Top 25 Fraud investigator Jobs in Oklahoma

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
7d
Surveillance Investigator - Part Time
Allied Universal® Compliance and Investigations —Oklahoma City, OK
- $21 - $25 an hour
- Part-time
- Microsoft Word
- Military
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
9d
Senior Compliance Investigator
Centene —Oklahoma
- $70,100 - $126,200 a year
- Full-time
- Remote
- Writing skills
- High school diploma or GED
- Fair chance
- Paid holidays
- Health insurance
8d
Certified Professional Coder, Special Investigations Unit (Aetna SIU)
CVS Health —Oklahoma
- $43,888 - $93,574 a year
- Full-time
- Remote
- Microsoft Excel
- Research
- Mid-level
- Health insurance
- Dental insurance
Private Investigator
Photofax, Inc —Oklahoma City, OK
- $25 - $30 an hour
- Overtime
- Clean driving record
- No experience needed
- High school diploma or GED
- Travel reimbursement
- Health insurance
Quick Apply
BSA Investigations Analyst II
STRIDE BANK NA —Tulsa, OK
- Full-time
- Research
- Mid-level
- Office
5d
Surveillance Investigator
Frasco Inc —Oklahoma City, OK
- $20 - $26 an hour
- Part-time
- Clean driving record
- Military
- Writing skills
- Paid training
- Mileage reimbursement
Experienced AML Investigator - Financial Crime (Remote)
AML RightSource, LLC —Oklahoma City, OK
- $43,888 - $69,000 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
- Paid holidays
- Dental insurance
Quick Apply
5d
Experienced AML Investigator - Financial Crimes (Hybrid)
AML RightSource, LLC —Oklahoma City, OK
- $43,888 - $69,000 a year
- Full-time
- Hybrid work
- Mid-level
- Analysis skills
- Organizational skills
- Paid holidays
- Dental insurance
Quick Apply
Inspector General
Oklahoma Human Services —Oklahoma City, OK
- $130,273.00 - $130,273.93 a year
- Weekends as needed
- CPA
- Office
- Driver's License
Quick Apply
SIU Claims Investigator
Lemieux & Associates LLC —Oklahoma City, OK
- $25 - $32 an hour
- Part-time
- Bilingual
- Computer literacy
- Mid-level
- Flexible schedule
Quick Apply
7d
Surveillance Investigator
Allied Universal® Compliance and Investigations —Oklahoma City, OK
- $22 - $25 an hour
- Weekends as needed
- Microsoft Word
- Military
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
12d
Director of Financial Intelligence & Investigations
Workman Forensics —Tulsa, OK
- $240,000 - $300,000 a year
- Full-time
- Background check
- CPA
- Supervising experience
Quick Apply
As Needed Field Investigator- Hugo, OK
J T Becker & Co Inc —Oklahoma
- Writing skills
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply
As Needed Field Investigator- Tulsa, OK
J T Becker & Co Inc —Tulsa, OK
- Writing skills
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply
As Needed Field Investigator- Oklahoma City, OK
J T Becker & Co Inc —Oklahoma City, OK
- Writing skills
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply
As Needed Field Investigator- Boise City, OK
J T Becker & Co Inc —Oklahoma
- Writing skills
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply
As Needed Field Investigator- Muskogee, OK
J T Becker & Co Inc —Muskogee, OK
- Writing skills
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply

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Surveillance Investigator - Part Time
Allied Universal® Compliance and Investigations —Oklahoma City, OK
Must possess a valid driver's license with at least one year of driving experience. Private Investigator’s license required prior to applying.
$21 - $25 an hour
Quick Apply
9d
Surveillance Investigator
Frasco Inc —Oklahoma City, OK
Valid driver’s license with good driving record. High school diploma or associate’s degree in criminal justice or related field.
$20 - $26 an hour

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Fraud Investigator
German American Bank —Whitehall, OH
Accredited ACH Professional (AAP) or similar payments certification. Bachelor’s degree in finance, criminal justice, cybersecurity, or related field.
6d
Quality Analyst - Financial Crimes
Klarna Bank AB —Columbus, OH
Genuine enthusiasm for tech and AI — you are comfortable adopting new tools, automating manual steps, and using AI-assisted analysis to work smarter across case…
$77,539 - $110,884 a year
4d

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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
7 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

fraud investigator jobs in oklahoma

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

Surveillance Investigator - Part Time

Senior Compliance Investigator

Certified Professional Coder, Special Investigations Unit (Aetna SIU)

Private Investigator

BSA Investigations Analyst II

Surveillance Investigator

Experienced AML Investigator - Financial Crime (Remote)

Experienced AML Investigator - Financial Crimes (Hybrid)

Inspector General

SIU Claims Investigator

Surveillance Investigator

Director of Financial Intelligence & Investigations

As Needed Field Investigator- Hugo, OK

As Needed Field Investigator- Tulsa, OK

As Needed Field Investigator- Oklahoma City, OK

As Needed Field Investigator- Boise City, OK

As Needed Field Investigator- Muskogee, OK

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