Health Care Fraud Investigator & Forensic Auditor
Highmark Health
Highmark Inc. is seeking a detail-oriented anti-fraud investigator to develop and maintain an organization-wide fraud program, conduct investigations of fraud, waste, and abuse, and testify in court when required. The role includes interviewing providers and members, coordinating with law enforcement, and performing audits to meet regulatory standards. The successful candidate will handle field investigations, assist in recovery of misappropriated funds, and stay current with changes in #J-18808-Ljbffr Highmark Health
- ...Sexual Assault Forensic Examiner Under clinical oversight, Sexual Assault Forensic Examiner (SAFE), serves... ...Provides timely, compassionate, and patient-centered care through data collection, physical assessment, health teaching, health counseling and provision of...SuggestedFull timeWork at office
$30 per hour
...WORKERS COMPENSATON/GENERAL LIABILITY PREMIUM AUDITOR Remote / Home-Based | Flexible Schedule | Control Your Earnings $30 per billable... ...RLD Associates, Inc. is a leading provider of premium audit, forensic accounting, and litigation support services to the commercial...SuggestedHourly payPart timeFor subcontractorLocal areaRemote workWork from homeHome officeFlexible hours2 days per week1 day per week$57.4k - $99k
...enabled revenue cycle management solutions for health systems, including hospitals and... ...based on experience The Physician Coding Auditor develops and implements strategic needs analyses... ...of our success and that when we take care of our people, they pay it forward by providing...SuggestedWork at officeLocal areaImmediate startRemote work- The Oklahoma Tax Commission is seeking a Gross Production Reporting Specialist to support the Business Tax Services Division. The role involves auditing, reviewing financial records, and ensuring compliance with tax laws and regulations while assisting taxpayers with filings...SuggestedRemote workMonday to Friday
- Ensemble Health Partners is seeking a Physician Coding Auditor to develop and implement training for coding leadership, oversee curriculum, and ensure compliant professional coding standards across specialties. The role requires 5+ years of coding and 3+ years of auditing...SuggestedWork at office
- Announcement The Department of Veterans Affairs, Office of the Inspector General (OIG), is organized into six operational units with offices in more than 60 locations throughout the country. This is an announcement where applicants will be referred throughout the...Work at office
$70k - $105k
...Family banking has a distinct fraud profile. Minor cardholders... ...parent's knowledge), requires careful review and a sensitive resolution... ..., and suspicious activity investigation, reporting directly to the Head... ...based on experience Health, dental, and vision coverage...H1bRemote workVisa sponsorshipWork visaFlexible hours- Devoted Health is seeking a Clinical Readmission Manager to conduct prepayment and post-payment reviews of inpatient admissions and related readmissions within 30 days, ensuring clinical relevance and compliance. The role requires RN licensure, 5+ years in clinical nursing...Remote job
- Gainwell Technologies is seeking an experienced Sr. Healthcare Quality Assurance professional to support QA, auditing, and financial operations in a healthcare setting. The role combines healthcare knowledge, financial auditing, data analysis, and hands-on SQL experience...Remote jobWork at officeFlexible hours
- ...enabled revenue cycle management solutions for health systems, including hospitals and... ...results. The Opportunity: The Nursing Senior Auditor leads complex audits, mentors junior... ...part of our success and that when we take care of our people, they pay it forward by providing...Local areaRemote work
- Commercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field inspections and risk control services to support our clients’ underwriting processes....For contractorsWork at officeLocal areaWork from home
- AMERICAN SYSTEMS is seeking an Electronics Technician to support national security projects in the United States. The role involves identifying IED components, analyzing RF modules, and performing EDR using tools like Cellebrite UFED, XRY, and FTK. Travel to remote field...Remote work
- Highmark Inc. seeks an experienced anti-fraud professional to develop and maintain a comprehensive fraud program, conduct investigations, and coordinate regulatory interactions. You... ..., with field investigations and audits as core duties. #J-18808-Ljbffr Highmark Health
- Summary THIS IS NOT AN OPEN JOB ANNOUNCEMENT** This is a public notice for Drug Enforcement Administration Criminal Investigator GL-1811-7/9/11 positions open to U.S. Citizens. A job announcement will be posted on USAJobs on July 20th and October 19th, 2026. PLEASE...Permanent employmentFull timePart timeWork at officeLocal areaRelocationTrial period
- Investigative Surveillance SpecialistAre you looking for a company who believes in world class employee culture and focuses on growing YOU... ..., StrikeCheck, National Fire Experts, Donan Engineering, BSC Forensics, Component Testing Laboratories, The Robison Group, VRC...Hourly payDaily paidRemote workFlexible hoursWeekend workAfternoon shift
- AAA Auto Club Enterprises is seeking a Claims Service Representative III for the Special Investigations Unit to investigate potential fraud across product lines and serve as liaison with law enforcement and regulatory bodies. The role requires independent judgment, effective...
$96.3k - $125k
...Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our...Live inLocal area$70k - $85k
Company DescriptionFORTUNE 500 FINANCIAL SERVICE COMPANYMUST HAVE EITHER BIG 4 OR FINANCIAL SERVICE EXPERIENCEJob Description-Senior Auditor An opportunity is currently available for an experienced audit professional within our Internal Audit Department. The successful...Work at officeLocal areaNight shift- Evolving Solution Services is seeking a Workers' Compensation Claims Examiner in Washington, DC. You will receive, investigate, and administer workers' compensation claims from inception through closure, evaluating compensability and coordinating with injured workers and...
- ...Safety Auditor The Department of Design and Construction, Division of Safety and Site... ...and off-hours, participate in accident investigations, and communicate effectively with project... ...credits in industrial hygiene, environmental health science, occupational health science and...Full timeFor contractorsWork experience placementLocal area
- ...Retail Auditor Independent Contractor SFS is growing, and we're looking for detail-oriented Retail Auditors to join our nationwide network of independent contractors! If you enjoy working independently, visiting retail stores, gathering accurate information, and...Extra incomeContract workFor contractorsImmediate startFlexible hoursShift workAfternoon shiftWeekday work
- ...Compliance Auditor The Compliance Auditor will foster an environment that enhances and promotes compliance and adherence to all... ...Qualifications: Education: Bachelor's degree in business, finance, health care operations, or a clinical field required. Experience:...Local area
- ...We also offer a range of benefits and programs to meet employee needs, based on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a retirement savings plan, backup childcare, tuition reimbursement, mental health...Flexible hours
- Job Description Commercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field inspections and risk control services to support our clients’ underwriting...For contractorsWork at officeLocal areaWork from home
- ...Operations Auditor The Operations Auditor will advance the program audit and quality assurance agenda of The Fortune Society. They... ...degree is preferred, preferably in public administration, public health, human services, criminal justice, sociology, social work, or a...Work experience placement
$90k - $115k
.... Internal Audit also assists in monitoring the Firm's compliance with guidelines set for risk management and risk monitoring. IT Auditors focus on the application/infrastructure controls supporting the business processes and are responsible for understanding, analyzing...$68k - $160k
Vice President, Auditor, Markets and Wealth Services At BNY, our culture allows us to run our company better and enables employees’ growth... ...resources and tools for your life’s journey. Focus on your health, foster your personal resilience, and reach your financial goals...Temporary workWork experience placementWorldwideFlexible hours$3,672.84 per month
...5/2026 (11:59 PM ET) Job ID 2605284 Unemployment Insurance Auditor I (FFTL) Pay Grade 14 Salary $3,672.84 Monthly Employment Type... ..., as it is crucial for conducting on‑site audits and investigations. This travel component is integral to the role's responsibilities...Permanent employmentFull timeWork at officeRemote workNight shift- Commonwealth of Kentucky, Education & Labor Cabinet, Office of Unemployment Insurance, seeks an Unemployment Insurance Auditor I (FFTL). The position requires on-site and travel to specified counties, with a remote workstation arrangement based on home address. It is a...Remote jobPermanent employmentWork at office
$100k - $120k
100% Remote Opportunity - Audit Senior w/ CPA License Our client is a highly rated Mid-Size CPA firm in Austin, TX who are actively seeking an Audit Senior to join their team on a 100% Remote Schedule!!! ***Must have CPA License and be coming from a reputable CPA...Remote workWork from home
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Health Care Fraud Investigator & Forensic Auditor. Be the first to apply!




