Healthcare Fraud Investigator

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Healthcare Fraud Investigator based in the United States.

In this role, you will help protect the integrity of the healthcare system by investigating suspected fraud, irregularities, and potentially improper healthcare claims. You will combine investigative expertise, analytical thinking, and claims auditing skills to uncover suspicious activity, assess evidence, and recommend appropriate corrective actions. Working within a Special Investigations Unit, you will collaborate with internal stakeholders, healthcare providers, insurers, and law enforcement agencies to support thorough and effective investigations. Your responsibilities will include reviewing complex claims data, conducting interviews, preparing evidence packages, and documenting findings that may support recovery efforts or legal proceedings. This fully remote opportunity offers the chance to apply your investigative skills to meaningful work that promotes accountability, protects healthcare resources, and supports responsible claims management. You will contribute to a collaborative, results-oriented environment where accuracy, sound judgment, and clear communication are essential.