Top 30 Remote investigations Jobs in Texas

SIU Investigator
Centene —Texas
- $56,200 - $101,000 a year
- Full-time
- Remote
- Mid-level
- Fair chance
- 1 year
- Paid holidays
- Health insurance
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Texas
- $46,988 - $112,200 a year
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- Health insurance
- Dental insurance
SIU Investigator (Remote U.S.)
Crum & Forster —Texas
- $78,900 - $115,700 a year
- Remote
- 6 years
- Computer literacy
- Writing skills
- Employee stock purchase plan
- Health insurance
14d
Investigator
UnitedHealthcare —Houston, TX
- $49,700 - $88,800 a year
- Full-time
- Remote
- Microsoft Word
- Pass drug screening
- Mid-level
3d
Corporate Ethics & Compliance Investigator
Centene —Texas
- $107,700 - $199,300 a year
- Full-time
- Remote
- 7 years
- Management
- HIPAA
- Paid holidays
- Health insurance
Manager, Sales Investigations
Centene —Texas
- $87,700 - $157,800 a year
- Full-time
- Remote
- High school diploma or GED
- Fair chance
- 1 year
- Paid holidays
- Health insurance
Auditor/Investigator II
Qlarant —Texas
- $57,512 - $85,839 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
Quick Apply
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
Healthcare Compliance Manager
Dozee Inc —Texas
- $100,000 - $115,000 a year
- Full-time
- Remote
- CRM software
- HIPAA
- Bachelor's degree
Quick Apply
Audit/Investigation Coordinator II
Qlarant —Texas
- $17 - $23 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
Quick Apply
1d
Senior SIU Major Case (Medical Provider Investigations)
USAA —San Antonio, TX
- $93,770 - $179,240 a year
- Full-time
- Remote
- Military
- 3 years
- High school diploma or GED
- Paid holidays
- Health insurance
1d
Surveillance Investigator
Digistream Investigations —Dallas, TX
- $20 an hour
- Overtime
- Remote
- Background check
- Mid-level
- 21 years or older
- Travel reimbursement
- Health insurance
Quick Apply
Surveillance Investigator
Trésmark Investigative Solutions —Houston, TX
- $20 - $25 an hour
- Part-time
- Remote
- Microsoft Word
- Writing skills
- Pass drug screening
- Mileage reimbursement
Quick Apply
SIU, Investigator
Marshall Investigative Group —Houston, TX
- $50,000 - $65,000 a year
- Weekends as needed
- Remote
- Microsoft Word
- Mid-level
- High school diploma or GED
- Travel reimbursement
- Mileage reimbursement
Quick Apply
11d
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
14d
APS Investigator Specialist
Dept of Family & Protectve Svc —Wichita Falls, TX
- $3,816.65 - $5,921.25 a month
- Online Application
- Remote
- Background check
- Master of Social Work
- Clean driving record
- Paid holidays
- Dental insurance
Quick Apply
5d
VP, Risk & Pharmacy Compliance - Fuze Health
Fuze Health —Texas
- $240,000 - $270,000 a year
- Full-time
- Remote
- 11+ years
- Bachelor's degree
- Travel
- Commuter assistance
- Paid parental leave
Fire Investigator, IAAI-CFI
EFI Global, Inc. —Dallas, TX
- Full-time
- Remote
- Ability to walk for extended periods
- Computer literacy
- Writing skills
Associate Director, Corporate Compliance
Oscar Health —Dallas, TX
- $134,136 - $176,053 a year
- Overtime
- Remote
- 5 years
- HIPAA
- Continuous improvement
- Paid parental leave
- Paid holidays
Quick Apply
7d
EHS Compliance & Risk Advisor, Data Center Operations
Nscale —Houston, TX
- $80,000 - $140,000 a year
- Remote
- 5 years
- Bachelor's degree
- Continuous improvement
Quick Apply
14d

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remote investigations jobs near texas

SIU Investigator

Centene -
Texas

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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
Data mining
Health data analysis
Bachelor's degree in business
Mid-level
Suspicious activity investigations
Data summary reports
Criminal Justice
Audit Reporting
Investigative data analysis
Insurance investigation report preparation
Outlier detection
Healthcare billing investigations
Case referral
1 year
Insurance claims auditing
Business
Healthcare claims compliance audits
Bachelor's degree in criminal justice

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 located in Texas.

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 Business, Criminal Justice, Healthcare, or related field, or equivalent experience required. 1+ years Medical claim investigation, medical claim audit, medical claim analysis, or fraud investigation 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

remote investigations jobs in texas

SIU Investigator

Senior Investigator, Special Investigations Unit (Aetna SIU)

SIU Investigator (Remote U.S.)

Investigator

Corporate Ethics & Compliance Investigator

Manager, Sales Investigations

Auditor/Investigator II

Senior Compliance Investigator

Healthcare Compliance Manager

Audit/Investigation Coordinator II

Senior SIU Major Case (Medical Provider Investigations)

Surveillance Investigator

Surveillance Investigator

SIU, Investigator

Principal Investigator Pharmacy - Dallas and Houston, TX

APS Investigator Specialist

VP, Risk & Pharmacy Compliance - Fuze Health

Fire Investigator, IAAI-CFI

Associate Director, Corporate Compliance

EHS Compliance & Risk Advisor, Data Center Operations

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