Remote Healthcare Fraud Investigator
Centene Corporation
- Remote job
A leading health organization seeks an investigator for healthcare fraud allegations. Responsibilities include conducting investigations, analyzing claims data, and preparing reports. A bachelor's degree and 1+ years in medical claim analysis are essential. Preferred candidates will have a minimum of 5 years in fraud investigations. This is a remote role with a strong preference for residents of New York. The position offers competitive pay and comprehensive benefits. #J-18808-Ljbffr Centene Corporation
- ...Humana Inc. is seeking a Fraud and Waste Professional to conduct investigations of fraud and abuse and coordinate with law enforcement. You will assemble evidence... ...investigative reports to support adjudication. Remote work is available with minimal travel. Typical hours...Remote work
- ...Humana is seeking a Fraud and Waste Professional to investigate fraudulent and abusive healthcare practices. The role involves coordinating with law enforcement, gathering... ...guidelines. The position may include remote work with minimal travel and requires strong analytical...Remote work
- Centene Corporation seeks a candidate to investigate allegations of potential healthcare fraud and abuse. This role involves conducting thorough investigations... ...in the field is required. The position offers a remote working option for candidates residing within Ohio and...Remote job
$56.2k - $101k
Centene Management Company LLC is seeking a Fraud Investigator to investigate allegations of healthcare fraud and abuse. The role is remote but prefers candidates from Texas. The investigator will conduct detailed claims investigations, assist with audits, and prepare reports...Remote job- Centene Management Company LLC is seeking candidates for a position dedicated to investigating allegations of healthcare fraud and abuse within the Kentucky Medicaid Program. The ideal applicant will have a Bachelor's Degree in a related field and a minimum of three years...Remote job
$56.2k - $101k
Centene Management Company LLC is looking for a skilled investigator to focus on potential healthcare fraud and abuse activities. The candidate will analyze claims, conduct investigations, and prepare detailed reports for regulatory agencies. A Bachelor's degree in Business...Remote jobFlexible hours- Centene Corporation is seeking an investigator in Arkansas to tackle healthcare fraud and abuse activities. The role involves conducting thorough investigations, performing data analysis, and preparing reports for federal and state agencies. The ideal candidate should hold...Remote jobFlexible hours
- Centene Corporation is seeking an investigator to tackle healthcare fraud and abuse, essential for transforming health in communities. This remote role requires a bachelor's degree and at least one year of experience in medical claim investigations. You'll conduct thorough...Remote jobFlexible hours
- ...Job Description Job Description Fraud Investigator / Fraud Analyst / Fraud Specialist Location - Remote and Onsite Thrice a week --- Pensacola, FL / Winchester... ...Our expertise spans industries from providing healthcare information systems to developing E-Remit software...Remote workHourly payLocal areaImmediate startWorldwide
$60k - $92k
...Levels (Investigator, Sr. Investigator, etc) will depend on experience and qualifications... ...detection, investigation and prevention of healthcare fraud, waste and abuse (FWA). We are growing... ...to work independently within a remote team, under minimal supervision Benefits...Remote workFull time- ...Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete...Full timeWork experience placementWork at officeLocal area
$46.99k - $122.4k
...The Hispanic Alliance for Career Enhancement is seeking a dedicated investigator for healthcare fraud cases based in Missouri, Louisiana. The role requires extensive knowledge of healthcare fraud prevention and the ability to interact effectively with various stakeholders...- ...PacificSource is seeking a Senior Investigator – Fraud, Waste, and Abuse to plan, conduct, and manage investigations of health care claims... ...policies. The role requires at least 4 years of experience in healthcare fraud investigations, use of OSINT tools, and collaboration...
- ...To enhance customer security, the full-time Fraud Investigator will focus on investigating account takeover (ATO) incidents and third-party fraud, managing high-risk cases remotely while providing empathetic support to customers during critical recovery events. Key responsibilities...Remote workFull time
- ...important work of your career. About the team The mission of Fraud Operations is to act as guardians of the global financial... ..., card testing, account takeover, and financial partner investigation requests. We strive to improve manual fraud decisioning and enhance...Remote work
$81.7k - $113.4k
...Digital Fraud Investigator At Municipal Credit Union, we believe that an incredible culture helps create a happy and motivated team that works hard to achieve the best results for themselves and their members. For more than 100 years, MCU has provided affordable financial...Remote workLocal areaFlexible hours$20.72 - $25.91 per hour
...Overview Quartz is looking for an individual to investigate insurance information to coordinate benefits for claim processing. Processes... ...Benefits: Flexible and supportive work environment Full-time, remote , in-person or hybrid work environments available Ideal wage,...Remote workFull timeWork at officeWork from homeFlexible hours- ...A healthcare company in New York is seeking a Fraud Investigator to conduct in-depth investigations of reported fraud. Responsibilities include mentoring other investigators, investigating Medicaid fraud cases, and maintaining relationships with law enforcement. Candidates...
- A leading live shopping platform is seeking a Fraud Agent to help prevent and mitigate fraud on their platform. The ideal candidate will have 1 to 5 years of experience in customer service or fraud operations and a proactive problem-solving mentality. Team members can work...Remote jobWork from homeWeekend work
$22 per hour
...Job Type: Contract Workplace Type: Hybrid (50% remote, 50% fieldwork) Compensation: $22/hr plus $0.50/mi COMPANY OVERVIEW Phoenix... ...utilities sector. PLC’s core service is outside plant damage investigation, recovery, and prevention. Across the US and parts of Canada,...Remote workContract workPart timeFor contractorsWork experience placementLocal area- A leading live shopping platform is seeking a Fraud Agent to investigate and develop solutions to mitigate fraud. This role requires identifying fraud patterns proactively and working collaboratively with the team to enhance user experience. Candidates should have experience...Remote jobWork at officeWork from home
- The Hispanic Alliance for Career Enhancement is looking for an investigator focused on health care fraud, waste, and abuse. This role requires expertise in managing complex cases and collaborating with clinical and legal teams. As an integral part of our organization, you...
$46.99k - $122.4k
The Hispanic Alliance for Career Enhancement is hiring for a position focused on investigating healthcare fraud cases. The ideal candidate will have a Bachelor’s degree and at least 3 years of experience in fraud, waste, and abuse investigations. Responsibilities include...Full time$46.99k - $122.4k
The Hispanic Alliance for Career Enhancement is seeking a professional for health care fraud investigations. The role requires at least three years of experience in related fields and a Bachelor's degree or equivalent. You will investigate and document cases related to...- A prominent government service provider in Arlington, VA is seeking a Healthcare Fraud Investigator to provide legal support for a governmental project in Nashville, TN. You will conduct data analyses, review financial records, and create case referrals meeting agency standards...Work at office
- ...humanity and inspire hope. Overview Responsible for complex fraud and abuse investigations and data analysis to identify trends, detect fraud and... ...or cases involving multiple perpetrators or intricate healthcare fraud schemes. Investigate fraud and abuse tips received...Local area
- ...Investigating and resolving claims, the full-time Claims Investigator will analyze P&C insurance claims for validity, negotiate settlements, and ensure compliance while working in a hybrid or remote capacity. Key responsibilities Investigate, evaluate, and resolve low...Remote workFull time
- CVS Health is seeking an SIU Senior Investigator in Florida to conduct complex investigations into healthcare fraud and abuse, with the goal of preventing losses and complying with state regulations. You will lead cases, collaborate with law enforcement, and present findings...Full time
$46.99k - $122.4k
CVS Health is seeking a dedicated professional for the role focused on healthcare fraud investigation. The successful candidate will handle complex cases, prevent fraudulent claims, and cooperate with law enforcement. Qualifications include 3 years of experience in fraud...Full time- A government services provider is seeking a Healthcare Fraud Investigator to support a significant litigation project in Nashville, TN. The role requires an analytical professional with a degree in criminal justice or finance and at least three years of relevant experience...
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