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)
$53k - $55k
...Healthcare Investigator - State of Ohio (Multiple Openings) Work Location: Remote -- Must be a licensed LSW, RN, or LPC in the State of Ohio. Pay Range : $53... ...incidents involving Medicaid recipients and/or providers... ..., and ensures compliance with Ohio Medicaid and...Remote workLpc- ...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 workLpcWork from homeFlexible hours
- ...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 workFull time
$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 workFull timeTemporary workFor contractorsApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to Friday$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 workLpcWork at officeWork from homeFlexible hours$117.73 per hour
...3/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 workLpcBi-weekly payHourly payExtra incomeFull timePart timePrivate practiceFlexible hours$77.1k - $92.52k
...0041 Category: Compliance Agency: Elderplan... ...-Time Office: Remote Salary: $... ...of affordable healthcare continue to create new... ...HomeFirst, our Medicare and Medicaid managed care health... ...The SIU Fraud Investigator is responsible for identifying...Remote workFull timePart timeWork at officeFlexible hours- ...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
- 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
$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 jobFull timeContract workTemporary workWork at officeLocal areaFlexible hours- 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 workLpcDaily paidTrial period
- ...s SafeGuard Services (SGS) is seeking a Medicaid Auditor/Investigator to conduct audits and reviews of Medicaid programs, ensuring compliance and recovering overpayments. You will apply... ...of all steps in case files. The role is remote, with residence within the Northeast...Remote job
- ...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
- Peraton is seeking a Medicaid Auditor/Investigator to join SafeGuard Services in a remote capacity. You will conduct audits of Medicaid programs to ensure compliance with federal and state requirements and recover over-payments. Strong analytical skills and Excel proficiency...Remote job
- ...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...LpcWork at office
$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 workLpcFull timeContract workPart timeWork at officeWork from homeMonday to FridayFlexible hours- ...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
- ...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
$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 workLpcFull timePart timeWork at officeFlexible hours- ...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
- ...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
$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 workContract workWork at office- ...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 workFull timeWork experience placementLocal areaWork from home
$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 workLpcHourly payFull timeContract workPart timeWork at officeWork from homeFlexible hours$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 workLpcFull timeContract workPart timeWork at officeWork from homeMonday to FridayFlexible hours- 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
- ...comprehensive Medicare/Medicaid certification surveys... ...19 facilities for compliance with Federal, State,... ...and regulations for Healthcare Quality. Conducts inspections... ..., surveys, and investigations of healthcare facilities... ...to work partially remote or adjusted work hours...Remote workLocal areaFlexible hoursNight shift
$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 workLpcBi-weekly payFull timeContract workTemporary workApprenticeshipLocal areaWork from homeHome officeMonday to FridayFlexible hours- UnitedHealthcare is seeking a Senior Investigator to identify and prevent healthcare fraud, waste, and abuse. The role involves analyzing claims data, applying guidelines, and conducting investigations that may include interviews and records requests. The position offers...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
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