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Healthcare Fraud Jobs in Indiana (NOW HIRING)

Abbott

Occupational Health Nurse II

Westfield, IN · On-site

$68K - $94K/yr

MetLife Legal, MetLife ID Fraud, and MetLife Pet Insurance * 401(k) Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing ...

Abbott

Occupational Health Nurse II

Carmel, IN · On-site

$68K - $94K/yr

MetLife Legal, MetLife ID Fraud, and MetLife Pet Insurance * 401(k) Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing ...

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All JobsHealthcare Fraud JobsHealthcare Fraud Jobs in Indiana

Healthcare Fraud information

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$12

$17

$23

How much do healthcare fraud jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for healthcare fraud in Indiana is $17.91, according to ZipRecruiter salary data. Most workers in this role earn between $15.58 and $18.51 per hour, depending on experience, location, and employer.

What is healthcare fraud?

Healthcare fraud is the act of intentionally deceiving or misrepresenting information to obtain unauthorized benefits or payments from healthcare programs, such as Medicare or private insurance. This can include billing for services not provided, upcoding procedures, falsifying patient records, or accepting kickbacks. Healthcare fraud can be committed by providers, patients, or even insurance companies, and it not only results in financial losses but can also compromise patient care and trust in the healthcare system.

What is the difference between Healthcare Fraud vs Medical Billing Specialist?

AspectHealthcare FraudMedical Billing Specialist
Required CredentialsNone mandatory, but certifications like Certified Fraud Examiner (CFE) can helpHigh school diploma or equivalent; certifications like Certified Medical Billing Specialist (CMBS) are common
Work EnvironmentHealthcare organizations, government agencies, compliance departmentsMedical offices, hospitals, billing companies
Employer & Industry UsageUsed in compliance, legal, and auditing roles within healthcareUsed in healthcare administration and billing departments
Common Search & ComparisonHealthcare FraudMedical Billing Specialist

Healthcare Fraud involves detecting and preventing illegal billing practices and fraudulent activities within healthcare. In contrast, a Medical Billing Specialist focuses on processing and managing legitimate medical claims and billing procedures. While both roles work within the healthcare industry, Healthcare Fraud professionals focus on compliance and legal issues, whereas Medical Billing Specialists handle day-to-day billing operations.

What are the most common challenges faced by professionals working in healthcare fraud investigation roles?

Professionals in healthcare fraud investigation often encounter challenges such as navigating complex healthcare regulations, staying updated with evolving fraud schemes, and managing large volumes of sensitive data. Collaboration across departments like compliance, legal, and IT is crucial to successfully identify and address fraudulent activities. Investigators may also face tight deadlines and must maintain a high level of accuracy and confidentiality in their work.

What are the key skills and qualifications needed to thrive as a healthcare fraud investigator?

To thrive as a Healthcare Fraud Investigator, you need strong analytical skills, knowledge of healthcare laws and regulations, and experience in auditing or investigations, often supported by a relevant degree or certifications such as Certified Fraud Examiner (CFE). Familiarity with data analysis tools, electronic health record (EHR) systems, and case management software is typically required. Exceptional attention to detail, critical thinking, and effective communication are vital soft skills for gathering evidence and presenting findings clearly. These skills and qualifications are crucial for accurately detecting fraudulent activity, minimizing financial losses, and ensuring compliance within the healthcare industry.
What are popular job titles related to Healthcare Fraud jobs in Indiana? For Healthcare Fraud jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Healthcare Fraud jobs in Indiana look for? The top searched job categories for Healthcare Fraud jobs in Indiana are:
Healthcare Fraud jobs near you
Infographic showing various Healthcare Fraud job openings in Indiana as of August 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 100% In-person job distribution, with an average salary of $37,260 per year, or $17.9 per hour.

Fraud Prevention Analyst

Employee Benefits Corporation

Indianapolis, IN • On-site

Other

Re-posted 20 days ago

Job description

About the Role

Employee Benefits Corporation is hiring for a Fraud Prevention Analyst. In this role, you'll help protect EBC and our customers by identifying, assessing, and responding to fraud risks across our products and operations. You'll combine investigation, analytics, and risk management to uncover patterns, strengthen controls, and deliver actionable insights that prevent fraud before it happens and support sound business decisions.

Location
Work where you work best-either hybrid from our Middleton, WI office or remotely from Wisconsin, Arizona, Florida, Indiana, Minnesota, North Carolina, Oklahoma, or Texas. Occasional travel (about once per quarter) is expected for meetings, training, and partner engagements.
Who We Are

Employee Benefits Corporation (EBC) is a trusted, national third-party administrator with decades of experience delivering consumer-driven benefit solutions. We combine deep industry expertise and exemplary service with a bold vision for the future-where technology is thoughtfully applied to enable an intuitive user experience and elevate how consumers engage with their benefits.

What You'll Do

* Monitor and analyze fraud activity across systems, vendor tools, and data sources to identify suspicious patterns and behavioral anomalies
* Conduct in-depth investigations, determine root cause, and document audit-ready findings with clear recommendations
* Design and enhance fraud prevention strategies, including detection logic, controls, workflows, and behavioral risk indicators
* Build dashboards, automated monitoring, and reporting using complex datasets to provide actionable insights
* Partner cross-functionally (Compliance, data teams, vendors, and business leaders) to strengthen controls and ensure regulatory alignment
* Contribute to fraud risk assessments, incident response activities, and continuous improvement of fraud prevention processes

What You Bring

* Minimum 3 years of experience in fraud prevention, investigation, or risk management within a regulated financial or related environment
* Bachelor's degree (or equivalent 4 years of relevant experience)
* Experience using AI-powered tools, analytics platforms, or machine learning-assisted detection methods
* Strong ability to build reporting, dashboards, and automated processes from large, complex datasets
* Advanced Microsoft Excel skills (Power Query, data modeling, advanced formulas) and experience with visualization tools (e.g., Power BI)
* Proven analytical, problem-solving, and critical thinking skills with strong attention to detail
* Excellent written and verbal communication skills, with the ability to translate complex findings into clear insights
* Ability to manage multiple priorities in a fast-paced environment with a high level of ownership and integrity
* Willingness to travel approximately once per quarter

Ideally, You May Also Have

* Familiarity with regulatory frameworks such as IRS, ERISA, HIPAA, or similar
* Professional certifications (e.g., CFE, CFCS, CAMS, APRP, or similar)
* Experience in financial services, benefits administration, healthcare, or another regulated industry

Why EBC

* A welcoming, collaborative team culture where every voice matters
* Competitive pay and comprehensive benefits, including employee ownership
* A culture built on clarity, empathy, and continuous improvement
* Continuous learning and career development to help you grow as we invest in future-ready solutions and seamless user experiences
* Flexible work options designed to support a healthy work-life balance

How to Apply

Ready to make an impact? Apply now. We're excited to meet you.

Apply