Healthcare Fraud Investigator
Job Summary
Identifying and analyzing potential fraud, waste, and abuse in healthcare claims, the full-time remote Healthcare Fraud Investigator will conduct detailed reviews of medical records and claims data, collaborating with audit teams and legal partners to support overpayment recovery efforts.
Key responsibilities
- Conduct detailed investigations of healthcare claims and billing practices to detect fraudulent activities
- Prepare clear and objective reports and participate in results delivery meetings with stakeholders
- Stay current with healthcare regulations and industry best practices to enhance analytical methods
Required qualifications
- Experience in fraud prevention and investigation within healthcare or related fields
- Advanced analytical skills for interpreting complex data sets and identifying patterns
- Background in finance, healthcare reimbursement, or medical billing
- Experience in law enforcement or regulatory investigations related to healthcare fraud
- Bachelor's degree in criminal justice, finance, health administration, law, or a related field; relevant certifications are a plus
Complete Job Description
The complete job description is available to members. Premium membership includes:
Full access to 41,964 remote jobs from human-vetted companies, updated daily
Resume Builder - AI-powered tool to craft, enhance, and tailor your resume to a specific job
Twice-monthly live group coaching and the full Remote Career Center
20% member discount on Career Services
Backed by a 30-day money-back guarantee
Company Company Name
Headquarters Headquarters
Founded Founded
Website
The company description is available to members. Go Premium for full access to every job and company profile in our remote jobs database, backed by a 30-day money-back guarantee.
