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Remote Federal Investigator Jobs (NOW HIRING)

Olsson

Principal Investigator

Denver, CO · On-site +1

$150K - $240K/yr

These investigations and coordination with federal agencies may be performed by Olsson's staff ... of our office locations or remote. Qualifications You are passionate about: * Working ...

Arizona Department of Administration

$17.68 - $24.70/hr

REMOTE OPTIONS, PHOENIX Categories: Legal/Investigations/Adjustment/Compliance ARIZONA BOARD OF ... Applies and interprets Federal, State and agency laws, rules, regulations, and policies regarding ...

Centene

SIU Investigator

Palos Verdes Estates, CA · On-site +1

$56K - $101K/yr

Prepare summary and/or detailed reports on investigative findings for referral to Federal and State ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Centene

SIU Investigator

Dos Palos, CA · On-site +1

$56K - $101K/yr

Prepare summary and/or detailed reports on investigative findings for referral to Federal and State ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Centene

SIU Investigator

Sylmar, CA · On-site +1

$56K - $101K/yr

Prepare summary and/or detailed reports on investigative findings for referral to Federal and State ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Centene

SIU Investigator

Topanga, CA · On-site +1

$56K - $101K/yr

Prepare summary and/or detailed reports on investigative findings for referral to Federal and State ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Centene

SIU Investigator

La Palma, CA · On-site +1

$56K - $101K/yr

Prepare summary and/or detailed reports on investigative findings for referral to Federal and State ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Centene

SIU Investigator

Dos Palos, CA · On-site +1

$56K - $101K/yr

Prepare summary and/or detailed reports on investigative findings for referral to Federal and State ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Weis Markets

Retail Crime Investigator

Location Address: 1000 Weis Remote Road ESSENTIAL DUTIES AND RESPONSIBILITIES The associate is ... Act as a liaison between Weis Markets and local, state, and federal law enforcement agencies.

Weis Markets

Retail Crime Investigator

Location Address: 1000 Weis Remote Road ESSENTIAL DUTIES AND RESPONSIBILITIES The associate is ... Act as a liaison between Weis Markets and local, state, and federal law enforcement agencies.

Weis Markets

Retail Crime Investigator

Location Address: 1000 Weis Remote Road ESSENTIAL DUTIES AND RESPONSIBILITIES The associate is ... Act as a liaison between Weis Markets and local, state, and federal law enforcement agencies.

Centene

SIU Investigator

Topanga, CA · On-site +1

$56K - $101K/yr

Prepare summary and/or detailed reports on investigative findings for referral to Federal and State ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Centene

SIU Investigator

Palos Verdes Peninsula, CA · On-site +1

$56K - $101K/yr

Prepare summary and/or detailed reports on investigative findings for referral to Federal and State ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Centene

SIU Investigator

La Palma, CA · On-site +1

$56K - $101K/yr

Prepare summary and/or detailed reports on investigative findings for referral to Federal and State ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

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Remote Federal Investigator information

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$32K

$75.3K

$131K

How much do remote federal investigator jobs pay per year?

As of Jul 14, 2026, the average yearly pay for remote federal investigator in the United States is $75,325.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,500.00 and $98,500.00 per year, depending on experience, location, and employer.

What is the difference between Remote Federal Investigator vs Remote Federal Customs Agent?

AspectRemote Federal InvestigatorRemote Federal Customs Agent
Required CredentialsInvestigative experience, security clearances, sometimes law enforcement certificationsCustoms enforcement training, security clearances, law enforcement background
Work EnvironmentRemote investigations, data analysis, interviews, report writingRemote customs inspections, compliance checks, documentation review
Employer & IndustryFederal agencies like FBI, DEA, or DHSU.S. Customs and Border Protection, DHS
Search & Comparison IntentUnderstanding investigative roles in federal agenciesDifferences in customs enforcement roles

Remote Federal Investigators and Remote Federal Customs Agents both work for federal agencies and require security clearances. However, investigators focus on criminal or security investigations remotely, while customs agents handle customs enforcement and compliance tasks. Both roles involve remote work environments but differ in their specific duties and agency focus.

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Remote Federal Investigator jobs near you
Investigator, Special Investigative Unit Coding (Remote)

Investigator, Special Investigative Unit Coding (Remote)

Molina Healthcare

Long Beach, CA • On-site, Remote

$19.64 - $42.55/hr

Full-time

Re-posted 5 days ago

Molina Healthcare rating

8.1

Company rating: 8.1 out of 10

Based on 193 frontline employees who took The Breakroom Quiz

134th of 281 rated insurance

Job description


JOB DESCRIPTION
Provides investigative support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA). Investigates and resolves instances of health care fraud and abuse investigations of medical providers using informational tips from member benefits and medical records following review of post-payment claims.
Essential Job Duties
  • Independently re-evaluates medical claims and associated records by applying knowledge of advanced coding, all relevant and 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.

Job Requirements
  • Associates in criminal justice or degree. If no Degree:
  • 5-7 Years of Health Care Claims Investigations
  • 5-7 Years of previous SIU Investigations
  • Previous Law Enforcement
  • At least 2 years 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.
  • 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).
  • 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.

Preferred Qualifications
  • 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/Access platforms working with large quantities of data.
  • Ability to answer questions, identify trends and patterns, and present findings.

#PJCorp
#LI-AC1
To all current Molina employees. If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

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About Molina Healthcare

Sourced by ZipRecruiter

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.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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