Senior Healthcare Investigator (Remote) - FWA & Compliance
Optum
Dublin, OH
- 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
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Senior Healthcare Investigator (Remote) - FWA & Compliance in Dublin, OH vacancy
$115k
...Piper Solutions is seeking a Senior Healthcare Fraud Investigator to support a mission... ...initiatives. This position is remote and candidates must be... ...fraud, waste, and abuse (FWA) lead development and case... ...Veterans Healthcare, Healthcare Compliance, Medicare, Medicaid,...Remote workSeniorFor contractorsLocal areaZachary Piper Solutions
Washington DC4 days ago$105k - $115k
...Piper Solutions is seeking a Senior Healthcare Fraud Investigator to support the DVA VHA in... ...fraud, waste, and abuse (FWA) to protect Veterans and... ...with CIRTS or similar compliance and case-tracking systems.... ...experience and qualifications. Remote work arrangement with on-...Remote workSeniorFor contractorsWork at officeZachary Piper Solutions
Eastern, KY4 days ago$105k - $115k
...Piper Solutions is seeking a Senior Healthcare Fraud Investigator to support a Government Consulting... ...(VHA) Office of Integrity and Compliance (OIC). This position is 100% remote and focused on healthcare... ...validate fraud, waste, and abuse (FWA) leads generated through...Remote workSeniorWork at officeLocal areaZachary Piper Solutions
Zachary, LA4 days ago$45.5 per hour
...Summary: Validate whether the FWA detection approach surfaces... ...data science teams to translate investigative judgment into refined... ...investigator audiences (product, compliance, leadership) Skills: Qualifications... ...information. xhyhwjd Remote working/work at home options...Remote workSeniorWork from home3 days per weekYoh, A Day & Zimmermann Company
Bowie, MD4 days ago$45.5 per hour
...work\n Summary: Validate whether the FWA detection approach surfaces real,... ...product and data science teams to translate investigative judgment into refined detection rules \n... ...to non-investigator audiences (product, compliance, leadership)\n Skills: Qualifications...Remote jobSenior3 days per weekYoh, A Day & Zimmermann Company
Glen Burnie, MD7 days ago- Integrity Management Services, Inc. in the United States is seeking a Senior Investigator to lead healthcare program integrity investigations. You will identify fraud, waste, and abuse, analyze complex data, and develop investigative findings supporting enforcement actions...Remote jobSenior
- ...) Office of Integrity and Compliance (OIC) in standing up and running... ...for Health. The Senior Healthcare Fraud Investigator leads healthcare fraud lead... ...personnel. Location: REMOTE – Local to Washington, DC... ...provider fraud, waste and abuse (FWA) and coordinated billing...Remote jobSeniorFull timeContract workFor contractorsWork at officeLocal area
- UnitedHealth Group is seeking a Senior Investigator in Virginia, with remote work options and 25% travel to client... ...waste in health care, maintaining compliance documentation, and coordinating with... ...ideal candidate brings 5+ years in FWA/SIU, familiarity with health insurance...Remote jobSenior
- ...division of UnitedHealth Group, seeks an experienced investigator to support Fraud, Waste and Abuse (FWA) investigations in the Ohio region. The role... ...presenting investigation findings to clients and regulators. Remote work is possible for residents, with on-site travel...Remote jobSenior
- ...Centene Corporation is seeking an investigator to conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, and medical records... ..., preparing reports, and collaborating with compliance, legal, and external agencies to support corrective...Remote work
Centene Corporation
United States4 days ago - UnitedHealth Group seeks a senior investigator in Virginia to lead data-driven... ...fraud investigations within FWA/SIU. You will gather facts,... ...external partners to ensure compliance and effective outcomes. The... ...with Excel/Word. You can work remotely from Virginia with travel to...Remote jobSenior
$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 hoursMJHS
New York, NY1 day ago- ...To support the DVA VHA in establishing a Fraud Rapid Response Center, the remote Senior Healthcare Fraud Investigator will lead case development by reviewing analytics-generated leads, preparing decision-ready referral packages, and collaborating with federal investigators...Remote workSenior
Virtual Vocations Inc
United States3 days ago - ...tomorrow.Section 1: Position SummaryThe Senior Fraud Investigator is a senior individual contributor... ...coordinationPartner with operations, compliance, legal, technology, and other stakeholders... ...experience preferredFor all virtual remote positions, in order to ensure...Remote workSeniorFull timeSecond job
Ascensus
Charlotte, NC3 days ago $105k
...Business Operations / Strategy; Compliance / Risk / Quality Assurance;... ...incident reporting and investigations, overseeing Electric Operations... ...hybrid, working from your remote office and assigned office based... ...consensus with multiple senior leaders to stay on schedule....Remote workSeniorWork experience placementWork at officeFlexible hoursPG&E Corporation Careers
Fulton, CA3 days ago$60.2k - $107.4k
...category: Regulatory & Compliance Optum is a global... ...the flexibility to work remotely* as you take on some... ...articulate behavior through an Investigation Summary and compliance... ...schemes related to FWA to ensure additional... ...(CFE), Accredited Healthcare Fraud Investigator (AHFI...Remote workSeniorMinimum wageFull timeWork experience placementLocal areaUnitedHealth Group
Arlington, VA3 days ago- ...Highmark Inc. is seeking a seasoned anti-fraud investigator to develop and maintain the organization’s fraud program, conduct investigations... ..., with a focus on recovering funds and ensuring regulatory compliance. The ideal candidate has 3+ years in health insurance fraud...Senior
Highmark Health
Providence, RI3 days ago $60.2k - $107.4k
...Senior Investigator At UnitedHealthcare, we're simplifying the health care... ...and prevention of healthcare fraud, waste and abuse. The... ...and abuse referrals Ensure compliance of applicable federal/state... ...in fraud, waste and abuse (FWA) investigations/audit ~2+...Remote workSeniorMinimum wageFull timeTemporary workWork experience placementLocal areadivvyDOSE
United States1 day ago- 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
- ...Performing detailed reviews of healthcare claims and medical records, the full-time remote Healthcare Investigator will identify potential fraud, waste, and compliance issues while collaborating with internal teams to prepare comprehensive reports and support corrective...Remote workFull time
Virtual Vocations Inc
United States20 hours ago - 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
- 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
- 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
- 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
- ...CareSource is seeking an experienced Senior SIU Investigator to lead complex healthcare fraud investigations. You will analyze provider billing patterns,... ...plans with cross-functional teams to ensure regulatory compliance. Strong writing and interview skills are essential....Senior
CareSource
New York, NY4 days ago - 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
$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- AML RightSource is seeking a Senior Financial Crimes Investigator to detect suspicious activity, ensure regulatory compliance, and lead investigations with potential supervision of... ...fast-paced environment. The position is remote with standard core hours post-training; it...Remote jobSenior
$65k - $88.6k
...for conducting comprehensive investigations of reported, alleged or... ...needed. Responsibilities Analyze healthcare payment methodologies,... ...documentation integrity, and compliance with applicable policies and... ...and Waste Work Style Fully remote in the contiguous US, with occasional...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to FridayHumana
Ewing, NJ8 hours ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Healthcare Investigator (Remote) - FWA & Compliance. Be the first to apply!
Related searches
- housing investigator Dublin, OH
- senior living Dublin, OH
- senior property accountant Dublin, OH
- senior performance engineer Dublin, OH
- senior aws cloud engineer Dublin, OH
- senior cybersecurity engineer Dublin, OH
- senior manager Dublin, OH
- senior supervisor Dublin, OH
- senior care Dublin, OH
- senior manager diversity & inclusion Dublin, OH