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Medicare Fraud Investigator jobs

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Fraud & Abuse Investigator, SR - Remote (Multiple States)

Virginia Beach, VA 23452 (Princess Anne Plaza area) Remote
  • Responsible for contributing to in-depth investigations for suspected fraud or abuse with respect toprovider, pharmacy, employer, member, and broker…

Fraud & Abuse Investigator, Remote (Multiple States)

Virginia Beach, VA 23452 (Princess Anne Plaza area) Remote
  • Responsible for contributing to in-depth investigations for suspected fraud or abuse with respect toprovider, pharmacy, employer, member, and broker…

Medical Review Nurse - Medicare/Medicaid - Home-Based

Easton, MD Remote
  • Investigates and refers all potential fraud leads to the Investigators/Auditors.
  • Completes desk review or field audits to meet applicable contract requirements…

Health Fraud Investigator - Home Based Nationwide

  • Experience in health care fraud investigation/detection strongly preferred.
  • Determines investigation or case appropriateness of fraud, waste and abuse issues in…

Investigator

  • Analyzes data as part of the investigative process using available fraud detection software and corporate resources.
  • Valid driver’s license required.

Healthcare Special Investigator

Philadelphia, PA 19113
$40 an hour
Requirements
Decision support tools used for data analysis : 3 years
Medicaid: Medicare: and pharmacy benefit laws n requirements: 3 years
Valid Drivers License
  • Health care fraud investigations: 5 years (Preferred).
  • Advanced knowledge and experience working on various approaches to fraud, waste and abuse.

Special Investigative Unit Investigator new

  • As a member of the fraud control team, the investigator recommends methodologies that help prevent illegal, unethical or improper conduct by identifying,…

Health Fraud Investigator

HRS Consulting, Inc.
Seattle, WA 98101 (Downtown area) Remote
  • Experience in health care fraud investigation/detection.
  • Experience supporting a state or federal program conducting health care fraud investigations.

Special Investigator new

  • Analyzes data as part of the investigative process using available fraud detection software and corporate resources.
  • Valid driver’s license required.

Entry Level Health Fraud (Intake) Investigator

Dallas, TX
  • Experience in health care fraud investigation/detection.
  • Certification in an applicable program such as Certified Fraud Examiner or Accredited Healthcare Anti…

Health Care Fraud Investigator

Missoula, MT
  • Refers evidence of criminal activities to appropriate criminal investigators or sworn law enforcement officers.
  • Testifies in court as required.

Health Fraud Investigator - Dallas-Houston-RGV-WFH

Dallas, TX Remote
  • Experience in health care fraud investigation/detection (preferred).
  • Determines investigation or case appropriateness of fraud, waste and abuse issues in…

Senior Healthcare Claims Analyst

Baltimore, MD
$85,000 a year
  • Healthcare analyst, healthcare investigator, claims investigator, claims analyst, healthcare claims analyst, healthcare claims investigator, consulting firm,…

Healthcare Fraud Investigator (Fraud Lead Analyst) - Express...

St. Louis, MO 63110 (Botanical Heights area)
  • Identify member and prescriber fraud and abuse risks using critical thinking skills and fraud analytics software.

Investigator

Purisolve, Inc.
Miramar, FL
  • Provide initial, accurate, and timely fraud consultation.
  • Remain current on trends concerning ID theft and common fraud scams.

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