Top 19 Fraud investigator Jobs in Humble Tx

Investigator
UnitedHealthcare —Houston, TX
- $49,700 - $88,800 a year
- Full-time
- Remote
- Microsoft Word
- Pass drug screening
- Mid-level
6d
Principal Investigator Pharmacy - Dallas and Houston, TX
UnitedHealthcare —Houston, TX
- $72,800 - $130,000 a year
- Full-time
- Remote
- Microsoft Word
- Up to 50% travel
- Pass drug screening
QA & Risk - Lead Investigator
Houston-Galveston Area Council —Houston, TX
- $75,000 - $90,000 a year
- Full-time
- Writing skills
- Mid-level
- 3 years
QA & Risk - Investigator
Houston-Galveston Area Council —Houston, TX
- $60,000 - $75,000 a year
- Full-time
- Mid-level
- Finance
- Driver's License
Private Investigator
J Holdings —Houston, TX
- Senior level
Quick Apply
Surveillance Agent - Full-time or Part-time
MARSHALL INVESTIGATIVE GROUP LLC —Houston, TX
- $22 - $32 an hour
- Weekends as needed
- Remote
- Microsoft Word
- 11+ years
- Research
Quick Apply
14d
SIU, Investigator
Marshall Investigative Group —Houston, TX
- $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
Private Investigator
Lemieux & Associates LLC —Houston, TX
- $25 - $32 an hour
- Part-time
- Bilingual
- Computer literacy
- Mid-level
- Flexible schedule
Quick Apply
Licensed Private Investigator
Infiniti Investigations, LLC —Harris County, TX
- $25 - $35 an hour
- Part-time
- Clean driving record
- Military
- English
- Flexible schedule
Quick Apply
6d
Surveillance Investigator
VRC Investigations —Houston, TX
- $20 - $25 an hour
- Clean driving record
- Military
- Computer literacy
- Profit sharing
- Paid training
Quick Apply
4d
Part Time SIU Investigator
The Robison Group —Houston, TX
- $30 - $35 an hour
- Part-time
- Background check
- 5 years
- Computer literacy
Quick Apply
Surveillance Investigator
Frasco Inc —Houston, TX
- $20 - $26 an hour
- Weekends as needed
- Clean driving record
- Military
- High school diploma or GED
- Paid training
- Mileage reimbursement
Personal Injury Field Investigator
AK Law Firm, PLLC —Houston, TX
- Full-time
- Clean driving record
- Military
- Pass drug screening
- Health insurance
- Dental insurance
Quick Apply
Fraud & Criminal Investigator II
Service Corporation International —Houston, TX
- Extended hours
- Travel
- Senior level
- Associate's degree
Quick Apply
8d
Licensed Covert Surveillance Investigator - Part Time - Houston, TX
Meridian Investigative Group, Inc —Houston, TX
- $20 - $30 an hour
- Extended hours
- Microsoft Word
- Computer literacy
- Writing skills
Senior Investigations Analyst – Digital Forensics
Corebridge —Houston, TX
- $128,000 - $140,000 a year
- Email
- Hybrid work
- English
- Office
- Windows
- Wellness program
- Health insurance
Senior Mechanical Forensic Engineer, P.E.
EFI Global, Inc. —Houston, TX
- Full-time
- Remote
- Ability to walk for extended periods
- Computer literacy
- Bachelor of Science
1d
Senior Environmental Service Line Manager
EFI Global, Inc. —Houston, TX
- Full-time
- Remote
- Clean driving record
- Sales
- Ability to walk for extended periods

More jobs to discover

Find similar jobs that you might be interested in.

Real Estate Agent | 3-5 Deals — Ready to Scale Full Time | Leads Provided | RE/MAX Coastal | The Mandie McMillan Team Agent
Mandie McMillan Team at REMAX COASTAL —Pearland, TX
What the Team Covers All RE/MAX desk fees — absorbed by the team Technology-driven leads delivered to your pipeline daily — not from your contacts list All…
$75,000 - $200,000 a year
Intake Team Lead
Armstrong Lee & Baker LLP —Houston, TX
This is a leadership role that carries real responsibility: you will mentor and support the intake team, handle escalated calls and complex inquiries, and…
$90,000 - $110,000 a year
Quick Apply

Show more similar jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Columbus - BWC Fraud Investigator - PN: 20066794
State of Ohio - Workers' Compensation —Columbus, OH
(Note: conducting criminal investigations is defined as performing field interviews & interrogation, field surveillance, field information & evidence gathering…
$31.47 - $46.08 an hour
4d
Fraud Investigator - Intermittent
State of Ohio - Job & Family Services —Columbus, OH
Completion of associate core program in law enforcement, criminal justice or in academic field commensurate with program area to be assigned per approved…
$28.76 an hour
14h

Show more jobs in cities nearby

I want to receive the latest job alert for fraud investigator in humble tx

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 investigator jobs near humble tx

Siu Investigator jobs in Houston, TX

Quality Assurance Manager jobs in Houston, TX

Environmental Services Manager jobs in Houston, TX

Senior Mechanical Engineer jobs in Dallas, TX

Investigations Analyst jobs in Houston, TX

Surveillance Investigator jobs in Houston, TX

Field Investigator jobs in Houston, TX

Surveillance Operator jobs in Houston, TX

Senior Fraud Investigator jobs in Houston, TX

Principal jobs in Houston, TX

Quality Assurance Analyst jobs in Houston, TX

Private Investigator jobs in Houston, TX

Crime Scene Investigator jobs in Illinois

Siu Investigator jobs in Denver, CO

Siu Investigator jobs in New York State

Private Investigator jobs in Connecticut

Siu Investigator jobs in Remote

Siu Investigator jobs in Atlanta, GA

Siu Investigator jobs in Roseville, CA

Quality Control Inspector jobs in Roseville, CA

Investigator

UnitedHealthcare -
Houston, TX

Apply Now

Job Details

Full-time
$49,700 - $88,800 a year
6 days ago

Qualifications

Microsoft Word
Healthcare financial misconduct investigations
Investigations regulatory compliance
Medical law
Spreadsheets
State healthcare regulations
Investigative data analysis
Healthcare billing investigations
Investigating compliance violations
Associate's degree

Full Job Description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Investigator is responsible for identification, investigation and prevention of healthcare fraud, waste, and abuse. The Investigator will utilize claims data, applicable guidelines, and other sources of information to identify aberrant billing practices and patterns. The Investigator is responsible for conducting investigations which may include field work to perform interviews and obtain records and/or other relevant documentation.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities :

Assess complaints of alleged misconduct received within the Company
Investigate low to medium complex cases of fraud, waste, and abuse
Detect fraudulent activity by members, providers, employees, and other parties against the Company
Develop and deploy the most effective and efficient investigative strategy for each investigation
Maintain accurate, current, and thorough case information in the Special Investigations Unit's (SIU's) case tracking system
Collect and secure documentation or evidence and prepare summaries of the findings
Participate in settlement negotiations and/or produce investigative materials in support of the latter
Collect, collate, analyze, and interpret data relating to fraud, waste, and abuse referrals
Ensure compliance of applicable federal/state regulations or contractual obligations
Report suspected fraud, waste, and abuse to appropriate federal or state government regulators
Comply with goals, policies, procedures, and strategic plans as delegated by SIU leadership
Collaborate with state/federal partners, at the discretion of SIU leadership, to include attendance at workgroups or regulatory meetings
Communicate effectively, including written and verbal forms of communication
Develop goals and objectives, track progress and adapt to changing priorities
Must participate in legal proceedings, arbitration, and depositions at the direction of management

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Associate's degree
1+ years of experience in health care fraud, waste and abuse (FWA) investigations/audit
Basic level of knowledge/training in healthcare FWA investigations
Basic level of knowledge with state/federal laws and regulations pertaining to healthcare FWA
Basic level of knowledge in analyzing data to identify fraud, waste and abuse trends
Intermediate level of proficiency in Microsoft Excel and Word
Ability to travel up to 25%

Preferred Qualifications:

Active affiliations with the National Health Care Anti-Fraud Association (NHCAA)
Accredited Health Care Fraud Investigator (AHFI)
Certified Fraud Examiner (CFE)
Certified Professional Coder (CPC)
Certified Pharmacy Technician (CPhT)
Medical Laboratory Technician (MLT)
Statistical Analysis
All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

For more information on our Internal Job Posting Policy, click here.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $49,700 to $88,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO, #GREEN

Apply Now

Refine Your Search

fraud investigator jobs in humble tx

Investigator

Principal Investigator Pharmacy - Dallas and Houston, TX

QA & Risk - Lead Investigator

QA & Risk - Investigator

Private Investigator

Surveillance Agent - Full-time or Part-time

SIU, Investigator

Private Investigator

Licensed Private Investigator

Surveillance Investigator

Part Time SIU Investigator

Surveillance Investigator

Personal Injury Field Investigator

Fraud & Criminal Investigator II

Licensed Covert Surveillance Investigator - Part Time - Houston, TX

Senior Investigations Analyst – Digital Forensics

Senior Mechanical Forensic Engineer, P.E.

Senior Environmental Service Line Manager

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for fraud investigator in humble tx

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected