Top 978 Work from home Jobs in Canton, Ok

Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Oklahoma
CVS Health —Oklahoma
- $43,888 - $76,500 a year
- Full-time
- Remote
- Writing skills
- Mid-level
- Residential
- Health insurance
- Dental insurance
3d
Licensed Mental Health Therapist
Headway —Oklahoma
- Up to $122 an hour
- Remote
- Private practice
- LMFT
- Licensed Clinical Social Worker
Licensed Clinical Social Worker
Headway —Oklahoma
- Up to $122 an hour
- Remote
- Private practice
- Licensed Clinical Social Worker
- Mid-level
Oklahoma (remote) - Speech-language pathologist
Presence —Oklahoma
- $40 - $55 an hour
- Remote
- School experience
- Clinic experience
- Mid-level
Quick Apply
7d
Senior Quantitative Analyst - AI Trainer
DataAnnotation —Oklahoma
- $50 - $100 an hour
- Part-time
- Remote
- Computer Science
- English
- Mid-level
- Flexible schedule
Quick Apply
Senior Data Scientist - AI Trainer
DataAnnotation —Oklahoma
- $50 - $100 an hour
- Part-time
- Remote
- Computer Science
- English
- 3 years
- Flexible schedule
Quick Apply
Psychiatric Mental Health Nurse Practitioner (PMHNP) - Women's Health - Oklahoma resident/licensed required
Seven Starling —Oklahoma
- $75 - $80 an hour
- Contract
- Remote
- Background check
- Psychiatry
- Mid-level
- Health insurance
- Flexible schedule
Quick Apply
Licensed Mental Health Therapist - Remote (LCSW, LPC, LMFT)
Talkspace —Oklahoma
- $70 an hour
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Continuing education credits
8d
Microvellum Engineer
Architectural Wood Design —United States
- $23 - $33 an hour
- Full-time
- Remote
- AutoCAD
- 5 years
- Continuous improvement
- Opportunities for advancement
Quick Apply
Construction Technical Specialist - Autodesk FORMA ( ACC )
MicroCAD Training & Consulting, Inc. —United States
- Full-time
- Remote
- 7 years
- Presentation skills
- Travel
- Health savings account
- Paid holidays
Quick Apply
Sales Manager - Midwest US
Romet Limited Canada —United States
- Remote
- Mid-level
- Travel
- Organizational skills
- AD&D insurance
- Disability insurance
Hmong Simultaneous Interpreter
Focus Interpreting —United States
- Remote
- Mid-level
- Communication skills
Quick Apply
Epic ODBA
Vytwo —United States
- Full-time
- Remote
- Mid-level
- Linux
- Epic
Quick Apply
Pharmacy Finance Analyst / Senior Analyst
Health Strategy, LLC —United States
- $100,000 - $140,000 a year
- Full-time
- Remote
- 5 years
- Finance
- SQL
- Health savings account
- Health insurance
Quick Apply
11h
Senior Tax Manager (CPA) — Remote
Brunner Accounting Group —United States
- $140,000 - $165,000 a year
- Full-time
- Remote
- CPA
- Research
- Accounting
- Health insurance
- Dental insurance
Quick Apply
13h
SEO & GEO Strategist
CSP Agency —United States
- $70,000 - $85,000 a year
- Full-time
- Remote
- 5 years
- Analysis skills
- JavaScript
- Health insurance
- Dental insurance
Quick Apply
Clinician (Oncology / Hematology) - AI Trainer
micro1 —United States
- $160 - $200 an hour
- Contract
- Remote
- 5 years
- BC/BE
- No experience needed
- Flexible schedule
9d
Manager of Technical Sales Specialists - Cell and Gene Therapy - Remote, Northeast
Sartorius —United States
- $140,000 - $180,000 a year
- Full-time
- Remote
- Up to 50% travel
- Product management
- Travel
- Health savings account
- AD&D insurance
Trial Attorney
Bernard Law Group, PLLC —United States
- $100,000 - $200,000 a year
- Full-time
- Remote
- Mid-level
- AD&D insurance
- Health insurance
Quick Apply
7d
Sr Enterprise Risk & Capital Strategy Analyst
Horace Mann —United States
- $105,200 - $147,950 a year
- Remote
- Microsoft Excel
- 5 years
- Finance
Quick Apply

I want to receive the latest job alert for work from home in canton, ok

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

work from home jobs near canton, ok

Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Oklahoma

CVS Health -
Oklahoma

Apply Now

Job Details

Full-time
$43,888 - $76,500 a year
3 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Healthcare financial misconduct investigations
Data mining
Fraud Detection Systems
Data analysis software

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
The Special Investigations Unit (SIU) Investigator is responsible for thoroughly investigating any allegations of Medicaid healthcare fraud, waste, or abuse in accordance with federal and state regulation. This position will be responsible for collaborating with Compliance, State Medicaid Plans, Health Plans, and Coding teams.

Oklahoma residence required.

Review concern/allegation, develop an investigation plan, identify additional information needed, and individuals to interview.
Manage an active caseload ensuring timely and thorough task completions while adhering to legal and organizational standards.
Interview healthcare providers, patients/members, and others to gather information pertinent to the investigation.
Use data analytics and software tools to analyze billing patterns, identify anomalies, and detect suspicious activities.
Use medical records, billing data, and coding systems to ensure compliance with regulations and code requirements.
Partner with the Senior Investigator, as needed, to support FWA case activities and ensure alignment on investigative strategy and next steps.
Partner with the Clinical team to support pre-payment and post-payment coding reviews.
Collaborate with SIU Compliance and PI Managers for specific state requirements and deliverables.
Refer cases to law enforcement and regulatory agencies as required by state plans.
Coordinate with internal legal teams to review findings, case outcomes, prepare evidence for potential court cases or administrative hearings.
Prepare comprehensive investigation reports that document fact findings and provide recommendations for appropriate corrective action outcomes.
Maintain and document accurate records of all investigations, including evidence collected, interviews, and outcomes.
Monitor and promote healthcare provider adherence to applicable federal and state requirements, as well as payer billing and claims guidelines.
Communicate case outcomes to healthcare providers and complete follow-up outreach as needed.

Required Qualifications

Must reside in Oklahoma.
Experience in working healthcare investigations.
2 years of experience in healthcare fraud investigation.
Experience with using fraud, waste, and abuse (FWA) detection tools and enterprise databases to support data mining, analysis, and information gathering.
Ability to travel and participate in legal proceedings, arbitrations, depositions, etc.

Preferred Qualifications

Credential(s) such as Certified Fraud Examiners (CFE) and National Health Care Anti-Fraud Association (AHFI).
3+ years Medicaid Fraud, Waste and Abuse investigatory experience.
Coding certification such as CPC (AAPC) and/or CCS (AHIMA).
Knowledge of Behavioral Health care delivery, policies and procedures, and contractual implications.
Knowledge of healthcare laws, regulations, and CPT/HCPCS coding.
Strong analytical and investigative skills.
Strong communication skills needed for interviewing and presentations to Health Plans and State Regulators.
Strong documentation/writing skills needed for presentations and case documentation.

Education

Bachelor’s degree in criminal justice, healthcare administration, accounting, or a related field preferred or equivalent experience.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$43,888.00 - $76,500.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 07/25/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

work from home jobs in canton, ok

Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Oklahoma

Licensed Mental Health Therapist

Licensed Clinical Social Worker

Oklahoma (remote) - Speech-language pathologist

Senior Quantitative Analyst - AI Trainer

Senior Data Scientist - AI Trainer

Psychiatric Mental Health Nurse Practitioner (PMHNP) - Women's Health - Oklahoma resident/licensed required

Licensed Mental Health Therapist - Remote (LCSW, LPC, LMFT)

Microvellum Engineer

Construction Technical Specialist - Autodesk FORMA ( ACC )

Sales Manager - Midwest US

Hmong Simultaneous Interpreter

Epic ODBA

Pharmacy Finance Analyst / Senior Analyst

Senior Tax Manager (CPA) — Remote

SEO & GEO Strategist

Clinician (Oncology / Hematology) - AI Trainer

Manager of Technical Sales Specialists - Cell and Gene Therapy - Remote, Northeast

Trial Attorney

Sr Enterprise Risk & Capital Strategy Analyst

I want to receive the latest job alert for work from home in canton, ok

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected