Remote LPC Investigator: Healthcare Compliance & Medicaid

Staffing Solutions Organization LLC (SSO)

Remote job

Staffing Solutions Organization LLC (SSO) is seeking a Licensed Professional Counselor to join our remote Healthcare Investigator team in Ohio. The role conducts investigations into Medicaid incidents, analyzes documentation, interviews involved parties, and ensures compliance with Ohio Medicaid and HCBS regulations. You will work independently from home with occasional local training travel, collaborating with law enforcement and service agencies as needed. #J-18808-Ljbffr Staffing Solutions Organization LLC (SSO)

Apply

Vacancy posted 3 days ago

Similar jobs that could be interesting for youBased on the Remote LPC Investigator: Healthcare Compliance & Medicaid in Columbus, OH vacancy

Healthcare Investigator
...Remote – Must be a licensed LSW, RN, or LPC in the State of Ohio Are you a licensed healthcare professional who’s passionate about... ...across Ohio’s Medicaid and HCBS programs... ...: The Healthcare Investigator plays a critical... ...providers, assess compliance with Ohio Medicaid...
Remote work
Lpc
Work from home
Flexible hours
Staffing Solutions Organization LLC
Columbus, OH
1 day ago
Healthcare Fraud Investigator
...Providing investigative support for special investigation... ..., the full-time Healthcare Fraud Investigator will... ...abuse, while working remotely. Key responsibilities... ...external review, ensuring compliance with regulations... ...Knowledge of managed care, Medicaid, Medicare, and claim...
Remote work
Full time
Virtual Vocations Inc
United States
2 days ago
Fraud and Waste Investigator
$65k - $88.6k
...looking for an experienced Healthcare Investigator to join its industry leading... ...investigation to maintain compliance with Humana and governmental... ...product lines (Medicare, Medicaid, Commercial) o Industry... ...Work at Home. While this is a remote position, occasional travel...
Remote work
Full time
Temporary work
For contractors
Apprenticeship
Work at office
Local area
Work from home
Home office
Monday to Friday
Humana CenterWell Home Health Orangeburg
United States
5 days ago
Licensed Social Worker - Healthcare Investigator
$53k - $55k
Licensed Social Worker - Healthcare Investigator - State of Ohio Work Location: Remote - Must be a licensed as... ...incidents involving Medicaid recipients and/or providers... ..., and ensures compliance with Ohio Medicaid and... ...Professional Counselor (LPC or LPCC) - Ohio Experience...
Remote work
Lpc
Work at office
Work from home
Flexible hours
Staffing Solutions Organization LLC (SSO)
Columbus, OH
4 days ago
Licensed Mental Health Therapist
$126 per hour
...6/hour | Flexible Schedule | Remote Pay & Flexibility Hourly... ...payer network Built-In Compliance: Ongoing compliance resources... ...including Medicare Advantage and Medicaid Benefits Fast Client... ...Accepted licenses include: LMHC, LPC, LPCC, LCPC, LCSW, LICSW,...
Remote work
Lpc
Bi-weekly pay
Hourly pay
Extra income
Full time
Part time
Private practice
Flexible hours
Headway
Oklahoma
27 days ago
Fraud Investigator
$77.1k
...The challenges of affordable healthcare continue to create new... ...HomeFirst, our Medicare and Medicaid managed care health plans, are... ...Responsibilities The SIU Fraud Investigator is responsible for... ...reports; and collaborates with compliance, legal, operational stakeholders...
Remote work
Full time
Part time
Work at office
Flexible hours
Metropolitan Jewish Health System
United States
2 days ago
Medicaid Fraud & Waste Investigator (Remote SC)
...Fraud and Waste Professional to conduct comprehensive investigations of alleged fraud related to Medicaid program activities in South Carolina. The role... ...of provider records to ensure billing integrity and compliance. You will prepare complex investigative reports and...
Remote job
Humana, Inc.
New York, NY
3 days ago
Remote Medicaid Fraud & Waste Investigator
The CenterWell Certified Healthcare Corp. is seeking a Fraud and... ...to conduct comprehensive investigations of reported, alleged or suspected... ...within South Carolina's Medicaid program. Remote work option with SC... ...while maintaining regulatory compliance and program integrity. 40-...
Remote job
CenterWell Certified Healthcare Corp.
New York, NY
3 days ago
Remote Senior Investigator - Healthcare Compliance & Fraud
$45k - $65k
...commercial clients in compliance and program integrity... ...solutions, audit, investigation, and medical review.... ...investigations that support healthcare program integrity... ...investigations, Medicare, Medicaid, commercial... ...educational benefits. U.S. remote annual salary range:...
Remote job
Full time
Contract work
Temporary work
Work at office
Local area
Flexible hours
Integrity Management Services, Inc.
Alexandria, VA
3 days ago
Healthcare Fraud Investigator Remote / Telecommute Jobs
$85k - $105k
...Healthcare Fraud Investigator CGS is seeking a Healthcare Fraud Investigator to provide legal support... ...HCF matters (E.g., Medicare data, Medicaid data, outlier data). Communication... ...Fraud experience including compliance, auditing duties, and other duties in...
Remote job
Work experience placement
Work at office
Local area
Clearance Jobs
Dallas, TX
6 days ago
Licensed Behavioral Health Specialist Per Diem
FULLY REMOTE Conducting thorough assessments to identify... ...care and ensure compliance with legal requirements... ...with other healthcare professionals and community... ...treatment plans. ELIGIBILITY Medicaid and Medicare eligible.... ...be a licensed LCSW, LPC, LMFT, PsyD, or PhD...
Remote work
Lpc
Daily paid
Trial period
Blehealth, Llc
Pomona, CA
6 days ago
Remote Ohio RN Investigator - Healthcare Compliance
...Solutions Organization LLC (SSO) is seeking a Healthcare Investigator I for a fully remote role within Ohio. The investigator will conduct Medicaid-related incident investigations, review... ...coordinate with stakeholders to ensure compliance with Ohio Medicaid and HCBS regulations...
Remote job
Staffing Solutions Organization LLC (SSO)
Columbus, OH
2 days ago
Clinical Special Investigations Unit Investigator- Health Plan
...Community Health Plan (PCHP) Special Investigations Unit is to implement an effective compliance program that includes prevention... ...license. Three years Medicaid or CHIP Fraud, Waste, and Abuse... ...least one of the following: RN, LPC, LCSW, LMHC, LVN, PT, OT or ST license...
Lpc
Work at office
Parkland Health and Hospital System
Dallas, TX
2 days ago
Care Manager - Behavioral Health
$56.2k - $101k
...quality, cost-effective healthcare outcomes including... ...the flexibility to work remotely from their home anywhere... .... This team supports Medicaid members with... ...activities to ensure compliance with current state, federal... ...LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state...
Remote work
Lpc
Full time
Contract work
Part time
Work at office
Work from home
Monday to Friday
Flexible hours
Centene Corporation
Missouri
21 days ago
Remote Healthcare Fraud Investigator
...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
Bazeta
New York, NY
2 days ago
Remote Healthcare Fraud Investigator
...Centene Corporation is seeking an investigator to conduct fraud, waste, and... ...integrity and regulatory compliance. The role requires a Bachelor's degree and 2+ years in healthcare investigations, with opportunities to work in a remote, hybrid, or onsite setting and...
Remote work
Centene Corporation
United States
2 days ago
Clinical Investigator (Behavioral Health)
$56.2k - $101k
...care, laboratory, etc. Provides investigative support to the Special... ...pharmacies. Key Details : This is a remote position. Candidates must... ...license - LMHC, LCSW, LMFT, LPC, LMHP, LIMHP Pay Range: $56,2... ...building your skills while making healthcare more accessible and effective...
Remote work
Lpc
Full time
Part time
Work at office
Flexible hours
Centene Corporation
Kansas City, MO
3 days ago
Remote Healthcare Fraud Investigator
...Centene Corp. is hiring a SIU Investigator to conduct fraud, waste, and abuse investigations remotely in Texas. You will review... ...reports and collaborate with compliance, legal, and external agencies... ...The role requires 2+ years in healthcare investigations, a bachelor's...
Remote work
Centene Corporation
Austin, TX
4 days ago
Remote Healthcare Fraud Investigator
...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-Ljbffr
Remote work
Delta Dental of Michigan
Lansing, MI
5 days ago
Healthcare Fraud Investigator
$68.3k - $113.9k
...steps. Our partner is looking for a Healthcare Fraud Investigator based in the United States. In this role... ...or legal proceedings. This fully remote opportunity offers the chance to apply... ...documentation to support effective monitoring, compliance, and reporting of investigative...
Remote work
Contract work
Work at office
Jobgether
Salem, OR
4 days ago
Quality Behavioral Health Advocate
$27.02 - $48.55 per hour
...deficiencies impacting plan compliance to meeting State and... ...: This position is remote/work from home;... ...unrestricted LCSW, LMFT, LMHC or LPC licensure. This role... ...out reach to Medicaid members who were recently... ...your skills while making healthcare more accessible and effective...
Remote work
Lpc
Hourly pay
Full time
Contract work
Part time
Work at office
Work from home
Flexible hours
Centene Corp.
Tallahassee, FL
4 days ago
Senior Risk & Fraud Investigator
...and reliability, and robust compliance framework. Learn more at .... ...The Senior Risk & Fraud Investigator is part of the Risk team and... ...competitive health benefits. Remote-First Culture: Fully remote... ...network allowed amounts between health plans and healthcare providers....
Remote work
Full time
Work experience placement
Local area
Work from home
Binance.US
Remote
5 days ago
Care Manager - Behavioral Health
$56.2k - $101k
...quality, cost-effective healthcare outcomes including... ...the flexibility to work remotely from their home anywhere... .... This team supports Medicaid members with... ...activities to ensure compliance with current state, federal... ...LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state...
Remote work
Lpc
Full time
Contract work
Part time
Work at office
Work from home
Monday to Friday
Flexible hours
Centene Corp.
New York, NY
3 days ago
Senior Healthcare Investigator (Remote) - FWA & Compliance
UnitedHealth Group is seeking a Senior Investigator to gather and analyze data, determine validity... ...aberrances, and prepare comprehensive compliance packages. The role supports... ...claims, and up to 25% travel within Ohio. Remote work option is available, with strong emphasis...
Remote job
Optum
Dublin, OH
5 days ago
Director of School-Based Services & Operations
...Operations About Backpack Healthcare Backpack Healthcare is a clinician-led, Medicaid-first behavioral health... ...meet all reporting and compliance obligations, and... ...clinical licensure (LCSW, LPC, LMHC, or equivalent) preferred... ..., school-based, and remote environments. Standard...
Remote work
Lpc
Work at office
Local area
Backpack Healthcare
Columbia, MD
2 days ago
Health Services Care Coach
$53.7k - $72.6k
...comprehensive contract. Visits Medicaid members in their homes... ...Counselor (LPC). Licensed Social... ...Travel: While this is a remote position, occasional... ...personal wellness and smart healthcare decisions for you and... ...action, in compliance with Section 503 of the...
Remote work
Lpc
Bi-weekly pay
Full time
Contract work
Temporary work
Apprenticeship
Local area
Work from home
Home office
Monday to Friday
Flexible hours
Humana
Lincoln, IL
3 days ago
Healthcare Fraud Investigator — Remote & Impactful
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 Corp.
Austin, TX
3 days ago
Remote Prepay Coding & Fraud Investigator
UnitedHealth Group is seeking a Coding Consultant to investigate healthcare fraud and abuse, reviewing CPT codes, medical records, and related... ...and several years of CPT coding experience, with a focus on accuracy and regulatory compliance. #J-18808-Ljbffr Optum
Remote job
Optum
New York, NY
4 days ago
Remote Healthcare Fraud Investigator
Centene Corporation seeks an Investigator to conduct fraud, waste, and abuse investigations across healthcare programs. You will review referrals, claims data, and medical... ...while ensuring regulatory and contractual compliance. Responsibilities include preparing reports,...
Remote job
Centene Corp.
Raleigh, NC
3 days ago
Remote Gambling Addiction Therapist - Oregon Medicaid
$64 - $68 per hour
Birches Health is seeking an Oregon-licensed therapist for a remote, contract role focused on gambling addiction and Medicaid (OHP). Active Oregon license (LCSW, LPC, or LMFT) and Oregon Medicaid provider ID are required. Compensation is $64-$68/hour. You will provide...
Remote job
Lpc
Contract work
Birches Health
Tampa, FL
1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote LPC Investigator: Healthcare Compliance & Medicaid. Be the first to apply!