Top 50 Remote disability examiner Jobs in Texas

Investigator
UnitedHealthcare —Houston, TX
- $49,700 - $88,800 a year
- Full-time
- Remote
- Microsoft Word
- Pass drug screening
- Mid-level
5d
Senior Compliance Investigator
Centene —Texas
- $70,100 - $126,200 a year
- Full-time
- Remote
- Writing skills
- High school diploma or GED
- Fair chance
- Paid holidays
- Health insurance
Lead SIU Investigator
Centene —Texas
- $70,100 - $126,200 a year
- Full-time
- Remote
- Master's degree
- High school diploma or GED
- Mentoring
- Paid holidays
- Health insurance
9h
Auditor/Investigator II
Qlarant —Texas
- $56,055 - $83,665 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
Quick Apply
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
PRN Advance Practice Provider
National Emergency Management and Response —San Antonio, TX
- Part-time
- Remote
- Background check
- Spanish
- Current TB test
Quick Apply
PRN Advance Practice Provider
National Emergency Management and Response —San Antonio, TX
- Part-time
- Remote
- Background check
- Spanish
- Current TB test
Quick Apply
PRN Advance Practice Provider
National Emergency Management and Response —San Antonio, TX
- Part-time
- Remote
- Background check
- Spanish
- Current TB test
Quick Apply
PRN Advance Practice Provider
National Emergency Management and Response —San Antonio, TX
- Part-time
- Remote
- Background check
- Spanish
- Current TB test
Quick Apply
Senior Client Services Analyst
Gainwell Technologies —Texas
- $55,600 - $79,400 a year
- Full-time
- Remote
- Mid-level
- 3 years
- Travel
- Travel reimbursement
- Profit sharing
Workers Compensation Claims Examiner III _Corpus_Christi_ (Hybrid)
TRISTAR RISK MANAGEMENT —Corpus Christi, TX
- $75,000 - $85,000 a year
- Full-time
- Remote
- Microsoft Word
- Office
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
Corporate Counsel
Tapcheck —Plano, TX
- Full-time
- Remote
- US work authorization
- Senior level
- Commercial
- Health savings account
- AD&D insurance
11d
Senior Credit Risk Specialist (Part-Time)
TIB, N.A. —Farmers Branch, TX
- Part-time
- Remote
- Writing skills
- Finance
- 8 years
- Work from home
Associate, Marine Technical
Witt O'Brien's —Corpus Christi, TX
- Extended hours
- Remote
- Background check
- Microsoft Excel
- Microsoft Outlook
TX Residential Examiner - Westcor Land Title Insurance Company
Ardan Inc —Houston, TX
- Remote
- 5 years
- English
- Research
- Paid holidays
- Disability insurance
Quick Apply
Psychologist – Provisional/Postdoctoral – Telehealth (Remote, TX)
Neurodiversity & Disability Affirming Therapy —Texas
- $40 - $60 an hour
- Part-time
- Remote
- Experience working with individuals with disabilities
- Adults
- 11+ years
- 401(k)
- 401(k) matching
Quick Apply
11d
Casualty Specialist II
First Acceptance Services Inc —United States
- Remote
- Microsoft Excel
- Mid-level
- High school diploma or GED

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Corporate Ethics & Compliance Investigator
Centene —Texas
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time…
$107,700 - $199,300 a year
Senior Compliance Investigator
Centene —Texas
Leads and conducts compliance and ethics investigations across all business units and health plans, including but not limited to assessment of allegations,…
$70,100 - $126,200 a year

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Fair & Responsible Banking Compliance Officer - Consumer Compliance
WesBanco Bank, Inc. —Columbus, OH
Participates in ongoing risk-based compliance monitoring, testing and risk assessments, evaluate compliance risks and effectiveness of corresponding controls;…
Casualty Specialist II
First Acceptance Services Inc —United States
Must currently hold or have the ability to secure and maintain adjuster license(s) within 60 days of employment. High School Diploma or equivalency required.

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Investigator

UnitedHealthcare -
Houston, TX

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Job Details

Full-time
$49,700 - $88,800 a year
5 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

remote disability examiner jobs in texas

Investigator

Senior Compliance Investigator

Lead SIU Investigator

Auditor/Investigator II

Principal Investigator Pharmacy - Dallas and Houston, TX

PRN Advance Practice Provider

PRN Advance Practice Provider

PRN Advance Practice Provider

PRN Advance Practice Provider

Senior Client Services Analyst

Workers Compensation Claims Examiner III _Corpus_Christi_ (Hybrid)

Corporate Counsel

Senior Credit Risk Specialist (Part-Time)

Associate, Marine Technical

TX Residential Examiner - Westcor Land Title Insurance Company

Psychologist – Provisional/Postdoctoral – Telehealth (Remote, TX)

Casualty Specialist II

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