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Contract Investigations Cfe Jobs (NOW HIRING)

Highmark Health

Investigations Consultant

Pittsburgh, PA · On-site

... contracts, industry trends and revenue maximization schemes. The incumbent will also work with ... Certified Fraud Examiner (CFE) * Certified Professional Coder (CPC) * Certified Professional Coder ...

Highmark Health

Investigations Consultant

Pittsburgh, PA · On-site

... contracts, industry trends and revenue maximization schemes. The incumbent will also work with ... Certified Fraud Examiner (CFE) * Certified Professional Coder (CPC) * Certified Professional Coder ...

Peraton

Fraud Investigations Team Lead

$66K - $106K/yr

CFE or AHFI certification a plus Peraton Overview Peraton is a next-generation national security ... and contract considerations. Depending on the position, employees may be eligible for overtime ...

Bowhead

Contract Manager

Texarkana, TX · On-site

$82K - $110K/yr

... investigations and development of resolutions (corrective and preventive). * Serves as principal ... CFE), and Government Furnished Equipment (GFE) to support ongoing operations. * Oversee labor ...

Aston Carter

SIU Manager

Sunrise, FL · On-site

$43.27 - $48.07/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Fraud Investigator (AHFI) and/or Certified Fraud Examiner (CFE)oOr the ability to achieve a ... Contract to Hire position based out of Sunrise, FL. Pay and Benefits The pay range for this ...

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Contract Investigations Cfe information

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How much do contract investigations cfe jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for contract investigations cfe in the United States is $30.83, according to ZipRecruiter salary data. Most workers in this role earn between $22.12 and $35.34 per hour, depending on experience, location, and employer.

What is the difference between Contract Investigations Cfe vs Fraud Examiner?

AspectContract Investigations CfeFraud Examiner
CertificationsCFE (Certified Fraud Examiner), sometimes other investigative certificationsCFE, Certified Fraud Examiner, and sometimes additional forensic or investigative credentials
Work EnvironmentInvestigations in corporate, government, or legal settings, often contract-based or temporaryInvestigations in corporate, insurance, or legal sectors, often full-time or consulting roles
Employer & Industry UsageUsed by firms conducting contract investigations, legal firms, or government agenciesUsed by insurance companies, corporations, and law enforcement agencies

Both roles require CFE certification and involve investigative work, but Contract Investigations Cfe typically focuses on short-term or contract-based investigations, while Fraud Examiners often work in ongoing or full-time roles within organizations. The choice depends on the employment setting and career focus.

More about Contract Investigations Cfe jobs
What cities are hiring for Contract Investigations Cfe jobs? Cities with the most Contract Investigations Cfe job openings:
What are the most commonly searched types of Investigations Cfe jobs? The most popular types of Investigations Cfe jobs are:
What states have the most Contract Investigations Cfe jobs? States with the most job openings for Contract Investigations Cfe jobs include:
What job categories do people searching Contract Investigations Cfe jobs look for? The top searched job categories for Contract Investigations Cfe jobs are:
Contract Investigations Cfe jobs near you
Infographic showing various Contract Investigations Cfe job openings in the United States as of August 2026, with employment types broken down into 93% Full Time, 5% Part Time, and 2% Contract. Highlights an 92% Physical, 4% Hybrid, and 4% Remote job distribution, with an average salary of $64,132 per year, or $30.8 per hour.

Senior Investigator - Special Investigations Unit (SIU), Medicaid - Crestline (Contract Position)

Health Management Associates

Remote

Full-time

Posted 17 days ago

Job description

Overview
This is an hourly contract position.
Crestline Advisors, an HMA Company, was founded in 2013 and has since become an industry leader in developing successful RFP responses, as well as establishing and managing healthcare provider networks. Their expert consultants also assist clients with regulatory and contract compliance, accreditation, and business development.
The team at Crestline Advisors has a combined 500 years of experience in the field. With a wide range of clients including health plans, provider organizations and state agencies, Crestline has the depth of experience HMA clients have come to expect.
In particular, Crestline's ability to consistently develop winning proposal responses for Medicaid managed care organizations (MCOs) complements HMA's extensive MCO supports. Crestline provides management and operations support services for MCOs as well. As HMA continues to expand the ways in which we serve our clients, Crestline's deep knowledge and experience in this arena will undoubtedly be a valued resource.
Responsibilities
As a Senior Investigator - Special Investigations Unit (SIU), Medicaid for Crestline Advisors, you will:
  • Research and review records to identify potential areas of improper claims payment, which might indicate fraud, waste, and abuse (FWA).
  • Use designated audit tracking tools and provide findings in an established analytic report format.
  • Collaborate and communicate with the investigation departments of our vendors and other partners in the county, state, and federal government, as dictated by the scope of the project.

Qualifications
Need to have:
  • One of the following:
    • Bachelor's degree or higher in public administration, health care administration, or other field appropriate to the position and three or more years' experience conducting healthcare fraud investigations.
    • Certified Fraud Examiner (CFE) credential or Accredited Health Care Fraud Investigator (AHFI) designation.
  • Experience working with:
    • Medicaid, Medicare, or other publicly funded health programs.
    • A managed care organization.
    • Microsoft Office Suite (Excel, Word, OneNote, Teams, Outlook), Google Sheets, etc.

Nice to have:
  • Certified Coder with at least 5 years of experience in healthcare-related investigations or healthcare audits.
  • Knowledge of state and federal laws and regulations pertaining to health insurance and/or government programs, including Medicare and/or Medicaid.
  • Knowledge of claims processing activities, systems, and terminology.
  • Excellent verbal and written communication skills.

EEO
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
Additional Info
Other Information
  • Hours may vary and are not guaranteed.
  • This is a consultant position without benefits.
  • Consultants are onboarded as 1099 and required to pay their own taxes.
  • Consultants may need to provide their own equipment for project use - telephone and laptop.

References
Must be available upon request

Apply