Remote Pharmacy FWA Investigator
Centene Corporation
- Remote job
Centene Corporation in the United States is seeking a Pharmacy Coordinator – Fraud, Waste, and Abuse (FWA) to support the Medical Management/Health Services team remotely. You will review FWA referrals, assist with regulatory requests, and help analyze and document investigations. The role requires 3+ years of pharmacy technician experience in managed care, familiarity with dispensing environments, and strong communication. #J-18808-Ljbffr Centene Corporation
- Centene Corporation is seeking a seasoned investigator to independently lead complex fraud, waste, and abuse investigations across providers, members, and other entities. You will analyze diverse data sources, develop investigative strategies, and manage cases through...Remote job
- ...healthcare organization is seeking a PI Investigator responsible for investigating fraud, waste... ...experience and can be performed remotely in several U.S. states. The ideal candidate... ...Responsibilities include researching and documenting FWA issues, ensuring compliance with federal...Remote job
$70.1k - $126.2k
...Independently leads complex fraud, waste, and abuse (FWA) investigations involving providers, members, pharmacies, vendors, and other entities utilizing referrals,... ...holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay...Remote workFull timePart timeWork at officeFlexible hours- ...Solutions is seeking an Eligibility Specialist (Pharmacy Technician) responsible for conducting benefits investigations and ensuring accurate documentation. Candidates... ...Diploma or GED and PTCB certification. This remote role requires strong communication and organizational...Remote job
$60.2k - $107.4k
Senior Investigator Pharmacy At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers... ...+ years of experience in healthcare, fraud, waste and abuse (FWA) 2+ years of experience in state or federal regulatory FWA...Remote workFull timeTemporary workWork experience placementLocal area- Centene Corporation in Pennsylvania is seeking a Senior Investigator to independently lead complex fraud, waste, and abuse investigations across providers, members, pharmacies, and vendors using referrals, claims data, medical records, interviews, analytics, and other resources...Remote job
- Centene Corporation in Georgia is seeking an experienced investigator to independently lead complex fraud, waste, and abuse investigations across providers, members, pharmacies, and vendors. You will analyze claims data, medical records, and financial information to identify...Remote job
- Centene Corporation is seeking a senior investigator to independently lead complex fraud, waste, and abuse investigations across providers, members, pharmacies, vendors, and other entities. You will analyze claims data, medical records, and financial information to identify...Remote job
$60.2k - $107.4k
A leading health care organization is looking for a Senior Investigator Pharmacy to tackle healthcare fraud, waste, and abuse. The role includes investigating complex cases and preparing detailed reports based on findings. Candidates must have a Bachelor's or Associate'...- ...Profile We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS,... ...a favorably adjudicated DOD background investigation for this position. Veterans, Reservists,... ...reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of...Remote workContract workFor subcontractorInterim role
- ...a talented Coder or Clinical Coder/Fraud Investigator to join our team. RESPONSIBILITIES... ...related and other specialties) pertaining to FWA investigations as needed Compare to information... ...and career development initiatives ~ Remote work eligible REMOTE WORK...Remote workFull timeFlexible hours
$64k - $68k
...We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN... ...a favorably adjudicated DOD background investigation for this position. Veterans, Reservists... ...of suspected fraud, waste and abuse (FWA) cases as defined by the Department of...Remote workContract workTemporary workFor subcontractorInterim roleLocal areaShift work$49.7k - $88.8k
...Caring. Connecting. Growing together. The Investigator is responsible for identification,... ...,you will have the flexibility to hybrid-remote*as you take on some tough challenges. Primary... ...Experience in health care fraud, waste and abuse (FWA) investigations/audit Experience with...Remote workMinimum wageFull timeWork experience placementWork at officeLocal area- UnitedHealth Group is seeking a Senior Investigator Pharmacy to identify and prevent healthcare fraud, waste and abuse. The role includes data-driven investigations, fieldwork and interviews, with occasional travel up to 50% to Los Angeles County and surrounding areas....Remote work
$75.35k - $98.89k
...We're hiring a Senior Analyst, Special Investigations Unit Clinical Investigator to join our SIU... ...Manager, SIU. Work Location: This is a remote position, open to candidates who reside... ...conduct clinical audits into suspected FWA with high autonomy Document findings, to...Remote workFull timeWork at officeWork from homeFlexible hours3 days per week- ...Levels (Investigator, Sr. Investigator, etc) will depend on experience and qualifications. Integrity... ...of healthcare fraud, waste and abuse (FWA). We are growing and looking for dynamic,... ...Ability to work independently within a remote team, under minimal supervision...Remote workFull time
- ...gios e Treinamentos seeks a Medicaid Fraud Investigator to join its Special Investigations Unit.... .... The ideal candidate has 1-2 years of FWA experience in healthcare, strong analytical... ...skills, and MS Office proficiency. Remote work from the Chicago area is preferred....Remote job
$65.3k - $111k
## Senior Fraud, Waste and Abuse (FWA) InvestigatorApplylocations: Portland, ORtime type: Full timeposted on: Posted Todayjob requisition... ...’s talents and strengths.The Senior Fraud, Waste and Abuse Investigator manages work related to fraud, waste and abuse audits and...Contract workWork experience placementWork at office$25.6 - $42.67 per hour
...currently hiring a Fraud and Abuse Investigator/Certified Professional Coder (CPC) Remote! Status: Full-time, permanent... ...abuse with respect to provider, pharmacy, employer, member, and broker interactions... ...Waste, Abuse, Program Integrity, FWA, PI, SIU, Special Investigations...Remote workPermanent employmentFull timeTemporary workLive inCurrently hiringShift work- Blue Cross and Blue Shield of Kansas City is seeking a Fraud Investigator in its Special Investigations Unit to identify potential fraud, waste... ...moderate complexity and limited oversight. You will assist in FWA risk assessments, monitor hotlines and alerts, conduct...
- ...improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here... ..., and AI-enabled insights to support fraud monitoring, investigations, risk decisioning, and loss mitigation across Commercial Payments...Remote job
- ...ultimate goal of enabling human life on Mars.SR. HUMAN RESOURCES INVESTIGATOR (EMPLOYEE RELATIONS)We are looking for a skilled and... ...to various SpaceX sites.This role requires you to be onsite. Remote or hybrid work will NOT be considered.Must be willing to work...Remote workPermanent employmentWeekend work
$107.7k - $199.3k
...managing the most complex, sensitive, and high-impact internal investigations across the organization. Serves as a strategic advisor and... ...time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted...Remote workFull timePart timeWork at officeFlexible hours- OverviewAbout This RoleLocation: Franklin, TN corporate office with remote work flexibilityTravel: Up to 25%The Compliance Investigator is responsible for conducting and overseeing prompt, thorough, and objective investigations of alleged or suspected violations of law,...Remote workWork at office
$120k - $175k
...ultimate goal of enabling human life on Mars.SR. HUMAN RESOURCES INVESTIGATOR (EMPLOYEE RELATIONS)We are looking for a skilled and... ...to various SpaceX sites.This role requires you to be onsite. Remote or hybrid work will NOT be considered.Must be willing to work...Remote workPermanent employmentTemporary workWork at officeMonday to FridayWeekend work- ...stakeholders that delivers on our promises. Position Summary:The SIU Investigator will conduct field as well as desk investigations of insurance... ...Unit. Our Special Investigator will function as a remote investigator working from her/his residence and servicing the...Remote workFull timeWork experience placementWork at office
$120k - $145k
...teammates.ABOUT THE ROLE:We are seeking an experienced BSA/AML Investigator to help detect, prevent, and report financial crimes. As part... ...full-time salaried position with a Saturday-Wednesday schedule. Remote work is permitted on Saturdays and Sundays; in-office...Remote workPermanent employmentFull timeTemporary workWork at officeLocal areaWeekend work$78.9k
...information about C&F, please visit our website: Job DescriptionThis position can be remote anywhere in the United States, however Texas is preferred.We are seeking an experienced investigator to join our Special Investigations Unit (SIU). SIU is responsible for detecting,...Remote workWork at officeFlexible hours- ...apply to become an affiliate. How do I become a Principal Investigator? Scientists working in the field of astrobiology can request to... ...offices if you have a collaborator there who can help you secure space, or work from your home office or other remote location....Remote workWork experience placementWork from homeHome office
- ...Background Investigator - Independent Contractor/1099 Federal Background Investigations Division 1FORCE is currently seeking to engage with experienced Contractors and federally credentialed Background Investigators to conduct personnel security background investigations...Remote workContract workFor contractorsImmediate startWork from homeWeekend workAfternoon shift
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