Remote Compliance Investigator - Health Insurance Fraud
$49.7k - $88.8kUMR
- Remote job
UMR in Minnetonka is seeking an Investigator responsible for investigating agent and broker complaints across various business lines. This role involves conducting compliance investigations, documenting findings, and reporting any illegal activities. Applicants should have at least 2 years of investigative experience, preferably in health care. The position offers a competitive salary ranging from $49,700 to $88,800 annually, along with a comprehensive benefits package, and the opportunity to telecommute within the U.S. #J-18808-Ljbffr UMR
$107.7k - $199.3k
...Internal Investigations Manager You could be... ...transforming the health of our communities... ...practices, regulatory compliance, and risk... ...Certifications: Certified Fraud Investigator... ...competitive pay, health insurance, 401K and stock... ...to work with remote, hybrid, field or...Remote workHealth InsuranceFraudFull timePart timeWork at officeFlexible hours- divvyDOSE is seeking an Investigator responsible for conducting compliance investigations on agent/broker complaints. The role involves documenting findings, conducting interviews, and reporting illegal activities as necessary. Candidates should have investigative experience...Remote jobHealth InsuranceFraud
- ...experienced candidate for a remote position that involves conducting... ...records and claims to detect fraud, waste, and abuse. The ideal... ...as close collaboration with investigators. A broad benefits package is provided, including health insurance and flexible working...Remote jobHealth InsuranceFraudFlexible hours
$49.7k - $88.8k
United Health Group is seeking an Investigator to manage agent/broker complaints in compliance with state and federal regulations. This role involves conducting confidential... ...Bachelor’s degree and familiarity with health insurance regulations. This position allows...Remote jobHealth InsuranceFraud- ...is looking for a Senior AML/Fraud Investigator to support fraud and anti-... ...laundering initiatives. This fully remote role based in Seattle, WA... ...investigative skills, compliance knowledge, and... ...benefits package includes health insurance and a generous PTO policy....Remote jobHealth InsuranceFraud
$70.1k - $126.2k
...our Medical Management/Health Services team.... ...direction of the VP of Compliance Investigations this position assists... ...Managed care or health insurance company experience preferred... ...Certified Fraud Examiner (CFE) preferred... ...approach to work with remote, hybrid, field or office...Remote workHealth InsuranceFraudFull timePart timeWork at officeFlexible hours$29.37 - $41.12 per hour
Fraud Investigator II Salal Credit Union is seeking a Fraud Investigator... ...reduce risk. This is a remote position , offering... ...various fraud typologies, compliance and regulations. Strong... ...salary. Comprehensive health, dental, and vision insurance. Generous paid time off...Remote workHealth InsuranceFraudHourly payLocal areaWork from home- ...category: Regulatory & Compliance At UnitedHealthcare... ...we're simplifying the health care experience,... ...Growing together. The Investigator will be responsible for... ...investigating fraud (health care fraud investigations... ...preferred, health insurance sales or sales...Remote workHealth InsuranceFraudMinimum wageFull timeWork experience placementLocal areaMonday to Friday
- ...solutions for marketing, fraud, and operations teams. Why... ...the opportunity to work remotely on Fridays. What you'll do... ...fraud, risk operations, compliance, payments, or AML at a regulated... ...lunches Unlimited PTO Health, dental, and vision insurance with 100% coverage for...Remote workHealth InsuranceFraudWork at office
- Quontic Bank is seeking a Fraud Analyst located in Chevy Chase, MD to identify... ...accounts and transactions for compliance with banking regulations while investigating fraudulent activities. The ideal... ...company match, and comprehensive health plans. #J-18808-Ljbffr Quontic...Remote jobHealth InsuranceFraud
- ...Role As our Senior Fraud Analyst for Consumer... ...automated block and manual investigation policies. Advanced Risk... .... Regulatory & Compliance Liaison: Coordinate with... ...Annual performance bonus Health, dental, and vision plans Remote work environment,...Remote workHealth InsuranceFraud
$70k - $105k
...customers across insurance, investment, and... ...banking has a distinct fraud profile. Minor... ...activity investigation, reporting directly... ...directly to the Head of Compliance. This is a hands-... ...on experience Health, dental, and... ...Flexible time off Remote-first, NYC...Remote workHealth InsuranceFraudH1bVisa sponsorshipWork visaFlexible hours- ...Private Field Surveillance Investigators ! We are looking for... ...to investigate fraud and conduct covert surveillance... ...the facts, keeping insurance costs from rising, and... ...clients in a fully remote position. Are you ready... ...the integrity of the health care and insurance industry...Remote workHealth InsuranceFraudLocal areaWeekend work
$31 - $57 per hour
...To support the Enforcement & Compliance (E&C) team in managing a... ...countervailing duty (AD/CVD) investigations for the Department of Commerce... ...Accountant) CFE (Certified Fraud Examiner) Work Hours:... ...Avenue NW Washington, D.C. Remote work and telework...Remote workHealth InsuranceFraudHourly payFull timeContract workWork at officeLocal areaMonday to Friday- ...Providing investigative support for special investigation unit (SIU) activities, the full-time... ..., and investigation of healthcare fraud, waste, and abuse (FWA), while working remotely to analyze information and ensure compliance with coding and billing guidelines. Key...Remote workFraudFull time
- ...Seeking a full-time remote Healthcare Fraud Investigator, the successful candidate will manage complex investigations into healthcare fraud, waste... ...experience Minimum of 3 years of experience in health insurance fraud investigation At least 5 years of experience as...Remote workHealth InsuranceFraudFull time
- ...geography. Braviant is offering a fully remote option for anyone in the U.S. who wants... ...lending platform and are looking for a Fraud Risk Analyst to help protect the business... ...accurate execution in production systems. Investigate emerging fraud trends and proactively...Remote workHealth InsuranceFraudWork at office
$19.64 - $42.55 per hour
...DESCRIPTION Provides investigative support for special... ...medical provider coding fraud, waste and abuse (FWA)... ...resolves instances of health care fraud and abuse... ...Certified Professional Compliance Officer (CPCO). Certified... ...in group health insurance, particularly within claims...Remote workHealth InsuranceFraudHourly payContract workWork experience placementWork at officeLocal area$50 per hour
Job Highlights Title: Fraud Analyst Type: Full... ...transactions, and other data for compliance with banking... ...trends with stakeholders Investigate incidents, conduct in-... ...match Comprehensive health, dental, and vision... ...Paid subscriptions Remote or hybrid work schedules...Remote workHealth InsuranceFraudFull timeWork experience placementWork at office$63k - $84.42k
...Senior Fraud Investigator Horizon Blue 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... ...Requires in depth knowledge of health insurance operations (i.e. claims, enrollment...Remote workHealth InsuranceFraudLive inLocal area$56.2k - $101k
...seeking a qualified candidate for a remote role focused on investigating healthcare fraud. You will conduct thorough... ...reports, and work collaboratively with Health Plans. To qualify, you should... ...comprehensive benefits including health insurance and 401K. #J-18808-Ljbffr...Remote jobHealth InsuranceFraud- ...As a full-time remote Fraud Investigator II, the successful candidate will be responsible for identifying and resolving fraudulent activity across... ...investigations of fraud alerts and claims, ensuring compliance with regulatory standards Required qualifications Bachelor...Remote workFraudFull time
$56.2k - $101k
...Position Purpose Investigate allegations of potential healthcare fraud and abuse activity. Assist in... ...investigations and coordinate with Health Plans on recommendations... ...Competitive pay Health insurance 401(k) and stock... ...Flexible approach to work with remote, hybrid, field, or...Remote workHealth InsuranceFraudWork at officeFlexible hours- ...a highly motivated SIU Examiner to work remotely in Louisiana. This role requires expertise in handling claims fraud investigations, including analysis and recommendation of... ...benefits package is offered, including health insurance and paid time off. #J-18808-Ljbffr Safepoint...Remote jobHealth InsuranceFraud
$56.2k - $101k
...the state of Kentucky. Investigate allegations of potential healthcare fraud and abuse activity. Assist... ...and coordinate with Health Plans on recommendations... ...competitive pay, health insurance, 401K and stock purchase... ...flexible approach to work with remote, hybrid, field or office...Remote workHealth InsuranceFraudFull timePart timeWork at officeFlexible hours- Point32Health is seeking an Investigator II for the Special Investigation Unit. This role involves leading investigations into fraud, waste, and abuse, requiring a Bachelor's degree and 3-5 years of experience in health insurance or fraud investigations. The Investigator...Remote jobHealth InsuranceFraud
- ...operational and analytical resource, the full-time Digital Fraud Investigator will work remotely to identify, investigate, and mitigate digital fraud... ...reports and maintain evidentiary materials in compliance with legal and regulatory requirements Collaborate with...Remote workFraudFull time
$56.2k - $101k
...records and claims, focusing on identifying potential fraud, waste, and abuse. The role is remote nationwide and requires a Master’s Degree along with... ...with a comprehensive benefits package including health insurance and flexible work arrangements. Join Centene and make...Remote jobHealth InsuranceFraudFlexible hours- Centene Corp. is seeking a full-time SIU Investigator to work remotely in California. This role involves investigating healthcare fraud allegations, performing data mining,... .... The position offers competitive pay, health insurance, and a host of benefits. #J-18808-Ljbffr...Remote jobHealth InsuranceFraudFull time
$70k - $90k
...analytics firm is seeking a Senior Investigator to investigate incidents of healthcare fraud, waste, and abuse through data analysis. This remote position requires a Bachelor's degree... ...benefits package including health insurance, PTO, and 401(k). #J-18808-Ljbffr CotivitiRemote jobHealth InsuranceFraud
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