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Healthcare Fraud Jobs in Remote, OR (NOW HIRING)

Orenco Systems

Quality Manager

Sutherlin, OR · On-site

$115K - $130K/yr

... health care, short-term and long-term disability*, basic life insurance, accidental death and ... fraud protection. *100% paid by ADS. WORKING CONDITIONS: Primarily indoor office environment.

Orenco Systems

Quality Manager

Sutherlin, OR · On-site

... health care, short-term and long-term disability*, basic life insurance, accidental death and ... fraud protection. *100% paid by ADS. WORKING CONDITIONS: Primarily indoor office environment.

Orenco Systems

Quality Manager

Sutherlin, OR · On-site

$115K - $130K/yr

... health care, short-term and long-term disability*, basic life insurance, accidental death and ... theft and fraud protection. *100% paid by ADS.WORKING CONDITIONS:Primarily indoor office ...

All JobsHealthcare Fraud JobsHealthcare Fraud Jobs in Remote, OR

Healthcare Fraud information

See Remote, OR salary details

$12

$18

$24

How much do healthcare fraud jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for healthcare fraud in Remote, OR is $18.81, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $19.47 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 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 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 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.

How to become an accredited healthcare fraud investigator?

To become an accredited healthcare fraud investigator, individuals typically need a background in healthcare, law enforcement, or auditing, along with relevant certifications such as the Certified Fraud Examiner (CFE) or Certified Healthcare Fraud Investigator (CHFI). Gaining experience in healthcare compliance, auditing, or investigations and understanding healthcare laws and regulations are essential steps in the process.

What does a healthcare fraud investigator do?

A healthcare fraud investigator examines medical billing records, claims, and patient data to detect and prevent fraudulent activities such as false claims, billing scams, and identity theft. They often use specialized software and must understand healthcare laws and regulations to identify suspicious patterns and support legal actions.

What are popular job titles related to Healthcare Fraud jobs in Remote, OR?

For Healthcare Fraud jobs in Remote, OR, the most frequently searched job titles are:

What job categories do people searching Healthcare Fraud jobs in Remote, OR look for?

The top searched job categories for Healthcare Fraud jobs in Remote, OR are:

Healthcare Fraud jobs near you
Infographic showing various Healthcare Fraud job openings in Remote, OR as of August 2026, with employment types broken down into 2% As Needed, 68% Full Time, 14% Part Time, and 16% Contract. Highlights an 80% Physical, 1% Hybrid, and 19% Remote job distribution, with an average salary of $39,118 per year, or $18.8 per hour.

Volunteer SHIBA Counselor

Coos Bay, OR • On-site

South Coast Business Employment Corporation
51 - 200 employees
Learn more about South Coast Business Employment Corporationexternal

$48K - $65K/yr

Temporary

Re-posted 6 days ago

Job description

Are you interested in giving back to your community? Now is the time to join one of the top non-profits of its size in Oregon. South Coast Business Employment Corporation is looking for a volunteer to help our growing population of seniors with medical insurance under our SHIBA program. Below is the position description. We hope you will join us in serving the community.

Here’s what a SHIBA volunteer can do:

Counseling: You can help someone learn about Medicare, and assist them toward making an informed decision about their health care and prescription drug coverage.

Appeals: Assist with billing or claims issues or help someone understand how to request a re-determination of services not provided. Your work could save someone thousands of dollars.

Fraud Prevention: You can help people protect themselves, detect fraud, and report problems, saving Medicare and the tax payer millions of dollars.

Presentations: If you like sharing information with groups, provided with training and materials, you can provide current and accurate information to the community.

Community Outreach: With a little more information, SHIBA volunteers help people learn about help they are eligible for, and how to apply for it. You can help get the word out, and assist with applications.


If this describes you, please consider volunteering your time and expertise. The SHIBA program is looking for open-minded, compassionate, patient volunteers with good computer and communications skills. Skills in counseling, publicity, public speaking, and advocacy are also valuable. The program provides training, mentorship, and opportunities to use your skills.


Here’s what SHIBA will provide:

Training in all aspects of your volunteer job. Thorough training in Medicare and related benefits.

Mentoring as you learn your new duties and gain experience.

Placement in a project that suits your interests and skills.

Regular meetings to share experiences with your fellow volunteers, and update your information.

Support when you have questions or situations that require additional research, feedback, or advocacy.


% Effort or Weekly Hours: 10 per week

Salary: N/A

Reports to: Senior Services Manager