Top 98 Fraud investigations Jobs in Arkansas

SIU Investigator
Centene —Arkansas
- $56,200 - $101,000 a year
- Full-time
- Remote
- Mid-level
- Fair chance
- 1 year
- Paid holidays
- Health insurance
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Arkansas
- $46,988 - $112,200 a year
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Manager, Operations - Fraud Prevention And Investigations
Walmart —Bentonville, AR
- $70,000 - $130,000 a year
- High school
- Office
- Master's degree
- Paid jury duty
- Disability insurance
Auditor/Investigator II
Qlarant —Arkansas
- $57,512 - $85,839 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
Quick Apply
Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Little Rock, AR
- $43,888 - $93,574 a year
- Full-time
- Microsoft Word
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
Bank Operations Fraud Specialist I- Debit Operations
Simmons Bank —Little Rock, AR
- Full-time
- Microsoft Outlook
- Computer literacy
- Writing skills
Quick Apply
Associate Claims Representative (Remote)
MEM —Arkansas
- Full-time
- Remote
- No high school diploma
- Mid-level
- High school diploma or GED
- Profit sharing
- Paid jury duty
Special Agent: Cybersecurity/Technology Expertise
Federal Bureau of Investigation —Little Rock, AR
- $103,326 - $133,200 a year
- Full-time
- Computer Science
- Mid-level
- Bachelor's degree
FBI Special Agent: Systems Integration & Network Security Expertise
Federal Bureau of Investigation —Little Rock, AR
- $103,236 - $133,200 a year
- Full-time
- Doctoral degree
- Mid-level
- Master's degree
- 401(k)
- Paid time off
FBI Special Agent: Data Science & Intelligence Expertise
Federal Bureau of Investigation —Little Rock, AR
- $99,461 - $128,329 a year
- Full-time
- Doctoral degree
- Master's degree
- Bachelor's degree
Special Agent: Psychology/Counseling Expertise
Federal Bureau of Investigation —Little Rock, AR
- $103,236 - $133,200 a year
- Full-time
- Mid-level
- Bachelor's degree
- Travel
Special Agent: STEM—Physical Sciences Background
Federal Bureau of Investigation —Little Rock, AR
- $103,236 - $133,200 a year
- Full-time
- Mid-level
- Analysis skills
- Bachelor's degree
FBI Special Agent: Information Systems & Process Management Expertise
Federal Bureau of Investigation —Little Rock, AR
- $103,236 - $133,200 a year
- Full-time
- Doctoral degree
- Mid-level
- Master's degree
FBI Special Agent: CPA/Accounting/Finance Expertise
Federal Bureau of Investigation —Little Rock, AR
- $103,263 - $133,200 a year
- Full-time
- Doctoral degree
- CPA
- Master's degree
Special Agent: Mathematics/Data Expertise
Federal Bureau of Investigation —Little Rock, AR
- $103,236 - $133,200 a year
- Full-time
- Mid-level
- Math
- Bachelor's degree
Special Agent: Education/Teaching Expertise
Federal Bureau of Investigation —Little Rock, AR
- $103,236 - $133,200 a year
- Full-time
- Mid-level
- Education
- Bachelor's degree
Special Agent: Military/Law Enforcement Expertise
Federal Bureau of Investigation —Little Rock, AR
- $103,326 - $133,200 a year
- Full-time
- Military
- Mid-level
- Bachelor's degree
FBI Special Agent: Advanced Data & Intelligence Expertise
Federal Bureau of Investigation —Little Rock, AR
- $103,236 - $133,200 a year
- Full-time
- Doctoral degree
- Master's degree
- Analysis skills
Special Agent: Linguistics Expertise
Federal Bureau of Investigation —Little Rock, AR
- $103,236 - $133,200 a year
- Full-time
- Mid-level
- Bachelor's degree
- Travel
Special Agent: STEM – Engineering Background
Federal Bureau of Investigation —Little Rock, AR
- $103,236 - $133,200 a year
- Full-time
- Engineering
- Mid-level
- Bachelor's degree

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fraud investigations jobs near arkansas

SIU Investigator

Centene -
Arkansas

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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
Bachelor's degree in business
Mid-level
Suspicious activity investigations
Data summary reports
Criminal Justice
Audit Reporting
Investigative data analysis
Insurance investigation report preparation
Outlier detection
Healthcare billing investigations
Case referral
1 year
Insurance claims auditing
Business
Healthcare claims compliance audits
Bachelor's degree in criminal justice

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.

Please note: candidates must reside in Arkansas.

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
1+ years Medical claim investigation, medical claim audit, medical claim analysis, or fraud investigation required

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 investigations jobs in arkansas

SIU Investigator

Senior Investigator, Special Investigations Unit (Aetna SIU)

Manager, Operations - Fraud Prevention And Investigations

Auditor/Investigator II

Investigator, Special Investigations Unit (Aetna SIU)

Bank Operations Fraud Specialist I- Debit Operations

Associate Claims Representative (Remote)

Special Agent: Cybersecurity/Technology Expertise

FBI Special Agent: Systems Integration & Network Security Expertise

FBI Special Agent: Data Science & Intelligence Expertise

Special Agent: Psychology/Counseling Expertise

Special Agent: STEM—Physical Sciences Background

FBI Special Agent: Information Systems & Process Management Expertise

FBI Special Agent: CPA/Accounting/Finance Expertise

Special Agent: Mathematics/Data Expertise

Special Agent: Education/Teaching Expertise

Special Agent: Military/Law Enforcement Expertise

FBI Special Agent: Advanced Data & Intelligence Expertise

Special Agent: Linguistics Expertise

Special Agent: STEM – Engineering Background

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