Top 9 Fraud investigator remote Jobs in Rye Ny

SIU Investigator
Centene —New York, NY
- $56,200 - $101,000 a year
- Full-time
- Remote
- 5 years
- Fair chance
- Senior level
- Paid holidays
- Health insurance
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 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
AML Operations Analyst
Ramp Financial —New York, NY
- $100,000 - $150,000 a year
- Full-time
- Hybrid work
- Mid-level
- Analysis skills
- Continuous improvement
- Travel reimbursement
- AD&D insurance
Collision Data Analyst
Advantage Surveillance LLC —New York, NY
- $28.50 - $38.50 an hour
- Part-time
- ASE Certification
- Mid-level
- Analysis skills
Quick Apply
10d
Licensed Private Investigator (Part-Time / On-Call)
Steve Stanulis —New York, NY
- $30,000 - $45,000 a year
- Weekends as needed
- Hybrid work
- Bilingual
- Military
- Writing skills
- Flexible schedule
Quick Apply
13d
Medical Science Liaison Immunology - Admilparant (NYC, Long Island)
Bristol-Myers Squibb —New York, NY
- $166,090 - $201,262 a year
- Email
- Hybrid work
- Medicine
- English
- Mid-level
- Paid holidays
- Disability insurance
Field Investigator
Advantage Surveillance LLC —Queens, NY
- $23 - $27 an hour
- Weekends as needed
- Pass drug screening
- Mid-level
- Driver's License
- Fuel card
- Disability insurance
Quick Apply
7d
Medical Science Liaison, Rheumatology (NYC, Long Island)
Bristol-Myers Squibb —New York, NY
- $166,090 - $201,262 a year
- Email
- Hybrid work
- Medicine
- English
- Mid-level
- Paid holidays
- Disability insurance
2d

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Corporate Ethics & Compliance Investigator
Centene —New York, NY
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time…
$107,700 - $199,300 a year
Senior Compliance Investigator
Centene —New York, NY
Leads and conducts compliance and ethics investigations across all business units and health plans, including but not limited to assessment of allegations,…
$70,100 - $126,200 a year

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Collision Data Analyst
Advantage Surveillance LLC —Columbus, OH
Valid driver’s license and reliable transportation. Tech school education on vehicle repair with field experience. Operator of a repair shop.
$28.50 - $38.50 an hour
Quick Apply
10d

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fraud investigator remote jobs near rye ny

SIU Investigator

Centene -
New York, NY

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Job Details

Full-time
$56,200 - $101,000 a year

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Healthcare financial misconduct investigations
Data mining
Health data analysis
5 years
Bachelor's degree in business
Suspicious activity investigations
Data summary reports
Criminal Justice
Investigative data analysis
Insurance investigation report preparation
Outlier detection
Healthcare billing investigations
Case referral
Insurance claims auditing
Senior level
Business
Healthcare claims compliance audits
Bachelor's degree in criminal justice
Law enforcement

Full Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Candidates residing in the state of New York are highly preferred.

Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse.

Conduct investigations of potential waste, abuse, and fraud
Document activity on each case and refer issues to the appropriate party
Perform data mining and analysis to detect aberrancies and outliers in claims
Develop new queries and reports to detect potential waste, abuse, and fraud
Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or resolutions
Assist with complex allegations of healthcare fraud
Prepare summary and/or detailed reports on investigative findings for referral to Federal and State agencies
Complete various special projects and audits
Performs other duties as assigned.
Complies with all policies and standards.

Education/Experience:

Bachelor's Degree Business, Criminal Justice, Healthcare, or related field, or equivalent experience required
5+ years in healthcare field working in fraud, waste and abuse investigations and audits, (or) 5+ years of insurance claims investigation experience or professional investigation experience with law enforcement agencies, (or) 7+ years of professional investigation experience involving economic or insurance related matters

Pay Range: $56,200.00 - $101,000.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

fraud investigator remote jobs in rye ny

SIU Investigator

Corporate Ethics & Compliance Investigator

Senior Compliance Investigator

AML Operations Analyst

Collision Data Analyst

Licensed Private Investigator (Part-Time / On-Call)

Medical Science Liaison Immunology - Admilparant (NYC, Long Island)

Field Investigator

Medical Science Liaison, Rheumatology (NYC, Long Island)

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