Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Healthcare Fraud Investigator

$56.2k - $101k

Centene Management Company LLC

Wisconsin
  • 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

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Healthcare Fraud Investigator in Wisconsin vacancy
  •  ...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

    Columbus, OH
    4 days ago
  •  ...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

    Humana

    Brooklyn, NY
    4 days ago
  • 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

    Lansing, MI
    1 day ago
  • 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 Corporation
    Remote job
    Flexible hours

    Centene Corporation

    New York, NY
    4 days ago
  • 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

    Humana Inc

    Frankfort, KY
    22 hours ago
  • 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 Management Company LLC

    Brooklyn, NY
    4 days ago
  • 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 job
    Flexible hours

    Centene Corporation

    Topeka, KS
    3 days ago
  • 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 job
    Flexible hours

    Centene Management Company LLC

    New York, NY
    3 days ago
  • $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 job
    Flexible hours

    Centene Management Company LLC

    Florida, NY
    2 days ago
  • 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 job
    Flexible hours

    Centene Corporation

    Wisconsin
    4 days ago
  • 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 job
    Flexible hours

    Centene Corporation

    Little Rock, AR
    4 days ago
  •  ...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 work
    Work at office
    Flexible hours

    Employee Benefits Corporation

    Bagdad, FL
    1 day ago
  • $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 work
    Full time

    HireAligned

    Remote
    more than 2 months ago
  • $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... 

    Hispanic Alliance for Career Enhancement

    Louisiana, MO
    22 hours ago
  •  ...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

    Stripe

    United States
    4 days ago
  •  ...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 work
    Full time

    Virtual Vocations Inc

    United States
    15 hours ago
  • $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 work
    Local area
    Flexible hours

    Municipal Credit Union

    United States
    3 days ago
  •  ...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... 

    EmblemHealth

    New York, NY
    22 hours ago
  • $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 work
    Full time
    Work at office
    Work from home
    Flexible hours

    Quartz

    Madison, WI
    22 hours ago
  • $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 work
    Contract work
    Part time
    For contractors
    Work experience placement
    Local area

    Evolving Solution Services

    Billings, MT
    22 hours ago
  • $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

    Hispanic Alliance for Career Enhancement

    Phoenix, AZ
    2 days ago
  • 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... 

    CGS Federal (Contact Government Services)

    Tampa, FL
    1 day ago
  • $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... 

    CGS Federal (Contact Government Services)

    Oklahoma City, OK
    1 day ago
  • 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

    CGS Federal (Contact Government Services)

    Charlotte, NC
    1 day ago
  •  ...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... 

    CVS Health

    Austin, TX
    22 hours ago
  • 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 office
    2 days per week
    1 day per week

    Elevance Health

    Chicago, IL
    22 hours ago
  • 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... 

    The Elevance Health Companies, Inc.

    Denver, CO
    22 hours ago
  • $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

    Hispanic Alliance for Career Enhancement

    Lincoln, NE
    22 hours ago
  • 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

    Hispanic Alliance for Career Enhancement

    Topeka, KS
    22 hours ago
  •  ...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

    Hispanic Alliance for Career Enhancement

    Nashville, TN
    22 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Healthcare Fraud Investigator. Be the first to apply!