Remote Healthcare Fraud Investigator
$56.2k - $101kCentene Management Company LLC
- Remote job
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 for federal and state agencies. Candidates must have a Bachelor's degree in a relevant field and experience in medical claim investigation. The position offers a competitive salary range from $56,200 to $101,000 annually along with various benefits. #J-18808-Ljbffr Centene Management Company LLC
- ...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
- Centene Corporation is looking for a dedicated investigator to monitor healthcare fraud activities. You will utilize your investigation skills to ensure... ...benefits package and a flexible work environment including remote options. #J-18808-Ljbffr Centene CorporationRemote jobFlexible hours
- Humana Inc. is seeking a Fraud and Waste Professional to conduct investigations of fraudulent and abusive healthcare practices and to coordinate with law enforcement. The role... ...preparing complex investigative reports. This remote position offers 40-hour weeks, possible...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
- Centene Corporation in Kansas is looking for a motivated individual to investigate healthcare fraud and abuse allegations. The role involves conducting thorough investigations, analyzing medical claims, and documenting all activities. The ideal candidate will have a Bachelor...Remote jobFlexible hours
- Centene Management Company LLC is seeking a skilled investigator to handle allegations of healthcare fraud and abuse in New York. In this role, you'll plan, organize, and execute claims investigations, utilizing your expertise in data mining and report creation. The ideal...Remote jobFlexible hours
$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 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
- 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
- ...Corporation is hiring for a Fraud Prevention Analyst. In this... ...and operations. Youll combine investigation, analytics, and risk... ...our Middleton, WI office or remotely from Wisconsin, Arizona, Florida... ...services, benefits administration, healthcare, or another regulated...Remote workWork at officeFlexible hours
$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$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...- ...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
- ...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
$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- ...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...
$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$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$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...
$85k - $105k
A government services firm is seeking a Healthcare Fraud Investigator to provide legal support for a significant Government project. The successful candidate will be responsible for analyzing data using software tools, reviewing legal documents, and developing healthcare...- A government services contractor is seeking a Healthcare Fraud Investigator to provide legal support for a high-profile government project. The candidate will analyze data, review financial records, and assist in developing fraud referrals, while collaborating closely with...For contractors
- ...independently owned subsidiary of CVS Health, seeks an SIU Investigator to support the Network Cost Management team and the Special... ...Unit. You will conduct investigations to prevent and pursue healthcare fraud and abuse, recover funds, and ensure compliance with state regulations...
- Elevance Health is hiring an Investigator II in Chicago, IL, to investigate healthcare fraud and recover funds. This hybrid position requires in-office work 1-2 days per week and emphasizes collaboration while offering workplace flexibility. The ideal candidate must hold...Work at office2 days per week1 day per week
- The Elevance Health Companies, Inc. seeks an Investigator II to identify, investigate, and develop cases against healthcare fraud perpetrators to recover corporate and client funds. The role involves claim reviews, data mining, entity reviews, and law enforcement referrals...
$46.99k - $122.4k
The Hispanic Alliance for Career Enhancement is looking for a full-time position in health care fraud investigation in Nebraska. This role involves handling complex fraud cases, cooperating with law enforcement, and ensuring compliance with regulations. The ideal candidate...Full time- The Hispanic Alliance for Career Enhancement is seeking a dedicated individual to join their team focusing on healthcare fraud investigations. This role involves managing complex cases, preventing fraudulent claims, and collaborating with law enforcement. Ideal candidates...Full time
- ...seeking a qualified candidate for a position focused on investigating health care fraud. Responsibilities include handling complex cases, preventing... ...role requires at least three years of experience in healthcare fraud and a Bachelor's degree, emphasizing knowledge in...Full time
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