Top 595 Medical device reimbursement policy position Jobs in Remote

SIU Medical Provider Fraud Investigator
Allstate —Remote
- $60,000 - $92,700 a year
- Remote
- Writing skills
- Mid-level
- US work authorization
- Work from home
11d
Remote Healthcare Call Center Representative
Conduent Commercial Solutions, LLC —Remote
- $15 an hour
- Weekends as needed
- Remote
- Background check
- High school diploma or GED
- Typing
- Paid training
- Health savings account
13d
Process Intelligence Consultant
Allstate —Remote
- $75,100 - $126,325 a year
- Remote
- Writing skills
- Mid-level
- 3 years
- Work from home
Transplant Coordinator
CorneaGen —Remote
- $17.75 - $22.00 an hour
- Weekends as needed
- Remote
- Surgery
- Bachelor's degree
- Continuous improvement
- Paid training
- On-the-job training
Quick Apply
Patient Access Appeals Case Manager
Noctrix Health —Remote
- Remote
- Marketing
- Bachelor of Science
- Mid-level
Quick Apply
6d
Director, Patient Support Programs (PSP)
LivaNova —Remote
- $170,000 - $190,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Bachelor of Science
- Employee stock purchase plan
- Health insurance
Family Services Coordinator
CorneaGen —Remote
- $24 - $27 an hour
- Weekends as needed
- Remote
- Anatomy knowledge
- Surgery
- Mid-level
- Paid training
- AD&D insurance
Quick Apply
Neo4J Database Administrator
Allstate —Remote
- $98,100 - $167,850 a year
- Remote
- US work authorization
- Fair chance
- Senior level
Ratemaking Support Analyst III
Allstate —Remote
- $51,500 - $78,575 a year
- Remote
- Mid-level
- Continuous improvement
- US work authorization
6h
Patient Access Supervisor
Noctrix Health —Remote
- $90,000 - $110,000 a year
- Full-time
- Remote
- Marketing
- Analysis skills
- Supervising experience
Quick Apply
7d
Medical Science Liaison, US remote - September 2026
Haemonetics Corp. —Remote
- $103,600 - $176,400 a year
- Full-time
- Remote
- 5 years
- Travel
- Senior level
- Employee stock purchase plan
- Paid holidays
Engagement Manager - Orlando Area (Hearing Health)
Cochlear Ltd —Remote
- $70,000 - $75,000 a year
- Online Application
- Remote
- Spanish
- Writing skills
- English
- Employee stock purchase plan
- Disability insurance
Engagement Manager, Los Angeles (Hearing Health)
Cochlear Ltd —Remote
- $70,000 - $90,000 a year
- Online Application
- Remote
- Spanish
- Writing skills
- English
- Employee stock purchase plan
- Disability insurance
14d
Associate Director, Market Access & Reimbursement - Alpharetta, GA or Remote
Avanos Medical —Alpharetta, GA
- $160,000 - $185,000 a year
- Full-time
- Remote
- Windows
- Analysis skills
- Bachelor's degree
- Health insurance
- 401(k) matching
Associate Director, Statistical Programming
Everest Clinical Research —Bridgewater, NJ
- $170,000 - $205,000 a year
- Remote
- Computer Science
- 11+ years
- Databases
- AD&D insurance
- Disability insurance
Quick Apply
Licensed Insurance Sales Representative (Remote / Home-Based)
Allstate —Little Rock, AR
- $18 an hour
- Weekends as needed
- Remote
- Computer literacy
- High school diploma or GED
- US work authorization
- Paid training
- Dental insurance
UM/UIM Represented Litigation Complex Adjuster - Remote
Allstate —Arizona
- $56,000 - $86,400 a year
- Full-time
- Remote
- Mid-level
- Residential
- US work authorization
- Tuition reimbursement
- Work from home
7d
Property Adjuster - Field Estimating - Southeast Idaho
Allstate —Idaho Falls, ID
- $56,000 - $92,000 a year
- Remote
- Background check
- Mid-level
- Driver's License
- Tuition reimbursement
- Benefits from day one
6d
Property Adjuster - Field Estimating - Gadsden/Anniston, AL
Allstate —Illinois
- $56,000 - $117,700 a year
- Remote
- Background check
- Mid-level
- Driver's License
- Tuition reimbursement
- Work from home
Property Adjuster - Field Estimating Cleveland, OH
Allstate —Cleveland, OH
- $68,000 - $115,000 a year
- Remote
- Background check
- Mid-level
- Driver's License
- Tuition reimbursement
- Benefits from day one

I want to receive the latest job alert for medical device reimbursement policy position in remote

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

medical device reimbursement policy position jobs near remote

SIU Medical Provider Fraud Investigator

Allstate -
Remote

Apply Now

Job Details

$60,000 - $92,700 a year
11 days ago

Benefits

Internet reimbursement
Work from home

Qualifications

Customer communication
Writing skills
All-Lines Adjuster License
Research findings presentation

Full Job Description

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.

Job Description

This role is responsible for identifying suspicious medical provider businesses, attorneys, and law firms that may be connected for the purpose of generating fraudulent payments. The individual will conduct thorough investigations by identifying injured parties, billing trends, treatment sequences, attorney relationships, and claim reporting patterns. Responsibilities include conducting database searches, performing data mining, taking recorded statements, attending virtual depositions and mediations, and leading case investigation meetings. This role typically handles bodily injury claim files, including both non-litigation and litigation matters.

We are seeking an experienced SIU Medical Provider Fraud Investigator, preferably located within the Central Time Zone, who holds an active Texas All-Lines Adjuster License or a reciprocal state license. The ideal candidate brings a strong investigative mindset with the ability to identify suspicious patterns, conduct complex medical provider fraud investigations, and thoroughly document findings. Success in this role requires exceptional organizational skills, attention to detail, analytical thinking, and the ability to manage multiple investigations effectively. Strong written and verbal communication skills are essential, along with the ability to collaborate with internal partners and present investigative findings in a clear, concise, and professional manner.

Key Responsibilities

Enters SIU claim data information into multiple SIU systems
Reviews investigations with fraud outcomes to validate whether denial is appropriate
Updates files with investigation outcome, and when no fraud or insufficient evidence is found, returns file to MCO for further handling and settlement
Conducts complex online data application searches, research, and evaluation
Conducts complex site inspections, including body shops, medical clinics, loss locations etc.
Conducts thorough investigations of complex that are potentially fraudulent to determine if payment is warranted, including scene investigations and surveillance as needed
Validates that the information provided and obtained through investigation is true and accurate and follows up on all possible leads
Summarizes documents and enters into claim system notes, documenting a claim file with notes, evaluations and decision-making process
Utilizes analytic tools or SIU field intelligence to identify complex claims for investigation and/or for support in the evidence of the fraud and damages
Researches and responds to complex customer communications, concerns, conflicts or issues

Supervisory Responsibilities

This job does not have supervisory duties.

#LI-AS

Skills

Analytical Thinking, Complex Claims, Fraud Investigations, Healthcare Fraud Prevention, Insurance Claims Investigations, Insurance Fraud, Litigation, Medical Codes, Medical Malpractice, Medical Record Auditing, Witness Interviewing

Compensation

Base compensation offered for this role is:
SIU Cons I: $60,000.00 - $87,400.00/salary
SIU Cons II: $62,100.00 - $92,700.00/salary
Compensation is based on experience and qualifications. Total compensation for this role may include additional components, such as incentive pay (for example, commission or bonus), if applicable.

Notice of Licensing Requirement: As a condition of employment, you are expected to satisfy licensing requirements. Failure to complete these requirements within the time frame designated by the hiring department may result in the recommendation to terminate your employment with National General Insurance, an Allstate Insurance Company. In addition, you must maintain all licensing required for your role. This includes any continuing education and/or other state-affiliated requirements for licensing renewal. Failure to retain appropriate licensing could lead to disciplinary action up to and including termination of your employment. In addition, you must agree to surrender any currently held resident license (producer or adjuster) that is inconsistent with your role at National General Insurance and terminate all non-Allstate appointments upon being hired for any role within Allstate Insurance Company.

The candidate(s) offered this position will be required to submit to a background investigation.

Joining our team isn’t just a job — it’s an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger – a winning team making a meaningful impact.

Allstate generally does not sponsor individuals for employment-based visas for this position.

Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component.

For jobs in San Francisco, please click “here” for information regarding the San Francisco Fair Chance Ordinance.

For jobs in Los Angeles, please click “here” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance.

To view the “EEO Know Your Rights” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs.

To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint.

It is the Company’s policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee’s ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.

Allstate provides a comprehensive technology setup, including a laptop, monitors, headset, keyboard, and mouse. Employees eligible to work from home also receive a monthly connectivity reimbursement to help offset internet costs.

When working from home, you must have a dedicated, private workspace free from distractions, along with appropriate desk and seating. Reliable internet is required, with minimum speeds of 50 MB download and 5 MB upload.

Apply Now

Refine Your Search

medical device reimbursement policy position jobs in remote

SIU Medical Provider Fraud Investigator

Remote Healthcare Call Center Representative

Process Intelligence Consultant

Transplant Coordinator

Patient Access Appeals Case Manager

Director, Patient Support Programs (PSP)

Family Services Coordinator

Neo4J Database Administrator

Ratemaking Support Analyst III

Patient Access Supervisor

Medical Science Liaison, US remote - September 2026

Engagement Manager - Orlando Area (Hearing Health)

Engagement Manager, Los Angeles (Hearing Health)

Associate Director, Market Access & Reimbursement - Alpharetta, GA or Remote

Associate Director, Statistical Programming

Licensed Insurance Sales Representative (Remote / Home-Based)

UM/UIM Represented Litigation Complex Adjuster - Remote

Property Adjuster - Field Estimating - Southeast Idaho

Property Adjuster - Field Estimating - Gadsden/Anniston, AL

Property Adjuster - Field Estimating Cleveland, OH

I want to receive the latest job alert for medical device reimbursement policy position in remote

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected