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Fraud Waste Abuse Remote Jobs (NOW HIRING)

Centene

SIU Investigator

$56K - $101K/yr

  • Medical

  • Retirement

  • PTO

Conduct investigations of potential waste, abuse, and fraud * Document activity on each case and ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Office of Personnel Management

Program Manager

Washington, DC · On-site +1

$169K - $197K/yr

  • Medical

Direct administrative program integrity reviews involving potential fraud, waste, abuse, improper payments, control weaknesses, and other program integrity risks affecting Federal health benefits ...

Office of Personnel Management

Program Manager

Washington, DC · On-site +1

$169K - $197K/yr

  • Medical

Direct administrative program integrity reviews involving potential fraud, waste, abuse, improper payments, control weaknesses, and other program integrity risks affecting Federal health benefits ...

CVS Health

Product Manager, Fraud & Abuse

$92K - $203K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

As a Product Manager for Fraud & Abuse, you will lead the ongoing development and expansion of key Fraud, Waste, and Abuse (FWA) products that deliver over $200M in annual impact. In this role, you ...

Centene

SIU Investigator

$56K - $101K/yr

  • Medical

  • Retirement

  • PTO

Conduct investigations of potential waste, abuse, and fraud * Document activity on each case and ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Centene

Senior Pharmacy SIU Investigator

$70K - $126K/yr

  • Medical

  • Retirement

  • PTO

Independently leads complex fraud, waste, and abuse (FWA) investigations involving providers ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Centene

Senior SIU Investigator

$70K - $126K/yr

  • Medical

  • Retirement

  • PTO

Independently leads complex fraud, waste, and abuse (FWA) investigations involving providers ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Blue Cross And Blue Shield of North Carolina

BI Analyst

$89K - $142K/yr

  • Medical

  • Retirement

  • PTO

This role combines advanced data analysis, dashboard development, healthcare claims expertise, and stakeholder engagement to identify fraud, waste, abuse, payment accuracy opportunities, and ...

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How much do fraud waste abuse remote jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for fraud waste abuse remote 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 a fraud waste abuse remote job?

Fraud Waste Abuse (FWA) Remote jobs involve identifying, investigating, and preventing fraudulent activities, wasteful practices, and abuse within organizations, especially in sectors like healthcare, insurance, and government services. These roles are typically performed remotely, using digital tools to analyze data, review claims or transactions, and ensure compliance with regulations. Professionals in this field help safeguard company assets and maintain ethical standards while working from home or other remote locations.

What are the common challenges faced by professionals in fraud, waste, and abuse roles working remotely?

One of the primary challenges in remote FWA roles is maintaining effective communication and collaboration with team members, as investigations often require input from multiple departments. Additionally, remote professionals must stay vigilant against evolving fraud tactics and ensure they have secure access to sensitive data. Balancing thorough investigation with timely case resolution can also be demanding without in-person oversight. However, remote work provides flexibility, and many organizations support FWA teams with robust digital tools and regular virtual check-ins to foster connection and efficiency.

What skills and qualifications are needed to thrive as a fraud, waste, and abuse analyst in a remote setting?

To thrive as a remote Fraud, Waste, and Abuse (FWA) Analyst, you need strong analytical skills, attention to detail, and a background in compliance, healthcare, or finance, often supported by a relevant degree or experience. Familiarity with data analytics tools, case management systems, and certification such as Certified Fraud Examiner (CFE) is typically required. Exceptional communication, critical thinking, and self-motivation are key soft skills for working independently and collaborating virtually. These skills ensure accurate detection and prevention of fraudulent activities, protecting organizational resources and maintaining regulatory compliance.

What is the difference between Fraud Waste Abuse Remote vs Fraud Investigator?

AspectFraud Waste Abuse RemoteFraud Investigator
CredentialsCertifications like CFE, ACFE, or similarCertifications like CFE, ACFE, or similar
Work EnvironmentRemote, often from home or telecommutingTypically office-based or on-site investigations
Employer & IndustryInsurance, healthcare, government agencies, remote settingsFinancial institutions, law enforcement, corporate security

Fraud Waste Abuse Remote professionals focus on identifying and preventing fraud, waste, and abuse primarily through remote analysis and audits, while Fraud Investigators often conduct on-site investigations and interviews. Both roles require similar certifications and industry knowledge, but differ mainly in work environment and specific duties.

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Fraud Waste Abuse Remote jobs near you
Infographic showing various Fraud Waste Abuse Remote job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 12% Part Time, 1% Contract, and 1% Nights. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $64,132 per year, or $30.8 per hour.

Data Scientist - Healthcare Fraud Waste and Abuse - REMOTE

Medix

Boston, MA • On-site, Remote

$65 - $75/hr

Full-time

Posted 22 days ago

Job description

Job Title: Data Scientist - Healthcare Fraud Waste and Abuse - REMOTE
Position Type: Contract to Hire
Position Level : Associate - seeking 3-5 years professional experience
Work Location: FULLY REMOTE
*Must live in the US. Must be able to work EST/CST hours
ABOUT OUR CLIENT / ABOUT THIS ROLE
Medix is currently seeking a Data Science Analyst for an exciting contract to hire job opportunity with one of our Healthcare Analytics Services clients. This is a 100% remote role that will start on a contract basis, and convert to a full-time employee within 6 months.
This Data Science Analyst will be joining a team focused on Healthcare Claims Fraud, Waste and Abuse (FWA). This individual will be developing and operating / optimizing predictive models for deep analysis on financial / revenue cycle data, with an emphasis towards identifying anomalies, and returning measurable cost-savings.
RESPONSIBILITIES
  • Building and deploying predictive models to assess anomalies and patterns for fraud, waste, and abuse in Healthcare Claims / Financial Data.
  • Developing and owning complex data products that can help automatically identify and prevent FWA.
  • Building data pipelines (structured, text, documents, images) optimized for LLMs and multi-modal models.
  • Designing, developing and deploying LLM-based solutions (RAG, embeddings, instruction tuning) for claims handling, document understanding, and related use cases.
  • Conducting deep-dive analyses, heavy SQL coding, and predictive modeling to identify patterns in the data
  • Working with Agentic AI tools to develop, implement, and maintain advanced operational workflows to integrate vendor solutions with client environments.
  • Serving as a liaison and communicator to leadership (department heads). This will include meeting regularly with business leaders to help solution how to embed automatic data processes into every day revenue cycle workflows
  • Visualizing data via dashboards and present complex findings to non-technical stakeholders and/or legal teams

REQUIRED SKILLS
  • Required Bachelor of Science Degree
  • Must have at least 2 years of Healthcare Domain experience - specifically within Revenue and Finance, Fraud, Waste, Abuse.
  • Strong background in applied statistics, regression analysis, and clustering techniques.
  • Advanced hands-on experience with Python and Python-based libraries (PySpark, Numpy, SciPy)
  • Advanced hands-on experience with SQL

No C2C Inquiries - this is a contract to hire a position that will convert to a full time employee within 6 months. Work visa sponsorship is not offered: talent must be permanently authorized to work for our client without the need for work-visa sponsorship now, or in the future.
* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
* This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
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About Medix Staffing Solutions

Sourced by ZipRecruiter

Since 2001, we’ve been dedicated to helping you achieve your goals. Medix was created to become a leading provider of workforce solutions for clients and candidates across the healthcare and life sciences industries. Today, we are that leader. Headquartered in Chicago, we have 23 offices across the United States, and staff talent around the world. Medix is committed to fulfilling our core purpose as an organization: to positively impact the lives of our talent, clients, and teammates through employment, philanthropy, and opportunity. The combination of purpose and values has nurtured our thriving culture that encourages our internal team to excel at work and in everyday life.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US

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