Senior Investigator - Fraud & Compliance (Remote Telework)
FALL CREEK FARM & NURSERY
- Remote job
The Texas Health and Human Services Commission (HHSC) is seeking an Investigator V to join the Major Case Unit within the Office of Inspector General. You will lead high-level investigations into fraud, waste, and abuse across health and human services in Texas, with extensive data analysis, interviewing, and reporting responsibilities. The role requires independent judgment, up to 25% statewide travel, and a telework option. #J-18808-Ljbffr FALL CREEK FARM & NURSERY
- ...Leading complex fraud investigations in healthcare billing, coding, and claims, the full-time remote Senior Fraud Investigator will analyze large data sets to identify patterns... ...are a plus Familiarity with HIPAA, OIG guidelines, and healthcare compliance frameworks...Remote workSeniorFraudFull time
- ...Section 1: Position Summary The Senior Fraud Investigator is a senior individual contributor responsible... ...Partner with operations, compliance, legal, technology, and other stakeholders... ...preferred For all virtual remote positions, in order to ensure associates...Remote workSeniorFraudSecond jobLocal area
- ...immigrants in the U.S. in a hybrid role based in Miami. We seek a Senior Fraud Analyst for Consumer Lending to protect unit economics of our... ...fraud typologies, own analytics, and work with Operations, Compliance, and Engineering to keep growth secure and profitable. #J-18...Remote jobSeniorFraud
$53.25k - $88.75k
...: Sentara Health Plan is currently hiring a Senior Fraud and Abuse Investigator/CPC/CFI/CFS/CHC/CFE/AHFI - Remote! Status: Full-time, permanent position (40 hours... ...Coder (CPC) or Certified in Healthcare Compliance (CHC) Certified Fraud Examiner (CFE) OR Accredited...Remote workSeniorFraudPermanent employmentFull timeTemporary workCurrently hiringWork at officeShift work- ...today. About the Role As our Senior Fraud Analyst for Consumer Lending... ...automated block and manual investigation policies. Advanced Risk Tooling... ...workflows. Regulatory & Compliance Liaison: Coordinate with the... ...Health, dental, and vision plans Remote work environment, although...Remote workSeniorFraud
$85k - $97.5k
...Senior Fraud AnalystThe Senior Fraud Analyst supports the Credit Union... ...program by monitoring, investigating, analyzing, and escalating fraud... ...banking, digital account opening, remote deposit capture, card-not-... ..., Cybersecurity, Payments, Compliance, and BSA/AML during fraud...Remote workSeniorFraudFull timePart timeWork at office- ...Join Alpaca Securities’ dynamic and fully remote Compliance team dedicated to safeguarding the... ...in supporting the firm’s BSA/AML, Anti-Fraud, and Securities Fraud Monitoring programs. You will lead and support investigations, ensure adherence to regulatory requirements...Remote workSeniorFraudFull time
$60.2k - $107.4k
...2382934 Job category: Regulatory & Compliance Optum Insight is improving the flow... ...) Gather all relevant facts to drive investigations (30%) Utilize appropriate systems to... ...law enforcement or legal entities with fraud or healthcare investigations ~ Demonstrated...Remote workSeniorFraudMinimum wageFull timeWork experience placementLocal area- ...Conducting non-field investigations of suspected fraud or illegal activities, the full-time Senior Internal Security Investigator will work remotely, interviewing witnesses, evaluating information credibility, and providing training to support the claims handling process...Remote workSeniorFraudFull time
- ...world.About the roleSoFi is seeking a Senior Staff, Fraud Strategy Analyst to assess, quantify,... ...Product, Engineering, Data, Disputes, Compliance, Risk, and vendor teams. You will focus... ...sofi.com.We are unable to accommodate remote work from Hawaii, Alaska or Puerto Rico...Remote workSeniorFraud
- ...Description Overview C2 ALASKA, LLC Telework The Fraud Analyst III Senior OMI actively supports the United... ...expert for all Office of Market Investigator analyst tasks and be the point... ...management systems and various compliance, workflow, and database systems....Remote workSeniorFraudFor contractorsCasual workWork at office
- ...Highmark Health in Montgomery, AL, seeks an Anti-fraud Investigator to develop and maintain an anti-fraud program, conduct investigations,... ...incumbent will oversee annual fraud plans, fraud training, and compliance with state regulations, while mentoring other investigators...SeniorFraud
- ...seeking a Debit Card Disputes Clerk/Financial Investigations Support Specialist to investigate debit card disputes and maintain compliance with various regulations.The ideal... ...understanding of VISA rules, and previous debit card fraud experience. This full-time role requires...Remote workFraudFull timeWork at office
- ...Praescient Analytics is searching for a Senior Investigative Analyst to enhance federal fraud detection and program integrity initiatives. The role encompasses analyzing various forms of data to uncover fraud indicators and producing high-quality intelligence for governmental...Remote workSeniorFraud
- ...Medica is seeking an experienced SIU Investigator IV to lead complex fraud, waste, and abuse investigations involving members, providers, and employees... ..., and guiding investigative processes to strengthen compliance. The position requires a Bachelor’s degree or equivalent...SeniorFraudWork at office
- ...Highmark Health seeks a dedicated investigator to develop and maintain an anti-fraud program, conduct investigations into fraud, waste and abuse, and coordinate... ...recovery of misappropriated funds while ensuring compliance with internal audits and regulatory standards. #J-18...SeniorFraud
$46.99k - $112.2k
...Senior Investigator, Aetna Special Investigations Unit We're building a world of health around every individual — shaping a more connected... ...complex investigations of known or suspected acts of healthcare fraud and abuse. This position will routinely handle high profile...Remote workSeniorFraudHourly payFull timeTemporary workWork at officeLocal area- ...To shape fraud strategy as the company scales, the full-time Senior Fraud Analyst will manage fraud controls across payment products, identify emerging threats, and collaborate with cross-functional teams in a hybrid work environment. Key responsibilities Own and evolve...Remote workSeniorFraudFull time
- ...Senior InvestigatorThe Office of the Inspector General is... ...Authority (CHA) responsible for investigations and audits to identify fraud, theft, waste, abuse, and... ...investigative, legal, or compliance environment, with an... ...may be eligible for remote work following a successful...Remote workSeniorFraudFor contractorsWork at office
- ...of CA invites applications for the Special Investigations Investigator, Consultant role in our SIU. You... ...conduct investigations into healthcare fraud, waste, and abuse, report findings to the SIU manager, and ensure compliance with policies and laws. The position requires...SeniorFraudWork at office2 days per week
- ...Conducting comprehensive fraud, waste, and abuse (FWA) investigations, the full-time SIU Investigator will analyze claims data, medical... ...stakeholders to support case resolution and ensure compliance with regulations in a remote work environment. Key responsibilities...Remote workFraudFull time
- Stripe is seeking a Senior Incident Response Engineer to safeguard the financial ecosystem by investigating high-risk accounts and leading incident response for product abuse and fraud events. You will drive cross-functional improvements and automate response processes...Remote jobSeniorFraud
- ...Conducting detailed investigations into potential fraud, waste, and abuse in healthcare claims, the full-time remote Special Investigator will review medical records and claims... ..., and prepare comprehensive reports for compliance and recovery actions. Key responsibilities...Remote workFraudFull time
- ...Centene Corp. seeks an SIU Investigator to conduct fraud, waste and abuse investigations across referrals... ...case resolution and regulatory compliance. The role favors candidates residing... ...visa sponsorship now or in the future. Remote options are available within the U.S....Remote workFraudVisa sponsorship
- ...Everett, WA is seeking an experienced Senior Corporate Investigator for a contract assignment. You will... ...internal investigations into workplace and fraud-related cases, including EEO matters,... ...within the Law and Global Compliance #J-18808-Ljbffr Boeing Future of FlightSeniorFraudContract work
- Texas Children’s Health Plan is seeking a Senior SIU Investigator to assist the Director of Controls and Compliance in conducting investigations into suspected Fraud, Waste, and Abuse. You will mine data for potential intakes, perform preliminary analysis on provider cases...SeniorFraud
$120.7k - $163.3k
...us. The Boeing Company is seeking two Senior Corporate Investigators to join our team in Seal Beach, CA... ...focuses on investigating workplace and fraud related cases, including EEO related... ...position is part of the Law and Global Compliance organization and works with a shared...SeniorFraudPermanent employmentWork at officeRelocationVisa sponsorshipWork visaFlexible hoursShift workNight shiftDay shiftAfternoon shift$107.7k - $199.3k
...high-impact internal investigations across the organization... ...practices, regulatory compliance, and risk mitigation.... ...ability to influence senior leadership decisions while... ...: Certified Fraud Investigator preferred... ...approach to work with remote, hybrid, field or office...Remote workFraudFull timePart timeWork at officeFlexible hours$56 - $64 per hour
...GED or Bachelor’s degree 8 years of experience in fraud, waste & abuse (FWA) investigations or special investigations unit (SIU) including 1 yr... ...to FWA as assigned by the Director of Controls and Compliance. Seniority level Mid-Senior level Employment type Contract Job...SeniorFraudContract workFor subcontractor$48.47k - $53.85k
...communities for a better quality of life. SENIOR INVESTIGATOR (Temporary Positions) Job Location:... ...This role will investigate allegations of fraud and abuse related to DES programs and... ...the option of a full-time or part-time remote work schedule, employees enjoy improved...Remote workSeniorFraudFull timeTemporary workPart timeFor contractorsWork at officeLocal areaFlexible hours
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