Long Beach, CA · Remote
$21.82 - $51.06/hr
Devises clinical summary post-review. Communicates and participates in meetings related to cases ... Certified Fraud Examiner (CFE) and/or Accredited Health Care Fraud Investigator (AHFI). Experience ...
Long Beach, CA · Remote
$21.82 - $51.06/hr
Devises clinical summary post-review. Communicates and participates in meetings related to cases ... Certified Fraud Examiner (CFE) and/or Accredited Health Care Fraud Investigator (AHFI). Experience ...
Strong clinical experience to include multiple practice areas * At least 2 years of healthcare ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Strong clinical experience to include multiple practice areas * At least 2 years of healthcare ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
$19.64 - $42.55/hr
... Devises clinical summary post-review. • Communicates and participates in meetings related to ... Certified Fraud Examiner (CFE) and/or Accredited Health Care Fraud Investigator (AHFI). • ...
$19.64 - $42.55/hr
... Devises clinical summary post-review. • Communicates and participates in meetings related to ... Certified Fraud Examiner (CFE) and/or Accredited Health Care Fraud Investigator (AHFI). • ...
Strong clinical experience to include multiple practice areas * At least 2 years of healthcare ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Strong clinical experience to include multiple practice areas * At least 2 years of healthcare ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Washington, DC · On-site +1
$110K - $138K/yr
The Sr. Clinical Research Associate (Sr. CRA) will be responsible for performing investigative site ... Perform remote and on-site monitoring/co-monitoring visits (Site Qualification Visits, Site ...
Washington, DC · On-site +1
$110K - $138K/yr
The Sr. Clinical Research Associate (Sr. CRA) will be responsible for performing investigative site ... Perform remote and on-site monitoring/co-monitoring visits (Site Qualification Visits, Site ...
Chicago, IL · On-site +1
$110K - $138K/yr
The Sr. Clinical Research Associate (Sr. CRA) will be responsible for performing investigative site ... Perform remote and on-site monitoring/co-monitoring visits (Site Qualification Visits, Site ...
Chicago, IL · On-site +1
$110K - $138K/yr
The Sr. Clinical Research Associate (Sr. CRA) will be responsible for performing investigative site ... Perform remote and on-site monitoring/co-monitoring visits (Site Qualification Visits, Site ...
Strong clinical experience to include multiple practice areas * At least 2 years of healthcare ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Strong clinical experience to include multiple practice areas * At least 2 years of healthcare ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Boston, MA · On-site +1
You just found it. Job Overview Responsible for the generation and development of documents relating to clinical evaluations and clinical investigations. This position is hybrid or fully remote in ...
Boston, MA · On-site +1
You just found it. Job Overview Responsible for the generation and development of documents relating to clinical evaluations and clinical investigations. This position is hybrid or fully remote in ...
Boston, MA · On-site +1
You just found it. Job Overview Responsible for the generation and development of documents relating to clinical evaluations and clinical investigations. This position is hybrid or fully remote in ...
Boston, MA · On-site +1
You just found it. Job Overview Responsible for the generation and development of documents relating to clinical evaluations and clinical investigations. This position is hybrid or fully remote in ...
Moundsview, MN · On-site +1
Will consider remote applicants. Travel up to 20%. Responsibilities may include the following and ... Aids in overseeing and interpret results of clinical investigations in preparation for new device ...
Moundsview, MN · On-site +1
Will consider remote applicants. Travel up to 20%. Responsibilities may include the following and ... Aids in overseeing and interpret results of clinical investigations in preparation for new device ...
Moundsview, MN · On-site +1
Will consider remote applicants. Travel up to 20%. Responsibilities may include the following and ... Aids in overseeing and interpret results of clinical investigations in preparation for new device ...
Moundsview, MN · On-site +1
Will consider remote applicants. Travel up to 20%. Responsibilities may include the following and ... Aids in overseeing and interpret results of clinical investigations in preparation for new device ...
Los Angeles, CA · On-site +1
$110K - $138K/yr
The Sr. Clinical Research Associate (Sr. CRA) will be responsible for performing investigative site ... Perform remote and on-site monitoring/co-monitoring visits (Site Qualification Visits, Site ...
Los Angeles, CA · On-site +1
$110K - $138K/yr
The Sr. Clinical Research Associate (Sr. CRA) will be responsible for performing investigative site ... Perform remote and on-site monitoring/co-monitoring visits (Site Qualification Visits, Site ...
Baltimore, MD · On-site +1
The Sr. Clinical Research Associate (Sr. CRA) will be responsible for performing investigative site ... Perform remote and on-site monitoring/co-monitoring visits (Site Qualification Visits, Site ...
Baltimore, MD · On-site +1
The Sr. Clinical Research Associate (Sr. CRA) will be responsible for performing investigative site ... Perform remote and on-site monitoring/co-monitoring visits (Site Qualification Visits, Site ...
Denver, CO · On-site +1
$110K - $138K/yr
The Sr. Clinical Research Associate (Sr. CRA) will be responsible for performing investigative site ... Perform remote and on-site monitoring/co-monitoring visits (Site Qualification Visits, Site ...
Denver, CO · On-site +1
$110K - $138K/yr
The Sr. Clinical Research Associate (Sr. CRA) will be responsible for performing investigative site ... Perform remote and on-site monitoring/co-monitoring visits (Site Qualification Visits, Site ...
The Sr. CRA oversees the progress of clinical investigations by conducting site qualification ... Perform remote and on-site monitoring activities using various tools to ensure subject rights ...
The Sr. CRA oversees the progress of clinical investigations by conducting site qualification ... Perform remote and on-site monitoring activities using various tools to ensure subject rights ...
The Sr. CRA oversees the progress of clinical investigations by conducting site qualification ... Perform remote and on-site monitoring activities using various tools to ensure subject rights ...
The Sr. CRA oversees the progress of clinical investigations by conducting site qualification ... Perform remote and on-site monitoring activities using various tools to ensure subject rights ...
Remote candidates are welcome to apply. General Responsibilities: * Work closely with the Head of ... Provide investigational product or device tracking and disposition as required by project.
Quick apply
Remote candidates are welcome to apply. General Responsibilities: * Work closely with the Head of ... Provide investigational product or device tracking and disposition as required by project.
Rockville, MD · On-site +1
Participates in Investigator Meetings or other client meetings as needed. * Assists with filing and ... Remote Employment Type: FULL_TIME
Rockville, MD · On-site +1
Participates in Investigator Meetings or other client meetings as needed. * Assists with filing and ... Remote Employment Type: FULL_TIME
Rockville, MD · On-site +1
... investigative sites or remotely to ensure clinical trials are conducted, recorded, and reported in ... CRA, Project Manager, etc., independently schedules and conducts remote and on-site monitoring ...
Rockville, MD · On-site +1
... investigative sites or remotely to ensure clinical trials are conducted, recorded, and reported in ... CRA, Project Manager, etc., independently schedules and conducts remote and on-site monitoring ...
Be Seen First
Washington, DC · Remote
$130K - $150K/yr
Remote Travel: None Suitability / Background Investigation: Tier 1 (NACI) minimum to Tier 4 (High ... Direct a multi-disciplinary team spanning data science, cloud engineering, clinical subject matter ...
Quick apply
Be Seen First
Washington, DC · Remote
$130K - $150K/yr
Remote Travel: None Suitability / Background Investigation: Tier 1 (NACI) minimum to Tier 4 (High ... Direct a multi-disciplinary team spanning data science, cloud engineering, clinical subject matter ...
$35K - $41K
0% of jobs
$44.4K is the 25th percentile. Wages below this are outliers.
$41K - $47K
44% of jobs
The median wage is $48K / yr.
$47K - $53K
39% of jobs
$53K - $59K
1% of jobs
$59K - $65K
4% of jobs
$65K - $71K
3% of jobs
$71K - $77K
3% of jobs
$77K - $83K
2% of jobs
$83K - $89K
1% of jobs
$89K - $95K
1% of jobs
$95K - $101K
1% of jobs
$35K
$56.1K
$101K
A Remote Clinical Investigator is responsible for overseeing and analyzing clinical trial data, ensuring compliance with regulatory standards, and monitoring patient safety—all while working remotely. They collaborate with research teams, healthcare professionals, and regulatory bodies to assess trial integrity and effectiveness. Their duties may include reviewing medical records, identifying adverse events, and ensuring protocol adherence. This role requires strong analytical skills, clinical knowledge, and experience in research or regulatory compliance.
As a Remote Clinical Investigator, your day often includes reviewing clinical trial data, ensuring protocol compliance, and conducting remote site monitoring visits via video calls or secure digital platforms. You'll communicate regularly with study coordinators, sponsors, and regulatory agencies to resolve queries and address study-related issues. Documentation, data verification, and ongoing training to stay updated with regulations are also part of the workflow. This role offers flexibility and autonomy, but requires excellent organization to manage multiple studies and deadlines from a home or remote office environment.
To excel as a Remote Clinical Investigator, you need a strong background in clinical research, data analysis, and regulatory compliance, usually supported by a degree in a health-related field. Familiarity with electronic data capture systems, Good Clinical Practice (GCP) certification, and experience using remote monitoring tools are highly valued. Exceptional organizational skills, attention to detail, and effective written and verbal communication are standout soft skills for this role. These competencies ensure rigorous study conduct, accurate data collection, and clear collaboration with sponsors, study sites, and regulatory bodies.
Cities with the most Remote Clinical Investigator job openings:
The most popular types of Clinical Investigator jobs are:
States with the most job openings for Remote Clinical Investigator jobs include:
For Remote Clinical Investigator jobs, the most frequently searched job titles are:
Long Beach, CA • Remote
$21.82 - $51.06/hr
Full-time
Posted 15 days ago
8.0
Based on 199 frontline employees who took The Breakroom Quiz
172nd of 315 rated insurance
Independently re-evaluates medical claims and associated records by applying knowledge of advanced coding, applicable federal and state regulatory requirements, and Molina policies.
Reviews post-pay claims against corresponding medical records to determine accuracy of claims payments.
Manages documents and prioritizes caseloads to ensure timely turnaround.
Ensures adherence to applicable state/federal/internal policies, Current Procedural Terminology (CPT) guidelines and provider contract requirements.
Devises clinical summary post-review.
Communicates and participates in meetings related to cases.
Completes medical review to facilitate referral to law enforcement or payment recovery.
Supports investigation work as necessary and required by the regulatory agency.
At least 2 years of CPT coding experience in a surgical, hospital and/or clinic setting, or equivalent combination of relevant education and experience.
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), or American Academy of Professional Coders (AAPC) certified.
Critical-thinking, problem-solving and analytical skills.
Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations.
Knowledge of managed care and the Medicaid, Medicare, and Marketplace programs.
Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems.
Ability to research and interpret regulatory requirements.
Ability to prioritize and manage multiple tasks.
Ability to work in a team setting.
Strong verbal/written communication skills, and presentation skills.
Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
In some states, 5 years of experience working in a fraud, waste and abuse (FWA)/special investigations unit (SIU)/fraud investigations role may be required (dependent on state/contractual requirements).
Certified Professional Compliance Officer (CPCO).Certified Fraud Examiner (CFE) and/or Accredited Health Care Fraud Investigator (AHFI).
Experience working in group health insurance, particularly within claims processing or operations.
Working knowledge of local, state and federal laws and regulations pertaining to health insurance, investigations and legal processes (commercial insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy, etc.).
Experience with claims processing systems.
Ability to use Microsoft Excel platform and work with large quantities of data.
Ability to answer questions, identify trends and patterns, and present findings.'
Pay Range: $21.82 - $51.06 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Health care and social assistance
10,000+ Employees
Long Beach, CA, US
1980
