Senior Healthcare Investigator (Remote) - FWA & Compliance
Optum
- Remote job
UnitedHealth Group is seeking a Senior Investigator to gather and analyze data, determine validity of aberrances, and prepare comprehensive compliance packages. The role supports collaboration with legal, regulators, and external sources. The position requires 5+ years in FWA/SIU, 2+ years in health insurance claims, and up to 25% travel within Ohio. Remote work option is available, with strong emphasis on auditability and data-driven investigations. #J-18808-Ljbffr Optum
$45k - $65k
...commercial clients in compliance and program... ...solutions, audit, investigation, and medical review... ...We are seeking a Senior Investigator to join... ...investigations that support healthcare program integrity... ...waste, and abuse (FWA), analyzing... ...benefits. U.S. remote annual salary range...Remote jobSeniorFull timeContract workTemporary workWork at officeLocal areaFlexible hours$70k - $90k
Overview As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through... ...waste, abuse, or non-compliance. Leverages claims... ...5-8 years of related FWA investigative experience... ...-Time Location: US-Remote Base compensation...Remote workSeniorFull timeWork experience placementWork at officeImmediate startWork from home$74k - $91k
...Overview As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through data analysis... ...~ Certified in Healthcare Compliance (CHC). Job Demands... ...candidate is selected. #senior #LI-JB1 #LI-Remote...Remote workSeniorWork experience placementWork at officeImmediate startWork from home- ...and reliability, and robust compliance framework. Learn more at... ...About This Role: The Senior Risk & Fraud Investigator is part of the Risk team and... ...competitive health benefits. Remote-First Culture: Fully... ...amounts between health plans and healthcare providers....Remote workSeniorFull timeWork experience placementLocal areaWork from home
$3,000 - $4,999 per month
...webpage . Functional Title: MCU Investigator V Job Title: Investigator V... .... Performs highly advanced (senior level) investigative work... ...Medicaid Fraud Control Unit, the Healthcare Program Enforcement Division... ...your first day of work. In compliance with the Americans with...Remote jobSeniorFull timeContract workTemporary workPart timeWork at officeShift workNight shift$77.1k - $92.52k
...10041 Category: Compliance Agency: Elderplan... ...-Time Office: Remote Salary: $7... ...challenges of affordable healthcare continue to create new... ...The SIU Fraud Investigator is responsible for identifying... ..., waste, and abuse (FWA) involving providers,...Remote workFull timePart timeWork at officeFlexible hours- TriWest Healthcare Alliance is seeking a PI Investigator to identify, analyze, develop cases, and report suspected fraud, waste and abuse (FWA) within the TRICARE program under VA, HCFA and DoD guidelines. This role interfaces with Veterans, providers and TriWest departments...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,... ...investigative activities, coordinate with compliance, legal, and external agencies, and assist...Remote job
- Centene Corporation seeks an Investigator to conduct fraud, waste, and... ...abuse investigations across healthcare programs. You will review... ...regulatory and contractual compliance. Responsibilities include preparing... ...'s degree and 2+ years in FWA or related fields are...Remote job
- ...To support a growing compliance function, the full-time Senior AML Investigator will investigate escalated cases for signs of money laundering and fraud, analyze... ...Suspicious Activity Reports (SARs) while working remotely. Key responsibilities Investigate escalated cases...Remote workSeniorFull time
- ...Senior Fraud Investigator Ascensus is the leading independent technology and service platform powering... ...Partner with operations, compliance, legal, technology, and other stakeholders... ...experience preferred For all virtual remote positions, in order to ensure...Remote workSenior
- AML RightSource is seeking a Senior Financial Crimes Investigator to detect suspicious activity, ensure regulatory compliance, and lead investigations with possible supervision of junior analysts. This remote role supports a home-based workspace and requires strong AML/...Remote jobSeniorWork from home
- AML RightSource, LLC is seeking a Senior Financial Crimes Investigator to detect suspicious activity, ensure regulatory compliance, and lead investigations. The role offers independence... ...financial crime risks. The position is remote with core hours and training, requiring...Remote jobSenior
- AML RightSource is seeking a Senior Financial Crimes Investigator to detect suspicious activity, ensure regulatory compliance, and lead investigations from a remote home office. The role includes supervising junior analysts, collaborating with clients, and maintaining quality...Remote jobSeniorHome office
$64.13k
...envisioned a future where healthcare was transparent,... ...patients. Today, we empower remote professionals... ...Health Insurance Fraud Investigator Detect and Dismantle Fraudulent... ...Experience with FWA (Fraud, Waste, and Abuse... ..., become a compliance leader, a fraud intelligence...Remote jobWork from homeFlexible hours- AML RightSource, LLC is a leading AML/BSA and sanctions compliance services provider offering remote work opportunities. Senior Financial Crimes Investigator roles involve detecting suspicious activity, leading investigations, and ensuring regulatory compliance with KYC...Remote jobSeniorWork from home
- AML RightSource, LLC is seeking a Senior Financial Crimes Investigator to detect suspicious activity, ensure regulatory compliance, and lead investigations with potential supervision of junior analysts. You will collaborate with clients to manage financial crime risks...Remote jobSeniorWork from home
- ...Information Technology, Inc. is seeking a Healthcare Fraud SME to lead investigations and analyze Medicaid data to detect... ...+ years of experience with healthcare FWA, with strong communication skills and the ability to work with remote and cross-functional teams. #J-18808-...Remote jobSenior
- AML RightSource in the United States is seeking a Senior Financial Crimes Investigator to detect suspicious activity, lead investigations, and ensure AML/KYC compliance across client engagements. This remote role offers independence and decision-making authority, with opportunities...Remote jobSenior
- Get notified about new Senior Archaeologist jobs in United States . 4,000+ Senior Archaeologist... ...Locations Open Position - Principal Investigator, Milwaukee, Wisconsin, Commonwealth... ...Principal Investigator - Senior Level (Hybrid/Remote) Principal Investigator (Archaeology) -...Remote workSenior
- AML RightSource, LLC is seeking a Senior Financial Crimes Investigator for a remote role. You will detect suspicious activity, lead investigations, and ensure regulatory compliance while coordinating with clients to manage financial crime risks. The position offers independence...Remote jobSenior
- AML RightSource, LLC is seeking a Senior Financial Crimes Investigator to detect suspicious activity, lead investigations, and support client relationships... ...AML patterns, manage SARs, and ensure regulatory compliance while collaborating with teams and clients in a fast-...Remote jobSenior
- ...MJHS Health System is seeking a SIU Fraud Investigator to identify, investigate, and resolve fraud, waste, and abuse across Elderplan’... ...knowledge of Medicaid/Medicare regulations and collaboration with compliance, legal, and law enforcement. The successful candidate will...Senior
- ...Elderplan is seeking a SIU Fraud Investigator in New York, NY to identify, investigate, and resolve fraud, waste, and abuse involving... ...needed. You will prepare investigative reports, collaborate with compliance, legal, and regulators, support the Compliance Program and...Senior
$137k - $235.75k
...health is everything. Our strength in healthcare innovation empowers us to build a... ...Innovative Medicine is recruiting for a Senior Principal Investigator, Physical AI for Autonomous Discovery... ...candidates near the Cambridge, MA area. (No remote option.) Reporting to the Director,...Remote workSeniorTemporary workLocal area- ...Centene Corporation is seeking an SIU Investigator in the United States to conduct fraud, waste, and abuse investigations using referrals... ...support program integrity efforts while ensuring regulatory compliance. The role involves collaboration with compliance, legal,...Remote work
$65k - $88.6k
...for conducting comprehensive investigations of reported, alleged or... ...Responsibilities Analyze healthcare payment methodologies, billing... ...documentation integrity, and compliance with applicable policies and... ...Waste Work Style Fully remote in South Carolina, with occasional...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday$136.5k - $168k
...promoting equity, safety, and compliance in educational or workplace... ...challenges of conducting investigations and live hearings by filling... ...resources through on-site or remote support. Under the direction... ...of Resolution Services, the Senior Title IX–EEO–Civil Rights...Remote workSeniorHome officeFlexible hoursWeekend workAfternoon shift- ...Providing investigative support for special investigation unit activities, the full-time Healthcare Fraud Investigator will focus on the prevention... ...and abuse, while working remotely. Key responsibilities... ...external review, ensuring compliance with regulations Coordinates...Remote workFull time
- Chromalloy is seeking a Senior Employee Relations & Ethics Administrator to evaluate compliance, assess risk, and lead confidential investigations to protect assets and culture. You will review... ...and fluency in English and Spanish; remote schedule with global impact. #J-18...Remote workSenior
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