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Entry Level Healthcare Fraud Investigator Jobs (NOW HIRING)

Lendable

Fraud Investigation Associate

Arlington, VA · On-site

$80K - $120K/yr

While our FinCrime team sets the high-level policy, you are the investigator in the trenches ... Health coverage: support for your physical and mental wellbeing, including private health cover

UnitedHealth Group

Senior Investigator

Nashville, TN · Remote

$60K - $107K/yr

Professional certification as a Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), or similar * Experience with computer research * Experience with regulatory compliance

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How much do entry level healthcare fraud investigator jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for entry level healthcare fraud investigator 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.

How to become an entry level healthcare fraud investigator with no experience?

To become an entry-level healthcare fraud investigator with no experience, candidates should obtain a relevant bachelor's degree such as in criminal justice, healthcare administration, or a related field. Gaining knowledge of healthcare laws, regulations, and fraud detection tools like data analysis software can be helpful, and some employers may offer on-the-job training or require certifications such as the Certified Fraud Examiner (CFE).

What is the difference between Entry Level Healthcare Fraud Investigator vs Healthcare Compliance Analyst?

AspectEntry Level Healthcare Fraud InvestigatorHealthcare Compliance Analyst
Required CredentialsHigh school diploma or equivalent; some roles prefer certifications like CFE or HIPAA trainingBachelor's degree in healthcare, law, or related field; compliance certifications like CHC or HIPAA certifications are common
Work EnvironmentInvestigations, audits, and data analysis within healthcare organizations or government agenciesPolicy review, audits, and compliance monitoring in healthcare settings or insurance companies
Employer & Industry UsageHealthcare providers, insurance companies, government agenciesHospitals, insurance firms, healthcare consulting firms

While both roles focus on healthcare regulations, Entry Level Healthcare Fraud Investigators primarily identify and investigate fraud cases, whereas Healthcare Compliance Analysts ensure adherence to laws and policies. Both roles require knowledge of healthcare laws and data analysis, but investigators focus more on detection, and compliance analysts on prevention and policy enforcement.

What is the best entry level healthcare fraud investigator job?

An entry-level healthcare fraud investigator typically works for government agencies, insurance companies, or healthcare organizations, focusing on detecting and preventing healthcare fraud. Key skills include knowledge of healthcare billing, coding, and data analysis, often supported by certifications such as the Certified Fraud Examiner (CFE) or healthcare-specific training. These roles usually require strong analytical abilities, attention to detail, and familiarity with investigative tools and software.

How to become an entry level healthcare fraud investigator?

To become an entry-level healthcare fraud investigator, candidates typically need a bachelor's degree in healthcare administration, criminal justice, or a related field. Relevant skills include attention to detail, knowledge of healthcare laws and billing practices, and proficiency with data analysis tools. Some positions may require certification such as the Certified Fraud Examiner (CFE) or experience with healthcare claims processing.
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What cities are hiring for Entry Level Healthcare Fraud Investigator jobs? Cities with the most Entry Level Healthcare Fraud Investigator job openings:
What are the most commonly searched types of Healthcare Fraud Investigator jobs? The most popular types of Healthcare Fraud Investigator jobs are:
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Entry Level Healthcare Fraud Investigator jobs near you
Infographic showing various Entry Level Healthcare Fraud Investigator job openings in the United States as of August 2026, with employment types broken down into 62% Full Time, 23% Part Time, and 15% Contract. Highlights an 85% In-person, and 15% Remote job distribution, with an average salary of $64,132 per year, or $30.8 per hour.

Senior Investigator - Rhode Island

UnitedHealth Group

Warwick, RI • On-site

$60K - $107K/yr

Full-time

Retirement

Posted 13 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

186th of 887 rated healthcare providers

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 Senior Investigator is responsible for identification, investigation and prevention of healthcare fraud, waste, and abuse. The Senior Investigator will utilize claims data, applicable guidelines, and other sources of information to identify aberrant billing practices and patterns. The Senior Investigator is responsible for conducting investigations which may include fieldwork to perform interviews and obtain records and/or other relevant documentation.
Office location: Warwick, RI
Hybrid role with expectation to work out of the Warwick, RI office approximately 3-4 times per week.
25-50% of expected travel within Rhode Island.
If you live near Warwick, RI, you will enjoy the flexibility of a hybrid-remote role as you take on some tough challenges.
Primary Responsibilities:
  • Assess complaints of alleged misconduct received within the Company
  • Investigate medium to high 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
  • 2+ years of experience in fraud, waste and abuse (FWA) investigations/audit
  • 2+ years of experience with state/federal laws and regulations pertaining to healthcare FWA
  • 2+ years of experience in analyzing data to identify fraud, waste and abuse trends
  • Demonstrated intermediate level of proficiency in Microsoft Excel and Word
  • Ability to travel up to 50%
  • Reside within a commutable distance to Warwick, RI
  • Access to reliable transportation and valid US driver's license

Preferred Qualifications:
  • Specialized knowledge/training in healthcare FWA investigations
  • 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)
  • Medical Laboratory Technician (MLT)
    • Statistical Analysis

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
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 $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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