officeLocal areaMonday to Friday
- ...A healthcare service organization is seeking a Senior Fraud Investigator to join their Fraud Investigations team. You will be responsible for conducting detailed investigations of potentially fraudulent claim activity by members, employees, and providers. Your role involves...Work at office3 days per week
$55.9k - $123.5k
...in Chicago is seeking an experienced individual to join its Fraud Investigations team. The role involves developing investigation tools,... ...should have a Bachelor's degree and at least three years of healthcare fraud investigative experience. This position offers a hybrid...Work at office3 days per week- ...A government services firm is seeking a Healthcare Fraud Investigator to provide legal support on a large government project. The role involves analyzing financial records, developing case referrals, and advising attorneys on cases. Candidates should possess a relevant...Work at office
- ...important work of your career. About the team The mission of Fraud Operations is to act as guardians of the global financial... ..., card testing, account takeover, and financial partner investigation requests. We strive to improve manual fraud decisioning and enhance...Remote work
- ...an experienced Dentist to join the Dental SIU Team as a Fraud and Waste Lead. This remote role involves conducting clinical reviews of complex cases and providing education on industry standards to investigators. The ideal candidate will possess a DDS or DMD, with five...Remote work
$89k - $133.4k
...Stripe is seeking a Payments Fraud Investigator to play a vital role in safeguarding our financial ecosystem. In this position based in Chicago, you will investigate high-risk accounts and collaborate with cross-functional partners to enhance fraud detection and prevention...Remote work$81.7k - $113.4k
...Digital Fraud Investigator At Municipal Credit Union, we believe that an incredible culture helps create a happy and motivated team that works hard to achieve the best results for themselves and their members. For more than 100 years, MCU has provided affordable financial...Remote workLocal areaFlexible hours
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