Top 21 Fraud remote Jobs in Staten Island Ny

Manager, Special Investigative Unit-NY (remote)
Molina Healthcare —New York, NY
- $73,102 - $171,058 a year
- Full-time
- Remote
- Analysis skills
- 1 year
- Senior level
- Health insurance
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
Claims Investigator
Gallagher Bassett —Fairfield, NJ
- $40,000 - $78,000 a year
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Computer skills
- Benefits from day one
8d
Senior Fraud Analyst – Fraud Investigations & Financial Crimes Monitoring
Alpaca —New York, NY
- Remote
- 5 years
- Writing skills
- Analysis skills
Quick Apply
3d
Senior Fraud Operations Specialist (Select States)
Aircall.io, Inc. —New York, NY
- $66,300 - $68,000 a year
- Remote
- 5 years
- SQL
- Analysis skills
Quick Apply
10d
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
Fraud Risk Manager
Made Card —New York, NY
- $100,000 - $110,000 a year
- Email
- Remote
- SQL
- Financial services
- Senior level
- Health insurance
- Dental insurance
Fraud AI / Data Healthcare Senior Consultant (remote)
Guidehouse —New York, NY
- $113,000 - $188,000 a year
- Full-time
- Remote
- Master's degree
- Bachelor's degree
- Travel
- Health savings account
- Paid holidays
Manager, Machine Learning Engineering (Fraud)
Affirm —New York, NY
- $204,000 - $290,000 a year
- Remote
- Management
- 8 years
- Bachelor's degree
- Employee stock purchase plan
- 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
Trade Surveillance Analyst 1 — Financial Crimes Department
Alpaca —New York, NY
- Remote
- 5 years
- Mid-level
- Analysis skills
- Health insurance
Quick Apply
3d
Head of Fraud & Risk Management Operations
Raisin —New York, NY
- $200,000 - $230,000 a year
- Remote
- Continuous improvement
- Senior level
- Communication skills
- Commuter assistance
- Health insurance
Quick Apply
Senior Fraud Strategy and Analytics Manager
Raisin —New York, NY
- $120,000 - $160,000 a year
- Remote
- 8 years
- SQL
- Senior level
- Commuter assistance
- Health insurance
Quick Apply
SIU, Investigator
Marshall Investigative Group —Long Island, NY
- $50,000 - $65,000 a year
- Weekends as needed
- Remote
- Microsoft Word
- Mid-level
- High school diploma or GED
- Travel reimbursement
- Mileage reimbursement
Quick Apply
11d
Senior Data Analyst - Fraud Strategy & Operations
Raisin —New York, NY
- $120,000 - $140,000 a year
- Remote
- 8 years
- SQL
- Senior level
- Commuter assistance
- Health insurance
Quick Apply
Federal Litigation Attorney — Civil RICO / Fraud Defense — Hybrid — New York, NY
Confidential —Brooklyn, NY
- $150,000 - $250,000 a year
- Full-time
- Remote
- Writing skills
- 3 years
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
3d
Litigation Paralegal
Goldberg Miller & Rubin —Newark, NJ
- Remote
- Mid-level
- Organizational skills
- 2 years
- Health savings account
- Paid holidays
Quick Apply
1d
Senior Software Engineer, Fraud
Whatnot —New York, NY
- $200,000 - $230,000 a year
- Full-time
- Remote
- Computer Science
- System design
- Bachelor's degree
- Paid parental leave
- Health insurance
Risk & Compliance Senior Director Consulting Practice
NTT Ltd —Newark, NJ
- $216,405 - $480,900 a year
- Full-time
- Remote
- 6 years
- Bachelor's degree
- Senior level
- Health savings account
- AD&D insurance

More jobs to discover

Find similar jobs that you might be interested in.

SIU Investigator
Centene —New York, NY
5+ years in healthcare field working in fraud, waste and abuse investigations and audits, (or) 5+ years of insurance claims investigation experience or…
$56,200 - $101,000 a year
Manager, Special Investigative Unit-NY (remote)
Molina Healthcare —New York, NY
Provides oversight and review of the special investigation until (SIU) referral intake and investigation process, and provides guidance and direction to team on…
$73,102 - $171,058 a year

Show more similar jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Surveillance Agent
Marshall Investigative Group —Columbus, OH
Must have a Private Investigator license and mobile surveillance experience. Associate's or Bachelor's Degree in Criminal Justice, Security Management, or…
$22 - $32 an hour
Quick Apply
11d
Compliance Manager
Mission Lane —Columbus, OH
You can hold your own in a conversation about AI-driven collections models or evolving contacting strategies. Professional certification: CRCM and/or CAMS.
$129,000 - $140,000 a year

I want to receive the latest job alert for fraud remote in staten island ny

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

fraud remote jobs near staten island ny

Manager, Special Investigative Unit-NY (remote)

Molina Healthcare -
New York, NY

Apply Now

Job Details

Full-time
$73,102 - $171,058 a year

Benefits

Health insurance

Qualifications

Team leadership
Productivity software

Full Job Description

JOB DESCRIPTION

Leads and manages team responsible for special investigation unit (SIU) activities, specifically the prevention and detection of violation of applicable laws and regulations. Responsible to protect the business from liability of fraudulent or abusive practices, and ensure the business understands and complies with applicable laws and regulations pertaining to the health care environment. Accountable for oversight, follow-up and resolution of investigations.

Essential Job Duties

Provides oversight and review of the special investigation until (SIU) referral intake and investigation process, and provides guidance and direction to team on case investigation steps/actions.
Collaborates with leadership to maintain and revise policies and procedures, fraud, waste, and abuse (FWA) plans, annual audit work plans - including department guidance memos, and educational materials.
Identifies opportunities for improvement through the audit process and provides recommendations for system enhancements in order to augment investigative outcomes and performance.
Accurately tracks, reports, and follows-up on overpayments and recoveries.
Leads business requirement process and reporting to ensure proper and timely notification of case activity to the appropriate regulatory and/or law enforcement agency.

Job Requirements

At least 7 years of experience in special investigations, law enforcement, and/or experience in a regulatory environment, or equivalent combination of relevant education and experience.
At least 1 year of management/leadership experience.
Strong interpersonal skills.
Strong analytical and critical-thinking abilities.
Organizational and time-management skills.
Experience with investigative case management system.
Strong verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications
Health Care Anti-Fraud Associate (HCAFA), Accredited Health Care Fraud Investigator (AHFI) and/or Certified Fraud Examiner (CFE).

To all current Molina employees. If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $73,102 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

fraud remote jobs in staten island ny

Manager, Special Investigative Unit-NY (remote)

SIU Investigator

Claims Investigator

Senior Fraud Analyst – Fraud Investigations & Financial Crimes Monitoring

Senior Fraud Operations Specialist (Select States)

Corporate Ethics & Compliance Investigator

Fraud Risk Manager

Fraud AI / Data Healthcare Senior Consultant (remote)

Manager, Machine Learning Engineering (Fraud)

Senior Compliance Investigator

Trade Surveillance Analyst 1 — Financial Crimes Department

Head of Fraud & Risk Management Operations

Senior Fraud Strategy and Analytics Manager

SIU, Investigator

Senior Data Analyst - Fraud Strategy & Operations

Federal Litigation Attorney — Civil RICO / Fraud Defense — Hybrid — New York, NY

Litigation Paralegal

Senior Software Engineer, Fraud

Risk & Compliance Senior Director Consulting Practice

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for fraud remote in staten island ny

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected