Top 22 Investigator remote Jobs in Ohio

Healthcare Investigator
Staffing Solutions Organization —Ohio
- $53,000 - $55,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Addiction Medicine
- Paid holidays
- Health insurance
3d
Fraud and Abuse Investigator / CPC - Remote
Sentara Workforce Solutions, LLC —Columbus, OH
- $25.60 - $42.67 an hour
- Overtime
- Remote
- Mid-level
- Bachelor's degree
- 2 years
- 403(b) matching
- Paid parental leave
Quick Apply
3d
SIU Investigator
Centene —Ohio
- $56,200 - $101,000 a year
- Full-time
- Remote
- Mid-level
- Fair chance
- Associate's degree
- Paid holidays
- Health insurance
Experienced AML Investigator - Financial Crime (Remote)
AML RightSource, LLC —Highland Hills, OH
- $43,888 - $69,000 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
- Paid holidays
- Dental insurance
Quick Apply
10d
Safety Investigator
NetJets —Columbus, OH
- Remote
- Microsoft Excel
- Mid-level
- Analysis skills
- Health savings account
- Disability insurance
Experienced Clinical Project Manager - Inflammation (Sponsor Dedicated/ Remote- US only)
サイネオス・ヘルス —Ohio
- Remote
- Microsoft Word
- Microsoft Excel
- Mid-level
- Employee stock purchase plan
- Health insurance
Certified Professional Coder, Special Investigations Unit (Aetna SIU)
CVS Health —Ohio
- $43,888 - $93,574 a year
- Full-time
- Remote
- Microsoft Excel
- Research
- Mid-level
- Health insurance
- Dental insurance
Clinical Trial Manager - Full Service
サイネオス・ヘルス —Ohio
- Remote
- Computer literacy
- Bachelor's degree
- Travel
- Employee stock purchase plan
- Health insurance
Surveillance Agent
MARSHALL INVESTIGATIVE GROUP LLC —Cleveland, OH
- $22 - $32 an hour
- Weekends as needed
- Remote
- Microsoft Word
- 11+ years
- Research
Quick Apply
12d
Research and Writing Attorney
Parnall Law —Cleveland, OH
- Full-time
- Remote
- Writing skills
- Mid-level
- Analysis skills
- Paid holidays
- Disability insurance
Quick Apply
5d
MSL/Sr. MSL Oncology, Multiple Myeloma (MI/OH/IN)
AbbVie —Columbus, OH
- $124,500 - $236,500 a year
- Full-time
- Remote
- Medicine
- Doctor of Philosophy
- Senior level
- Paid holidays
- Health insurance
Senior Local Trial Manager (Sponsor Dedicated, Multiple Therapeutics)
IQVIA —Columbus, OH
- $93,100 - $232,800 a year
- Full-time
- Remote
- Bachelor of Science
- Writing skills
- 3 years
- Work from home
Tele-Neurologist
Cleveland Clinic —Cleveland, OH
- $286,500 - $396,000 a year
- Full-time
- Remote
- Surgery
- BC/BE
- Neurology
- Disability insurance
- Health insurance
Large Loss Contents Property Adjuster- Field Estimating - Cincinnati/Dayton, OH
Allstate —Columbus, OH
- Extended hours
- Remote
- Background check
- Writing skills
- Mid-level
- Tuition reimbursement
- Benefits from day one
5d
Large Loss Contents Property Adjuster - Field Estimating - Columbus, OH
Allstate —Columbus, OH
- Extended hours
- Remote
- Background check
- Writing skills
- Mid-level
- Tuition reimbursement
- Benefits from day one
5d
Dir, Epidemiology Pipeline (TA-Immunology)
サイネオス・ヘルス —Ohio
- Urgently hiring
- Remote
- Doctoral degree
- Master's degree
- Budgeting
- Employee stock purchase plan
- Health insurance
Dir, Epidemiology Pipeline (TA-Oncology)
サイネオス・ヘルス —Ohio
- Urgently hiring
- Remote
- Doctoral degree
- Master's degree
- Budgeting
- Employee stock purchase plan
- Health insurance

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Fraud and Abuse Investigator / CPC - Remote
Sentara Workforce Solutions, LLC —Columbus, OH
Keywords: Healthcare, Health Plan, Remote, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada,…
$25.60 - $42.67 an hour
Quick Apply
3d

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Healthcare Investigator
Staffing Solutions Organization —Ohio
Identifies rule violations, contributing factors, and potential risks; develops clear, well‑supported investigation summary reports. Paid time off and holidays.
$53,000 - $55,000 a year
3d
Fraud and Abuse Investigator / CPC - Remote
Sentara Workforce Solutions, LLC —Columbus, OH
Keywords: Healthcare, Health Plan, Remote, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada,…
$25.60 - $42.67 an hour
Quick Apply
3d

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Healthcare Investigator

Staffing Solutions Organization -
Ohio

Apply Now

Job Details

Full-time
$53,000 - $55,000 a year
3 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
Flexible spending account
Paid time off
Vision insurance
401(k) matching

Qualifications

Microsoft Excel
Microsoft Outlook
Investigative interviewing techniques
Interviewing clients
Writing skills
Data interpretation
Source interviews

Full Job Description

Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve.

Healthcare Investigator - State of Ohio (Multiple Openings)

Work Location: Remote – Must be a licensed LSW, RN, or LPC in the State of Ohio.

Pay Range: $53,000.00 - $55,000.00 annually

Position Summary

The Healthcare Investigator I is responsible for investigating incidents involving Medicaid recipients and/or providers to ensure the health, safety, and welfare of individuals receiving services. This role conducts thorough investigations, coordinates with internal and external stakeholders, and ensures compliance with Ohio Medicaid and HCBS regulations.

Essential Duties & Responsibilities

Conducts investigations of reported incidents involving Medicaid recipients and providers to ensure health and welfare standards are met.
Reviews and analyzes documentation including clinical records, incident reports, billing records, and other relevant materials.
Performs interviews with recipients, providers, witnesses, and other involved parties using effective interviewing and active‑listening techniques.
Accurately documents all investigative activities, findings, and conclusions in the incident reporting system.
Identifies rule violations, contributing factors, and potential risks; develops clear, well‑supported investigation summary reports.
Educates Medicaid providers on applicable rules, responsibilities, and best practices related to service delivery.
Coordinates and refers cases to external entities as appropriate, including:
Law enforcement
County children services
Adult Protective Services
County Boards of Developmental Disabilities
Other oversight or regulatory agencies
Gathers information and prepares referrals to the Ohio Department of Medicaid for suspected or egregious provider misconduct.
Maintains professionalism and confidentiality while working independently in a remote environment.
Performs other duties as assigned to support departmental needs.

Required Knowledge, Skills, & Abilities

Strong critical‑thinking and analytical skills with the ability to synthesize complex information.
Excellent organizational skills with the ability to manage multiple investigations concurrently.
Strong verbal and written communication skills, including professional report writing.
Effective interviewing and active‑listening abilities.
Ability to work independently and collaboratively within a team environment.
Strong decision‑making skills with a high level of accuracy and attention to detail.
Demonstrated professionalism and ability to work respectfully with individuals from diverse backgrounds.
Proficiency with Microsoft Word, Excel, Outlook, and internet‑based systems.

Minimum Qualifications

Education / Licensure (One Required)

Licensed Registered Nurse (RN) – Ohio
Licensed Social Worker (LSW or LISW) – Ohio
Licensed Professional Counselor (LPC or LPCC) – Ohio

Experience

Minimum of 1 year of paid experience in Home and Community‑Based Services (HCBS), including one or more of the following:
Incident investigation
Ensuring individual health and welfare
Quality assurance or clinical risk management
Mental health or addiction services
Interfacing with law enforcement, nursing homes, children services, adult protective services, or the Ohio Department of Developmental Disabilities
Providing waiver services (e.g., home health or other HCBS services)

Work Environment

Fully remote position within Ohio
Occasional travel (1 to 2 times per year) within the Central Ohio area may be required for training
May involve exposure to sensitive or emotionally challenging information
Standard business hours with flexibility based on investigative needs

Benefits (Through SSO)

SSO offers a competitive benefits package that supports your health, financial well‑being, and long‑term growth, including:

Quarterly performance bonuses
Medical, dental, and vision insurance
401(k) with discretionary employer match
Paid time off and holidays
Flexible spending accounts
Additional employee perks

Compensation for roles at Staffing Solutions Organization LLC (SSO) varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, SSO provides a reasonable range of compensation for this role. In addition, SSO provides a range of benefits for this role.

Applicants must be authorized to work in the U.S. This position is not eligible for work authorization sponsorship (including H-1B sponsorship) by SSO and under the federal laws relating to the F-1 STEM EAD program, this position is not eligible to support a STEM EAD extension application.

All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, marital status, age, national origin, protected veteran status, or disability. Staffing Solutions Organization LLC is an E-Verify participant.

Pay: $53,000.00 - $55,000.00 per year

Work Location: Remote

Apply Now

Refine Your Search

investigator remote jobs in ohio

Healthcare Investigator

Fraud and Abuse Investigator / CPC - Remote

SIU Investigator

Experienced AML Investigator - Financial Crime (Remote)

Safety Investigator

Experienced Clinical Project Manager - Inflammation (Sponsor Dedicated/ Remote- US only)

Certified Professional Coder, Special Investigations Unit (Aetna SIU)

Clinical Trial Manager - Full Service

Surveillance Agent

Research and Writing Attorney

MSL/Sr. MSL Oncology, Multiple Myeloma (MI/OH/IN)

Senior Local Trial Manager (Sponsor Dedicated, Multiple Therapeutics)

Tele-Neurologist

Large Loss Contents Property Adjuster- Field Estimating - Cincinnati/Dayton, OH

Large Loss Contents Property Adjuster - Field Estimating - Columbus, OH

Dir, Epidemiology Pipeline (TA-Immunology)

Dir, Epidemiology Pipeline (TA-Oncology)

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