Remote Healthcare Fraud & Abuse Investigator (CPC)
Sentara Health
- Remote job
Sentara Health Plans is hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) for a remote, full-time role. The position supports investigations across provider, pharmacy, employer and member interactions with occasional travel to Virginia Beach. Hours are 8am–5pm EST, Monday–Friday, with remote work available for candidates in multiple states. A CPC certification is required or expected within 12 months of hire. #J-18808-Ljbffr Sentara Health
- 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 jobFull time
$32.03 - $45.7 per hour
...Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) Remote! Status: Full-time, permanent position (40... ...experience required in Medical Coding OR Healthcare (Medical Chart Review/Insurance Billing) OR Internal...Remote workHourly payPermanent employmentFull timeTemporary workLive inCurrently hiringWork at officeShift work- Sentara Health Plans is seeking an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) for a remote role with occasional travel to Virginia Beach... ...opportunities for professional growth in a large healthcare organization. #J-18808-Ljbffr Sentara HealthRemote jobFull time
$25.58 - $28.78 per hour
...focused on building a better future for healthcare. That starts by offering outstanding... ...in Portland, Oregon. The Dental Fraud and Abuse Investigator is responsible for providing accurate... ...internet connection required to support remote or hybrid work. Must be comfortable being...Remote workHourly payWork experience placementWork at officeAfternoon shift$65k - $88.6k
...caring communityThe Fraud and Waste... ...conducting comprehensive investigations of reported, alleged... ...Analyze healthcare payment methodologies... ...fraud, waste, and abuse involving the Medicaid... ...Clinical Certifications, CPC, CCS, CFE, AHFI).... ...Style Fully remote in South Carolina...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...Opportunity Council Capital is a healthcare-focused private equity firm... ...expert review to surface fraud, waste, and abuse across Medicare, Medicaid,... ...not manage anyone. Strong investigators here come from healthcare... ...Professional Coder (CPC). Accredited Health Care...Remote work
- UnitedHealth Group is seeking a Coding Consultant to investigate healthcare fraud and abuse, reviewing CPT codes, medical records, and related documentation... ...offers telecommuting within the United States, requires CPC/CCS/RHIT/RHIA credentials and several years of CPT...Remote job
- ...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
- ...Centene Corporation is seeking an investigator to conduct fraud, waste, and abuse investigations across referrals, claims data... ...requires a Bachelor's degree and 2+ years in healthcare investigations, with opportunities to work in a remote, hybrid, or onsite setting and benefit...Remote work
- ...Role: The Senior Risk & Fraud Investigator is part of the Risk team and... ...takeover, elder and vulnerable abuse, and identity theft... ...competitive health benefits. Remote-First Culture: Fully remote... ...network allowed amounts between health plans and healthcare providers....Remote workFull timeWork experience placementLocal areaWork from home
- ...exciting place to be within the healthcare industry. As a member of Mass General... ...for conducting confidential investigations of suspected fraud, waste & abuse (FWA) involving medical providers... ...generally 8:30-5:00 PM Eastern Time. Remote workspace requirements, including...Remote workFull timeContract workWork at officeLocal areaMonday to FridayFlexible hoursShift 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 Investigator Levels (Investigator, Sr. Investigator, etc) will depend on experience... ...and prevention of healthcare fraud, waste and abuse (FWA). We are growing and looking for... ...Ability to work independently within a remote team, under minimal supervision...Remote work
$77.1k - $92.52k
...Regular Full-Time Office: Remote Salary: $77,099.... ...challenges of affordable healthcare continue to create new... ...Responsibilities: The SIU Fraud Investigator is responsible for... ...indicators of fraud, waste, and abuse (FWA) involving providers, vendors...Remote workFull timePart timeWork at officeFlexible hours- 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
- 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
$49.7k - $88.8k
...Caring. Connecting. Growing together. The Investigator is responsible for identification, investigation and prevention of healthcare fraud, waste, and abuse. The Investigator will utilize claims... ...(CFE) Certified Professional Coder (CPC) Medical Laboratory Technician (MLT)...Remote jobMinimum wageFull timeTemporary workWork experience placementLocal areaMonday to Friday- Cotiviti is seeking an Investigator to analyze and investigate suspected healthcare fraud, waste, or abuse using data analytics and Excel, with a remote US-based setup. The role focuses on identifying patterns, evaluating anomalies, and preparing clear written findings....Remote 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
- Centene Corporation is seeking a Fraud, Waste, and Abuse (FWA) Investigator to conduct comprehensive investigations by reviewing referrals, claims data... ...compliant manner. The ideal candidate has 2+ years of healthcare investigations, experience with claims audits, and relevant...Remote job
- Cotiviti is seeking a Senior Investigator who will analyze data and conduct interviews to identify potential healthcare fraud, waste, and abuse. This remote role emphasizes Excel expertise and the ability to work across a post-pay Fraud Waste & Abuse team. Responsibilities...Remote job
- ...people live healthier lives. The Senior Investigator role focuses on gathering and... ...regulators and stakeholders. You will work remotely from Kentucky with 25% travel,... ...legal, providers, and external partners to combat fraud, waste and abuse. #J-18808-Ljbffr OptumRemote job
$56.2k - $101k
...Florida are highly preferred. Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing... ...holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual...Remote jobFull timePart timeWork at officeFlexible hours- Peraton’s SafeGuard Services seeks a Fraud Investigator Coordinator to join the SGS team, focusing on investigating and resolving fraud or abuse in the Insurance/Healthcare space. You will interview subjects, develop cases, and collaborate with law enforcement as needed...Remote jobCasual workWork at office
$64.13k
...the Mission to Outwit Fraud—From Anywhere! Our Origin... ...a future where healthcare was transparent, equitable... ...patients. Today, we empower remote professionals... ...Health Insurance Fraud Investigator Detect and Dismantle Fraudulent... ...(Fraud, Waste, and Abuse) investigations...Remote jobWork from homeFlexible hours$65.6k - $98.4k
...arrangements that include remote and hybrid opportunities... ...provider or member fraud and abuse cases. Conduct the investigation of fraudulent and abusive... ...and emerging issues in healthcare fraud, waste, and abuse.... ...Certified Professional Coder (CPC) designation Experience...Remote workContract workWork at officeLocal areaWork from homeFlexible hours2 days per week1 day per week$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
- ...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
- Peraton is seeking a Fraud Investigator Coordinator for SafeGuard Services (SGS) to join the Insurance/Healthcare investigations team. You will conduct fraud investigations, interview subjects, and refer cases to law enforcement as needed, providing subject matter expertise...Remote jobCasual work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Healthcare Fraud & Abuse Investigator (CPC). Be the first to apply!
- remote document review Richmond, VA
- remote infrastructure engineer Richmond, VA
- genetic counselor remote Richmond, VA
- remote video game Richmond, VA
- global remote customer service jobs Richmond, VA
- software engineer internship remote Richmond, VA
- remote banking Richmond, VA
- junior designer remote Richmond, VA
- remote tasks Richmond, VA
- remote analyst Richmond, VA


