Top 537 Investigator Jobs in Ohio

SIU Investigator
Centene —Ohio
- $56,200 - $101,000 a year
- Full-time
- Remote
- Mid-level
- Fair chance
- Associate's degree
- Paid holidays
- Health insurance
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Ohio
- $46,988 - $112,200 a year
- Full-time
- Remote
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
SIU Investigator
The Travelers Companies, Inc. —Columbus, OH
- $70,400 - $116,200 a year
- Hybrid work
- Customer service
- Mid-level
- Bachelor's degree
- Wellness program
- Paid holidays
Auditor/Investigator II
Qlarant —Ohio
- $57,512 - $85,839 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
Quick Apply
Healthcare Investigator
Staffing Solutions Organization LLC —Ohio
- $48,000 - $53,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Addiction Medicine
- Paid holidays
- Health insurance
Quick Apply
Fraud, Waste and Abuse Investigation, Senior Analyst
CVS Health —Ohio
- $46,988 - $112,200 a year
- Full-time
- Remote
- Mid-level
- 3 years
- High school diploma or GED
- Health insurance
- Dental insurance
Investigator - Senior Specialist - Employee Relations
Ford Motor Company —Brook Park, OH
- $99,100 - $166,200 a year
- Online Application
- Hybrid work
- 3 years
- Master's degree
- Bachelor's degree
- Paid holidays
- Health insurance
Mitigation Investigation Specialist
State of Ohio - Public Defender Commission —Columbus, OH
- $31.47 - $38.01 an hour
- Full-time
- Background check
- Driver's License
- Travel
- Paid holidays
- Health insurance
6d
Cleveland - BWC Fraud Investigator - PN: 20066769
State of Ohio - Workers' Compensation —Cleveland, OH
- $31.47 - $46.08 an hour
- Full-time
- Background check
- Word processing
- Basic math
- Paid holidays
- Health insurance
5d
Civil Rights Investigator/Auditor
Contact Government Services, LLC —Cleveland, OH
- $75,000 - $110,000 a year
- Full-time
- 6 years
- Databases
- Senior level
- Health insurance
- Dental insurance
Quick Apply
Senior Compliance Investigator
Centene —Ohio
- $70,100 - $126,200 a year
- Full-time
- Remote
- Writing skills
- High school diploma or GED
- Fair chance
- Paid holidays
- Health insurance
Travel Clinical Research Training Specialist
The Clinical Trials Network, LLC —Cleveland, OH
- $80,000 - $100,000 a year
- Full-time
- Background check
- RN License
- 5 years
- Health insurance
- Dental insurance
Quick Apply
14d
Children Services Intake Investigator
Hancock County Job and Family Services —Findlay, OH
- From $20.45 an hour
- Full-time
- Hybrid work
- Background check
- Mid-level
- Office
- Commuter assistance
- Health savings account
Quick Apply
Customer Relations Coordinator/Sr Customer Relations Coordinator
AIPSO —Mayfield Heights, OH
- $54,400 - $103,800 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Bachelor of Science
Quick Apply
Social Service Worker 2
Ottawa County Dept Job & Family —Oak Harbor, OH
- From $22.39 an hour
- Full-time
- Background check
- Pass drug screening
- Mid-level
- Wellness program
- Paid holidays
Quick Apply
Legal Assistant/Paralegal (Criminal Defense)
Wisehart Wright Trial Lawyers —Sandusky, OH
- $20 - $21 an hour
- Full-time
- Hybrid work
- Hospitality
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
2d
Program Assistant
ISS —Kansas, OH
- $17 - $20 an hour
- Full-time
- Background check
- CPR Certification
- Writing skills
- Dental insurance
- 401(k)
Quick Apply
Psychiatric Nurse Practitioner (PMHNP) or Physician Assistant (PA)
Charak Center for Health and Wellness —Mentor, OH
- $100,000 - $120,000 a year
- Part-time
- Nursing
- Psychiatry
- Adults
- Health insurance
- Dental insurance
Quick Apply
Clinical Research Nurse Specialist I-Cardiology Research
University Hospitals —Cleveland, OH
- $64,501 - $100,880 a year
- Nursing
- RN License
- BLS Certification
Surveillance Investigator
Frasco Inc —Toledo, OH
- $20 - $26 an hour
- Weekends as needed
- Clean driving record
- Military
- Writing skills
- Paid training
- Mileage reimbursement
Quick Apply
7d

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SIU Investigator

Centene -
Ohio

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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
Health data analysis
Suspicious activity investigations
Investigative data analysis
Healthcare billing investigations
Insurance claims auditing
Healthcare claims compliance audits
Healthcare coding investigations

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: this is a remote role with preference on candidates residing within Ohio.

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, or an Associate's degree with an additional 2 years working on health care fraud, waste, and abuse investigations and audits in lieu of a Bachelors is required.
A minimum of 2 years in a health care field working on fraud, waste, and abuse investigations and audits required.
The ability to understand and analyze health care claims and coding 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

investigator jobs in ohio

SIU Investigator

Senior Investigator, Special Investigations Unit (Aetna SIU)

SIU Investigator

Auditor/Investigator II

Healthcare Investigator

Fraud, Waste and Abuse Investigation, Senior Analyst

Investigator - Senior Specialist - Employee Relations

Mitigation Investigation Specialist

Cleveland - BWC Fraud Investigator - PN: 20066769

Civil Rights Investigator/Auditor

Senior Compliance Investigator

Travel Clinical Research Training Specialist

Children Services Intake Investigator

Customer Relations Coordinator/Sr Customer Relations Coordinator

Social Service Worker 2

Legal Assistant/Paralegal (Criminal Defense)

Program Assistant

Psychiatric Nurse Practitioner (PMHNP) or Physician Assistant (PA)

Clinical Research Nurse Specialist I-Cardiology Research

Surveillance Investigator

I want to receive the latest job alert for investigator in ohio

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