Healthcare Fraud Jobs

Devoted Health seeks an experienced Payment Integrity Program Development Director to create and operationalize data-driven programs that reduce payment leakage and ensure Medicare Advantage payment accuracy.

Booz Allen is hiring a Senior Data Scientist to lead development and deployment of AI/ML models for healthcare fraud detection and translate complex data into operational insights.

Highmark seeks an Investigations Coordinator to perform claims reviews, support investigations, analyze data extracts, and help recover overpayments while maintaining case documentation and compliance.

Peraton's SafeGuard Services is hiring a remote Medicaid Fraud Auditor to conduct compliance audits, analyze healthcare claims data, and make findings and recovery recommendations for Medicaid program integrity.

Serve as a Governmental Auditor 2 with the Oregon Health Authority to conduct Medicaid compliance audits, identify fraud/waste/abuse, and support program integrity efforts across diverse provider types.

CGS is hiring a Healthcare Fraud Investigator to analyze healthcare and financial data and develop high-quality case referrals in support of government litigation in Nashville, TN.

Centene is hiring an experienced Ethics & Investigations Officer to lead its enterprise ethics, compliance, and investigative strategy across the organization while working remotely within the continental U.S.

Peraton's SGS team is hiring a Data Analyst to analyze Medicare claims, detect potential fraud patterns, and support investigations and referrals.

Experienced healthcare fraud investigator sought to perform claims investigations, data mining, and prepare referrals to state and federal agencies for a national healthcare organization.

Peraton's SafeGuard Services is hiring a Business Analyst to analyze Medicare data, produce investigative reports and SOW deliverables, and support fraud, waste, and abuse prevention efforts.

Lead Avesis's payment integrity strategy as a senior, analytics-driven leader responsible for vendor oversight, audit/program design, and executive reporting to drive measurable financial and compliance outcomes.

IntegrityM is hiring a remote Senior Data Scientist to design and operationalize advanced AI/ML and record-linkage solutions for public healthcare fraud detection and linked-data analytics.