Senior Investigator, Healthcare Fraud - Remote (VA)
Optum
- Remote job
UnitedHealth Group is seeking a Senior Investigator in Virginia, with remote work options and 25% travel to client sites. The role focuses on data gathering and analysis to identify fraud and waste in health care, maintaining compliance documentation, and coordinating with legal and regulatory bodies. The ideal candidate brings 5+ years in FWA/SIU, familiarity with health insurance claims, and experience with law enforcement. Certifications like CFE/AHFI are preferred. #J-18808-Ljbffr Optum
$105k - $115k
...Zachary Piper Solutions is seeking a Senior Healthcare Fraud Investigator to support the DVA VHA in... ...personnel. Collaborate with OIC, VA Office of Inspector General (OIG), and... ...on experience and qualifications. Remote work arrangement with on-site requirements...Remote workSeniorFraudFor contractorsWork at office- ...To support the DVA VHA in establishing a Fraud Rapid Response Center, the remote Senior Healthcare Fraud Investigator will lead case development by reviewing analytics-generated leads, preparing decision-ready referral packages, and collaborating with federal investigators...Remote workSeniorFraud
- Cotiviti is seeking a Senior Investigator to examine suspected healthcare fraud, waste, or abuse through data analysis. This is a work-at-home remote role aligned with the pre-pay Fraud Waste & Abuse team; advanced Excel skills are required to analyze claims and identify...Remote jobSeniorFraudWork from home
$115k
...Zachary Piper Solutions is seeking a Senior Healthcare Fraud Investigator to support a mission focused on protecting Veterans and taxpayer dollars... ...rapid-response oversight initiatives. This position is remote and candidates must be local to Washington, DC . The...Remote workSeniorFraudFor contractorsLocal area- UnitedHealth Group seeks a senior investigator in Virginia to lead data-driven fraud investigations within FWA/SIU. You will gather facts, interview members and... ..., and proficiency with Excel/Word. You can work remotely from Virginia with travel to client sites as needed...Remote jobSeniorFraud
- ...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
- ...Independently leading complex fraud, waste, and abuse investigations, the full-time Senior Fraud Investigator will utilize... ...support corrective actions in a remote work environment. Key responsibilities... ...in Business, Criminal Justice, Healthcare Administration, Public Health,...Remote workSeniorFraudFull time
- ...a better today and tomorrow.Section 1: Position SummaryThe Senior Fraud Investigator is a senior individual contributor responsible for leading... ...education and relevant experience preferredFor all virtual remote positions, in order to ensure associates can effectively perform...Remote workSeniorFraudFull timeSecond job
- ...Model.Job DescriptionProtect. Investigate. Lead.At CHEP, we don’t just... ...protect trust. We’re looking for a Senior Asset Protection Investigator... ....Monitor and implement fraud prevention measures, leading... ...stock match program, and MORE!Remote TypeFully RemoteSkills to succeed...Remote workSeniorFraudFull timeTemporary workLocal areaNight shift
- ...Integrity Management Services, Inc. is seeking an Investigator to conduct high-level Medicare and Medicaid investigations, develop cases... ...driven investigations, preparing detailed reports, and maintaining case files, with remote work options in the U.S. #J-18808-LjbffrRemote workFraud
- ...CareSource is seeking a Special Investigations Unit (SIU) III to lead high-complexity investigations into healthcare fraud, waste and abuse. This role requires strong data analysis, interviewing, and reporting capabilities and will coordinate audits and regulatory communications...SeniorFraud
- ...Anti-Money Laundering (AML) Sr. Investigator I - Enhanced Due Diligence (EDD) Location-based remote work: Must live within 50 miles... ...IL / Wilmington, DE / Richmond, VA / New Orleans, LA / Plano, TX /... ...certification. At least 1 year of fraud, investigative or compliance experience...Remote workSeniorFraudLocal areaHome office
- ...CVS Health is seeking a Senior Investigator in Ohio to conduct high‑level investigations of healthcare fraud and abuse, including Medicaid matters, handling sensitive, national cases and providing testimony when required. Requirements: 4+ years in healthcare fraud investigations...SeniorFraud
- ...Centene Corporation is seeking an investigator to conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, and medical records to identify misconduct and support case resolution. Responsibilities include documenting investigations, preparing...Remote workFraud
- ...To support the growth of a healthcare analytics firm, the full-time remote Healthcare Fraud Investigator will identify and qualify improper-payment leads, manage a live caseload, and drive cases to closure while collaborating with payer clients and internal teams. Key...Remote workFraudFull time
$60.2k - $107.4k
...Senior InvestigatorAt UnitedHealthcare, we're simplifying the health care experience, creating... ...Connecting. Growing together.The Senior Investigator is responsible for identification, investigation and prevention of healthcare fraud, waste and abuse. The Senior Investigator...Remote workSeniorFraudMinimum wageFull timeTemporary workWork experience placementLocal area- Senior Federal Technical Consultant (Clearance Preferred TS/SCI with Poly), VA, MD, DCThis role has been designated as ‘Remote/Teleworker’, which means you will primarily work from home.Who We Are... ...criminal histories.Recruitment Fraud AlertWe have become aware of an increase...Remote workSeniorFraudFull timeWork experience placementLocal areaImmediate startWork from home
$77.6k - $176k
Healthcare Engineer, SeniorThe Opportunity:Manages the... ...of Veterans Affairs (VA), or U.S. Department of... ...subject to a government investigation and may need to meet... ...protect against identity fraud. You are expected to... ...cameras on during meetings.Remote: If this position is...Remote workSeniorFraudFull timeContract workPart timeWork at officeLocal area$72.7k - $116.6k
...for developing and maintaining an anti-fraud program which includes development and... ...incumbent is responsible for conducting investigations of organizational or functional activities... ...the Health insurance industry and/or Healthcare fraud investigations ~1 year of...Remote workSeniorFraudContract workWork at officeLocal area$86.8k - $217.1k
...growing! Hiring multiple Senior Data Team Leads across... ...to life. This is a remote/WFH position with all necessary... ...future of data-driven healthcare!IQVIA is a leading... ...tolerance policy for candidate fraud. All information and... ...of America; Norfolk, VA; Oakland, CA;...Remote workSeniorFraudFull timePart timeImmediate startWork from homeWorldwide- Optum, a division of UnitedHealth Group, seeks an experienced investigator to support Fraud, Waste and Abuse (FWA) investigations in the Ohio region.... ...investigation findings to clients and regulators. Remote work is possible for residents, with on-site travel 25% within...Remote jobSeniorFraud
- ...Peraton seeks a Fraud Investigator for SafeGuard Services to conduct complex investigations of medical providers and develop actionable cases for law enforcement referrals and overpayment recovery. The role requires strong investigative, communication, and organizational...Remote workFraud
$46.99k - $112.2k
...and one community at a time. Position Summary The Senior Investigator, Aetna Special Investigations Unit, will conduct high level, 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- A leading health organization seeks an investigator for healthcare fraud allegations. Responsibilities include conducting investigations, analyzing... ...a minimum of 5 years in fraud investigations. This is a remote role with a strong preference for residents of New York....Remote workFraud
- ...Job Opportunity Council Capital is a healthcare-focused private equity firm based in... ...analytics with expert review to surface fraud, waste, and abuse across Medicare, Medicaid... ...but you will not manage anyone. Strong investigators here come from healthcare payer/vendor...Remote workFraud
- ...Compliance Investigator At Fresenius Medical Care, we... ...care across the entire healthcare journey. Guided by our... ...data in the context of fraud, embezzlement,... ...with both junior and senior-level employees, preparing... ...essential functions. Remote with travel as needed...Remote workFraudWork experience placementLocal areaWorldwideFlexible hours
$135k - $185k
...billions in annual payment volume.As a Senior Fraud Analyst, you will help shape Mudflap’s... ...role for someone who wants to move beyond investigating individual cases and build the systems,... ...and team collaboration, we are open to remote team members who can travel...Remote workSeniorFraud- Senior Networking Professional Services Engineer - (Clearance Required: Top Secret/SCI w/CI Poly) , CA, MD, VA, DCThis role has been designated as ‘Remote/Teleworker’, which means you will primarily work from... ...criminal histories.Recruitment Fraud AlertWe have become aware...Remote workSeniorFraudFull timeWork experience placementLocal areaImmediate start
- ...Investigator Senior Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly... ...and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent...SeniorFraudTemporary workLocal area1 day per week
- ...Healthcare Fwa InvestigatorLevels (Investigator, Sr. Investigator, etc) will depend on experience and qualifications... ...investigation and prevention of healthcare fraud, waste and abuse (FWA). We are... ...to work independently within a remote team, under minimal...Remote workFraud
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