Senior Healthcare Fraud & Compliance Investigator (Remote)
$71.1k - $97.8kHumana Inc
- Remote job
Humana Inc. is seeking a Senior Fraud and Waste Investigator to conduct comprehensive investigations addressing fraudulent practices and misconduct. This remote role involves analyzing complex issues and collaborating with various internal and external partners. The ideal candidate will have at least 3 years of experience in health insurance fraud investigations, a Bachelor's degree, and strong data analysis skills. The position offers a competitive salary range of $71,100 - $97,800 per year along with various employee benefits. #J-18808-Ljbffr Humana Inc
$71.1k - $97.8k
...our caring community The Senior Fraud and Waste Investigator conducts investigations of... ...brand integrity and compliance. The Senior Investigator... ...WORK STYLE: Work at home, remote. While this is a remote position... ...experience Knowledge of healthcare payment methodologies...Remote workSeniorBi-weekly payWeekly payFull timeTemporary workApprenticeshipWork from homeHome officeMonday to Friday$71.1k - $97.8k
...our caring community. The Senior Fraud and Waste Investigator conducts investigations... ...affecting brand integrity and compliance. The Senior Investigator... ...Style: Work at home, remote. While this is a remote... ...experience Knowledge of healthcare payment methodologies Inquisitive...Remote jobSeniorBi-weekly payTemporary workApprenticeshipWork from homeHome officeMonday to Friday- ...Job Description Position Summary We are seeking a Senior Healthcare Fraud Investigator to support our program integrity efforts through hands... ...risk, analyzing claims activity, and supporting compliance with state and federal healthcare regulations—particularly...Remote workSenior
- ...company. We are currently looking for a Senior Fraud Investigator - Financial Products in United States... ...including Product, Engineering, Compliance, Finance, and Operations to improve fraud... ...a plus. Benefits: Remote-first work environment with flexibility...Remote workSeniorFlexible hoursShift work
- ...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 Develop... ...agencies and ensure compliance with applicable regulations...Remote workFull time
- ...Description Healthcare Fraud Investigator I - Medicare Remote CA, AZ, OR, WA, UT, MT, ID, NV states @Orchard LLC is retained by a not-for-profit... ...audit/investigation findings, ensuring accuracy and compliance with legal and regulatory requirements. Applies...Remote work
- Verity Credit Union is looking for a Senior AML/Fraud Investigator to support fraud and anti-money laundering initiatives. This fully remote role based in Seattle, WA requires extensive investigative skills, compliance knowledge, and collaboration with law enforcement....Remote jobSenior
$61.5k - $136.1k
...Corporation is seeking a dynamic individual for its Fraud Investigations team. The role involves identifying and managing complex healthcare fraud investigations, preparing reports for... ...three days a week, with the option of remote work for two days. Strong communication...Remote workSeniorWork at office3 days per week$81.07k - $129.71k
...are seeking a Special Investigations Unit (SIU) Investigator... ...thorough health care fraud investigations on behalf... ..., and ensuring compliance with state and federal... ...such as AHFI (Accredited Healthcare Fraud Investigator), CFE... ...role is Hybrid Flex or Remote Flex depends on the...Remote workSeniorFull timeLocal areaFlexible hours- Kids for the Future is looking for a Senior AML/Fraud Investigator at our Seattle, WA Headquarters. This remote position involves minimizing risk through the development... ...analytical skills and experience in banking compliance and fraud detection. You will mentor staff and...Remote jobSenior
$46.99k - $122.4k
...is looking for a dedicated individual to manage complex healthcare fraud investigations. The role demands at least 3 years of relevant experience... ...on fraud cases, document case activities, and ensure compliance with regulations. This full-time position offers a competitive...SeniorFull time$69.92k - $133.62k
...military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military... ...established guidelines and framework to investigate, evaluate, negotiate, and settle complex... ...and negotiate equitable settlements in compliance with all state regulatory requirements....Remote workSeniorHourly payH1bLocal areaRelocationAfternoon shift- ...leading educational institution in Massachusetts is seeking a Fraud Investigator II to combat fraud, waste, and abuse within the Medicaid... ...schedule, competitive salary, and comprehensive benefits including healthcare and retirement plans. #J-18808-Ljbffr University of...SeniorFull time
$50k - $55k
...Medical Claims Investigator At Claritev, we pride ourselves on being a dynamic team of... ...- we strive to bend the cost curve in healthcare for all. Our dedication to service excellence... ...disciplines and departments. Ensure compliance with HIPAA regulations and requirements...Remote workTemporary workWork at officeFlexible hours- UnitedHealth Group in Omaha, Nebraska, seeks an investigator to assess fraud and misconduct allegations. You will conduct investigations, analyze data, and ensure compliance with regulations while collaborating with internal and external partners. The ideal candidate has...Remote job
$61 per hour
..., LLC Telework The Fraud Analyst III Senior OMI actively supports the... ...for all Office of Market Investigator analyst tasks and be the point... ...systems and various compliance, workflow, and database systems... ...Details 100% Remote Estimated Salary/Wage...Remote workSeniorFor contractorsCasual workWork at office$70k - $120k
...(2) hybrid, or (3) fully remote. Hybrid roles are generally... ....*The primary role of the Senior Bank Fraud Investigator is to investigate and deter... ...activities.* Ensure compliance with Federal and State laws... ...with employer contributions, Healthcare FSA, critical illness, accident...Remote workSeniorFull timeTemporary workPart timeWork experience placementWork at officeRelocation packageFlexible hours- The State of Delaware Agency is seeking a Senior Quality Control Auditor to oversee and review the work of lower-level auditors, ensuring compliance with unemployment regulations. Applicants should possess extensive auditing experience, particularly in financial records...Remote jobSeniorFlexible hours
$143k - $243k
...A healthcare benefit management company seeks a Senior Principal Actuary to provide actuarial direction and innovative modeling concepts. This remote role requires strong strategic pricing expertise and leadership skills with a minimum of 10 years in actuarial work. The...Remote workSenior- ...Fraud Risk Analyst At Braviant, we believe in hiring great talent... ...Braviant is offering a fully remote option for anyone in the U.S.... ...in production systems. Investigate emerging fraud trends and... ...provide: ~ Comprehensive healthcare including medical, dental, and...Remote workSeniorWork at office
$23.89 - $42.69 per hour
Stryker Corporation is seeking a Fraud Investigator to telecommute within the U.S. The role includes examining healthcare fraud cases, conducting interviews, and analyzing data. Candidates should have a high school diploma or GED with 5+ years of related experience or...Remote jobSeniorHourly pay$143k - $243k
...A leading healthcare company is seeking a Senior Principal Actuary to provide actuarial direction and thought leadership. This remote position involves creating actuarial modeling concepts and strategic consulting. Candidates should have 10 years of actuarial experience...Remote workSenior$143k - $243k
...A leading healthcare provider is looking for a Senior Principal Actuary to provide strategic actuarial direction and leadership for pricing initiatives... ...Excel and other analytical tools. The position offers a remote work option, with potential pay ranging from $143,000...Remote workSenior- A healthcare organization is seeking a Senior Principal Actuary to provide actuarial direction, lead pricing strategies, and support strategic consulting. This remote position requires over 10 years of experience, a bachelor's degree in a relevant field, and an actuarial...Remote workSenior
$143k - $243k
A healthcare solutions organization is seeking a Senior Principal Actuary for a remote position in Austin, Texas. This role is pivotal in providing actuarial direction and creating innovative pricing strategies. The ideal candidate will have at least 10 years of actuarial...Remote workSenior$60.2k - $107.4k
UnitedHealth Group seeks a Senior Investigator to manage agent/broker complaints across various business lines... ..., and acting as a subject matter expert on compliance issues. Ideal candidates will have investigative and healthcare experience, with strong communication and...Remote jobSenior$187k - $253k
...brilliant and passionate Senior Staff Analyst for Fraud Policy to be a key player... ...fraud losses and maintaining compliance with applicable... ...Responsibilities Fraud Detection & Investigation Monitor alerts and... ...mule activity, ACH fraud, remote accesstools). Investigate...Remote workSenior- ...A healthcare provider organization is looking for a Senior Actuary to lead financial and actuarial analyses critical to strategic decision-making. Responsibilities include forecasting, cost analysis, and ensuring financial sustainability. The ideal candidate has a minimum...Remote workSeniorWork from home
$85k - $95k
...A leading healthcare company is seeking a Senior Accountant to manage IT accounting, ensure compliance with GAAP, and improve processes. The successful candidate will have a degree... ..., and familiarity with Oracle. This remote position based in Richmond, Virginia offers...Remote workSenior$170k - $190k
...BGB Group is seeking a Senior Director, Brand Strategy to shape and deliver insights-driven... ...across client engagements in the healthcare sector. This leadership role involves market... ...thinking and communication. The role is remote-friendly within the United States,...Remote workSenior
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Healthcare Fraud & Compliance Investigator (Remote). Be the first to apply!
- fraud investigator Nashville, TN
- bank fraud investigator Nashville, TN
- senior development executive Nashville, TN
- senior technical manager Nashville, TN
- senior manager data science Nashville, TN
- senior platform engineer Nashville, TN
- senior procurement Nashville, TN
- senior director product management Nashville, TN
- senior cost manager Nashville, TN
- senior tax director Nashville, TN


