Remote SIU Investigator: Fraud, Waste & Abuse
$58.9k - $80.07kHealthfirst
Healthfirst is looking for an Investigator within the Special Investigations Unit (SIU) to conduct investigations of alleged misconduct and fraud. This 100% remote role entails compiling data, writing reports, and presenting findings. Candidates must possess an Associate's degree in criminal justice or substantial investigation experience. The salary range for New Jersey is $58,900 - $80,070, with comprehensive benefits including medical, dental, life insurance, and 401k contributions. #J-18808-Ljbffr
$51k - $80.07k
Healthfirst is looking for an Investigator within the Special Investigations Unit (SIU) to conduct complex investigations of alleged misconduct and fraud in a fully remote position. The ideal candidate must possess an Associate's degree in criminal justice or equivalent...Remote jobFraud- Healthfirst is hiring a Remote Investigator for the Special Investigations Unit. This role involves conducting complex investigations of alleged misconduct, compiling data into reports, and presenting findings to the Marketing Incidents Committee. Essential qualifications...Remote jobFraudWork at office
- 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 jobFraud
- Profile We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS... ...favorably adjudicated DOD background investigation for this position. Veterans,... ...development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department...Remote workFraudContract workFor subcontractorInterim role
- ...Investigating allegations of potential healthcare fraud and abuse, the full-time SIU Investigator will conduct investigations, perform data... ...detailed reports while working remotely, preferably from Ohio. Key... ...investigations of potential waste, abuse, and fraud in healthcare...Remote workFraudFull time
$46.99k - $112.2k
...Senior Healthcare Fraud Investigator We're building a world of health around every individual... ...Special Investigations Unit (Aetna SIU), Self-Funded investigations team.... ...suspected and known acts of healthcare fraud, waste and abuse (FWA). Key Responsibilities...Remote workFraudHourly payFull timeTemporary workWork experience placementLocal areaWork from home$86.3k - $118.7k
...for an experienced Dentist to join their Dental SIU Team. The role involves investigating dental fraud, waste, and abuse cases, conducting clinical reviews, and... ...and an active dental license. This position is remote, with minimal travel expected. The salary range...Remote jobFraud$83k - $132.8k
Job Summary The Special Investigations Unit (SIU) Investigator Lead serves as the primary representative of the SIU to external federal... ...with oversight agencies, identify and monitor emerging fraud, waste, and abuse (FWA) trends, and conduct research on claims and other...Remote jobFraudWork experience placementLive inWork at office$56.2k - $101k
Centene Corporation is seeking a qualified candidate for a remote role focused on investigating healthcare fraud. You will conduct thorough investigations into potential fraud, waste, and abuse, develop analytical reports, and work collaboratively with Health Plans. To...Remote jobFraud- ...Fraud, Waste, and Abuse Investigations Manager The Fraud, Waste, and Abuse Investigations Manager handles the operational activities related to Pharmacy... .... This position will be the point of contact for client SIU's and Pharmacy Audit teams. Primary Responsibilities...FraudLocal area
$56.2k - $101k
...Position Purpose Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and... ...Conduct investigations of potential waste, abuse, and fraud. Document... ...Flexible approach to work with remote, hybrid, field, or office schedules...Remote workFraudWork at officeFlexible hours$56.2k - $101k
...reside within the state of Kentucky. Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning,... ...investigations of potential waste, abuse, and fraud. Document activity... ...flexible approach to work with remote, hybrid, field or office work...Remote workFraudFull timePart timeWork at officeFlexible 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, and analyzing claims to identify potential abuse. Applicants should possess a Bachelor’s degree...Remote jobFraudFull time
- Humana Inc is seeking an experienced Dentist for a remote position as the Dental Fraud and Waste Lead. You will investigate complex dental cases and perform clinical reviews related to fraud and abuse. The role also involves educating a team on dental standards. Required...Remote jobFraud
- Humana Inc is looking for an experienced Dentist to join their Dental SIU Team as a Fraud and Waste Lead. This remote role involves conducting clinical reviews, preparing reports, and providing education on dental standards. The ideal candidate must have a DDS or DMD and...Remote jobFraud
- Crains Cleveland is seeking an experienced fraud investigator for a role focused on analyzing behaviors related to fraud, waste, and abuse (FWA) in healthcare. The position requires 5+ years of experience in fraud investigations, a high school diploma, and relevant certifications...Remote jobFraud
$66.33k - $145.86k
...individual contributor role supports complex investigations and contributes to organizational... ...plays a key role in identifying fraud risks, supporting program integrity efforts... ...financial losses related to fraud, waste, and abuse. Performs complex investigations related...FraudHourly payFull timeTemporary workLocal area- ...Providing investigative support for special investigation unit (SIU) activities, the full-time Healthcare Investigator will focus on the... ...detection, and investigation of healthcare fraud, waste, and abuse (FWA), while working remotely to analyze information and ensure...Remote workFraudFull time
- ...Seeking a full-time remote Healthcare Fraud Investigator, the successful candidate will manage complex investigations into healthcare fraud, waste, and abuse, utilizing data analysis techniques and serving... ...guidance and training to other SIU Investigators and contribute to...Remote workFraudFull time
$65k - $88.6k
Become a part of our caring community The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste... ...Humana Offers We are fortunate to offer a remote opportunity for this job. Our Fortune 100...Remote workFraudBi-weekly payWeekly payFull timeTemporary workApprenticeshipWork from homeHome officeMonday to Friday$19.64 - $42.55 per hour
...JOB DESCRIPTION Provides investigative support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA). Investigates and resolves instances of health care fraud and abuse investigations of medical providers using...Remote workFraudHourly payContract workWork experience placementWork at officeLocal area- ...Special Investigations Unit (Siu) Desk Investigator At AssuranceAmerica, we are more than a unique blend of insurance assets. We believe in... ...moderate investigations involving suspicions of insurance fraud related to the application of insurance, auto/property, and...Remote workFraudContract workWork at officeRelocation package
- Neier Inc. seeks a Technical Abuse Investigator to detect and disrupt malicious use of its platform. Responsibilities... ..., with expertise in domains like AI misuse or fraud, as well as proficiency in SQL and Python. Remote work is available for candidates within the U.S....Remote workFraud
$46.99k - $112.2k
...are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), Self‑Funded investigations team. In this role... ...suspected and known acts of healthcare fraud, waste and abuse (FWA). Work Location This position can be worked...FraudHourly payFull timeTemporary workWork experience placementLocal areaWork from home- Safepoint MGA, LLC is seeking a highly motivated SIU Examiner to work remotely in Louisiana. This role requires expertise in handling claims fraud investigations, including analysis and recommendation of actions. The examiner will conduct interviews, coordinate with SIU...Remote jobFraud
$25 - $50 per hour
...strategy & scheduling Paid travel for field investigations when required Job Summary The SIU Investigator conducts field and remote investigations involving insurance claims... ...principles, compensability analysis, fraud indicators, and investigative...Remote workFraudHourly payPart timeWork at officeHome officeAfternoon shift$68.04k - $118.8k
...Job Conduct complex, in-depth investigations of reported fraud involving the full range of healthcare... ...to the Fraud Investigators on SIU investigations and issues. Assist with... ...current trends and schemes of Fraud, Waste & Abuse. May assist with fraud awareness...Remote workFraudWork experience placement$60.2k - $107.4k
...Senior Investigator At UnitedHealthcare, we're simplifying the health care experience... ...investigation and prevention of healthcare fraud, waste and abuse. The Senior Investigator will utilize... ...in the Special Investigations Unit's (SIU's) case tracking system Collect and...Remote workFraudMinimum wageFull timeTemporary workWork experience placementLocal areaMonday to Friday$19.64 - $42.55 per hour
...JOB DESCRIPTION Job Summary Provides investigative support for special investigation unit (SIU) activities. Responsible for supporting for the prevention... ..., recovery of money related to health care fraud, waste, and abuse (FWA). Responsible for reviewing and analyzing...Remote workFraudHourly payContract workWork experience placementWork at officeLocal area$30 - $35 per hour
A leading investigative firm based in Nashville seeks experienced part-time SIU Investigators to join their team. The role involves investigating potential fraud in insurance claims, conducting interviews, and preparing investigative reports. Candidates should have 5-10...Remote jobFraudHourly payPart timeWork at office
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