Top 52 Senior fraud investigator Jobs in Remote

Senior Investigator - Lead Validation (Healthcare FWA)
Cotiviti —Remote
- $70,000 - $90,000 a year
- Full-time
- Remote
- 5 years
- Bachelor's degree
- Travel
- Paid holidays
- Disability insurance
Senior Financial Investigator
Contact Government Services, LLC —Remote
- $74,156.16 - $107,114.45 a year
- Full-time
- Hybrid work
- Mid-level
- Driver's License
- Presentation skills
- Health insurance
- Dental insurance
Quick Apply
Senior Director, Corporate Meetings & Events
Otsuka America Pharmaceutical, Inc —Remote
- $209,599 - $313,375 a year
- Full-time
- Remote
- Office
- Bachelor's degree
- Contracts
- AD&D insurance
- Paid holidays
4d
Corporate Ethics & Compliance Investigator
Centene —New York, NY
- $107,700 - $199,300 a year
- Full-time
- Remote
- 7 years
- Management
- HIPAA
- Paid holidays
- Health insurance
Senior Investigator
UnitedHealthcare —Albuquerque, NM
- $60,200 - $107,400 a year
- Full-time
- Remote
- Microsoft Word
- Up to 50% travel
- Pass drug screening
- AD&D insurance
- Employee stock purchase plan
Senior Compliance Investigator
Centene —New York, NY
- $70,100 - $126,200 a year
- Full-time
- Remote
- Writing skills
- High school diploma or GED
- Fair chance
- Paid holidays
- Health insurance
Senior Investigative Analyst (Fraud Analytics & Investigative Support)
Praescient Analytics —Fairfax, VA
- Online Application
- Remote
- 3 years
- SQL
- Analysis skills
- Paid holidays
- Tuition reimbursement
Quick Apply
Lead SIU Investigator
Centene —Washington, DC
- $70,100 - $126,200 a year
- Full-time
- Remote
- Master's degree
- High school diploma or GED
- Mentoring
- Paid holidays
- Health insurance
5d
Senior Auditor
Contact Government Services, LLC —Remote
- $80,000 - $150,000 a year
- Full-time
- Hybrid work
- CPA
- 5 years
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Senior Investigator Pharmacy - Los Angeles County, CA
UnitedHealthcare —Los Angeles, CA
- $60,200 - $107,400 a year
- Full-time
- Remote
- Microsoft Word
- Up to 50% travel
- Pass drug screening
- AD&D insurance
- Employee stock purchase plan
Senior SIU Major Case (Medical Provider Investigations)
USAA —San Antonio, TX
- $93,770 - $179,240 a year
- Full-time
- Remote
- Military
- 3 years
- High school diploma or GED
- Paid holidays
- Health insurance
8d
Associate Director, Clinical Quality Assurance Auditor
Cytokinetics —Remote
- $195,300 - $227,850 a year
- Full-time
- Remote
- Bachelor's degree
- Travel
- Senior level
Manager, All Source Investigations (US-only)
TRM Labs —Washington, DC
- $190,000 - $230,000 a year
- Full-time
- Remote
- Supervising experience
- Quality control
- Travel
Quick Apply
1d
Vice President - Business Development
EFI Global, Inc. —Remote
- $150,000 - $160,000 a year
- Full-time
- Remote
- Computer literacy
- Finance
- Analysis skills
- Health savings account
- Disability insurance
Project Manager
Ardent —Washington, DC
- Remote
- 5 years
- Analysis skills
- Conflict management
- Health insurance
- Tuition reimbursement
Senior Fire Investigator, IAAI-CFI
EFI Global, Inc. —Miami, FL
- 4 hour shift
- Remote
- Ability to walk for extended periods
- 5 years
- Computer literacy
7d
Senior Forensic Accountant (Fraud Analytics & Investigative Support)
Praescient Analytics —Fairfax, VA
- Online Application
- Remote
- CPA
- 5 years
- Analysis skills
Quick Apply
Senior Medical Science Liaison - Rare Diseases East
Otsuka Pharmaceutical Development and Commercialization, Inc. —Remote
- $169,222 - $253,000 a year
- Full-time
- Remote
- Medicine
- Management
- Residential
- AD&D insurance
- Paid holidays
Claim Rep Sr, SIU - Casualty (Hybrid or Remote)
MAPFRE —Webster, MA
- $52,100 - $82,200 a year
- Remote
- Bilingual
- Customer service
- Research
- Profit sharing
- Health savings account
Director, Clinical Management- Psychedelics
Otsuka Pharmaceutical Development and Commercialization, Inc. —Remote
- $186,489 - $278,875 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Supervising experience
- AD&D insurance
- Paid holidays

I want to receive the latest job alert for senior fraud investigator in remote

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

senior fraud investigator jobs near remote

Siu Investigator jobs in Washington, DC

Quality Assurance Auditor jobs in Remote

Medical Investigator jobs in San Antonio, TX

Vice President Of Business Development jobs in Remote

Fire Investigator jobs in Miami, FL

Sourcing Manager jobs in Washington, DC

Director Of Events jobs in Remote

Project Manager jobs in Washington, DC

Senior Validation Engineer jobs in Remote

Liaison jobs in Remote

Senior Pharmacy Technician jobs in Los Angeles, CA

Clinic Manager jobs in Remote

Claims Representative jobs in Columbus, GA

Remote Claims jobs in Chicago, IL

Sales Representative jobs in Nashville, TN

Claims Representative jobs in El Paso, TX

Claims Representative jobs in Missouri

Claims Adjuster Trainee jobs in Illinois

Business Development Representative jobs in Chicago, IL

Claims Representative jobs in Rancho Cordova, CA

Senior Investigator - Lead Validation (Healthcare FWA)

Cotiviti -
Remote

Apply Now

Job Details

Full-time
$70,000 - $90,000 a year

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
Paid time off
Family leave
Vision insurance
Life insurance

Qualifications

Computer skills

Full Job Description

Overview:

As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through data analysis (a high level of proficiency with Excel is required). This is not a physical investigator role.

This role aligns with our post-pay Fraud Waste & Abuse team.

Responsibilities:

Identify, investigate, analyze and evaluate instances of potential fraud, waste, and abuse.
Proactively monitors provider activity to identify patterns, anomalies, and emerging trends that may warrant further investigation.
Utilizes data analytics, claims review, and industry intelligence to detect potential fraud, waste, abuse, or non-compliance.
Leverages claims data, dashboards, and predictive models to identify providers exhibiting atypical billing patterns or potential fraud, waste, and abuse.
Analyze information gathered by investigation and report findings and recommendations as a written summary and/or presentation.
Conducts investigation-related training.
Supports legal proceedings as needed, including testifying in court or working with law enforcement personnel to prepare cases for civil or criminal actions.
Maintain current knowledge of relevant laws, regulations and standards.
Participates in special projects as required.
Complete all responsibilities as outlined on annual Performance Plan.
Complete all special projects and other duties as assigned.
Must be able to perform duties with or without reasonable accommodation.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change.

Qualifications:

Bachelor’s Degree in related discipline, or the equivalent combination of education, professional training and work experience.
5-8 years of related FWA investigative experience.
Experience in proactive data mining.
Experience in sampling and data extrapolation; prior use with RAT-STATS preferred
Advanced level skills in Excel required.
Experience using Cotiviti FWA tools (preferred) - Sentinel, Commander, and/or Informant (Stars Solutions).
Excellent verbal and written communication skills.
Strong listening and observation skills.
Attention to detail and high level of accuracy.
Effective organizational and prioritization skills with multi-tasking ability.
Preferred certifications:
- Accredited Healthcare Fraud Investigator (AHFI),
- Certified Fraud Specialist (CFS),
- Certified Fraud Examiner (CFE),
- Certified Forensic Interviewer (CFI), or
- Certified in Healthcare Compliance (CHC).

Job Demands:

This is a work-at-home position. Access to high-speed internet is required (all other equipment will be provided).
Must be able to sit and use a computer keyboard for extended periods of time.
Travel up to 15%.
Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones.
After hours and/or weekend work is required where necessary for major deliverables/deadlines (not consistent).

Mental Requirements:

Communicating with others to exchange information.
Assessing the accuracy, neatness, and thoroughness of the work assigned.

Physical Requirements and Working Conditions:

Remaining in a stationary position, often standing or sitting for prolonged periods.
Repeating motions that may include the wrists, hands, and/or fingers.
Must be able to provide a dedicated, secure work area.
Must be able to provide high-speed internet access/connectivity and office setup and maintenance.

Base compensation ranges from $70,000 to $90,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.

Date of posting: 6/12/2026

Applications are assessed on a rolling basis. We anticipate that the application window will close on 8/12/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

#senior

#LI-JB1

#LI-Remote

Apply Now

Refine Your Search

senior fraud investigator jobs in remote

Senior Investigator - Lead Validation (Healthcare FWA)

Senior Financial Investigator

Senior Director, Corporate Meetings & Events

Corporate Ethics & Compliance Investigator

Senior Investigator

Senior Compliance Investigator

Senior Investigative Analyst (Fraud Analytics & Investigative Support)

Lead SIU Investigator

Senior Auditor

Senior Investigator Pharmacy - Los Angeles County, CA

Senior SIU Major Case (Medical Provider Investigations)

Associate Director, Clinical Quality Assurance Auditor

Manager, All Source Investigations (US-only)

Vice President - Business Development

Project Manager

Senior Fire Investigator, IAAI-CFI

Senior Forensic Accountant (Fraud Analytics & Investigative Support)

Senior Medical Science Liaison - Rare Diseases East

Claim Rep Sr, SIU - Casualty (Hybrid or Remote)

Director, Clinical Management- Psychedelics

I want to receive the latest job alert for senior fraud investigator in remote

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected