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Remote Fraud Analyst Jobs in Clinton, MA (NOW HIRING)

IQVIA

Senior Data Quality Analyst

Burlington, MA · On-site +1

Job Location Burlington, MA (Boston) Work Arrangement Hybrid (3 days in office, 2 remote) Roles ... fraud. All information and credentials submitted in your application must be truthful and complete.

IQVIA

Senior Data Quality Analyst

Burlington, MA · On-site +1

Job Location Burlington, MA (Boston) Work Arrangement Hybrid (3 days in office, 2 remote) Roles ... fraud. All information and credentials submitted in your application must be truthful and complete.

3B Staffing LLC

Business Analyst

Woburn, MA · Remote

Remote Department: Strategy / Technology / Product AI coding tools (e.g., GitHub Copilot, Amazon ... Analyze regulatory mandates (e.g., CMS, HIPAA) and translate them into actionable system ...

Posted today

3B Staffing LLC

Business Analyst

Woburn, MA · Remote

Remote Department: Strategy / Technology / Product AI coding tools (e.g., GitHub Copilot, Amazon ... Analyze regulatory mandates (e.g., CMS, HIPAA) and translate them into actionable system ...

Posted today

Integrated Resources INC

Business Analyst

Billerica, MA · Remote

Remote (Bellerica, CA) Duration: 6 Months The successful Business Analyst will work as part of a project team and with the customer to understand the Business needs and translate them into meaningful ...

Efi global

Forensic Structural Engineer

Worcester, MA · On-site +1

... analysis, origin-and-cause investigations, environmental consulting, laboratory testing and ... We are seeking a skilled Structural Engineer for a remote forensic engineering position in a fast ...

Booz Allen Hamilton, Inc.

IT Systems Engineer

Lexington, MA · On-site +1

$86K - $198K/yr

Remote Work: No Job Number: R0246290 Location: Lexington,MA,US Share job via: Share IT Systems ... Experience analyzing IT systems and applications against SRG or STIG requirements * Experience with ...

Dyne Therapeutics

Director, Compliance

Waltham, MA · Remote

... care fraud and abuse laws, Value & Access matters, patient support programs, data privacy, and ... This role is based in Waltham, MA, without the possibility of being a remote role. Primary ...

Informa Group Plc.

Chief Analyst

Newton, MA · On-site +1

The role of Chief Analyst for Data Center also involves presenting research at industry conferences, client briefings, webinars, and providing expert commentary to media and industry publications.

IQVIA

Data Acquisition Representative

Burlington, MA · On-site +1

$42K - $106K/yr

... analytics, care, and payment technology on a single data management foundation. At Cedar Gate, you ... Provide professional, responsive support to clients and vendors Job Location United States - Remote ...

IQVIA

Data Acquisition Representative

Burlington, MA · On-site +1

$42K - $106K/yr

... analytics, care, and payment technology on a single data management foundation. At Cedar Gate, you ... Provide professional, responsive support to clients and vendors Job Location United States - Remote ...

All JobsFraud Analyst JobsRemote Fraud Analyst JobsRemote Fraud Analyst Jobs in Clinton, MA

Remote Fraud Analyst information

See Clinton, MA salary details

$17

$33

$69

How much do remote fraud analyst jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for remote fraud analyst in Clinton, MA is $33.63, according to ZipRecruiter salary data. Most workers in this role earn between $23.17 and $37.16 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a remote fraud analyst?

To thrive as a Remote Fraud Analyst, you need strong analytical abilities, attention to detail, and a background in finance, business, or a related field. Familiarity with fraud detection software, data analysis tools like Excel or SQL, and relevant certifications such as CFE (Certified Fraud Examiner) are common requirements. Excellent communication skills, critical thinking, and the ability to work independently are valuable soft skills for this position. These skills are crucial for quickly identifying suspicious activities and effectively collaborating with cross-functional teams to mitigate risks.

What are some typical challenges faced by remote fraud analysts, and how can they overcome them?

Remote Fraud Analysts often face challenges such as staying up to date with evolving fraud techniques, managing large volumes of transaction data, and effectively communicating findings with distributed teams. To overcome these challenges, it’s important to continuously participate in relevant training, leverage advanced analytical tools, and establish clear protocols for virtual collaboration. Many companies provide strong support structures, ongoing professional development, and access to collaborative platforms to help analysts excel in their roles. Being proactive in learning and maintaining open, timely communication ensures success and impactful contributions to a remote fraud prevention team.

What is a remote fraud analyst?

A Remote Fraud Analyst is responsible for detecting and preventing fraudulent activities by analyzing transactions, user behavior, and financial data from a remote location. They use fraud detection tools, risk assessment techniques, and company policies to identify suspicious activity and take necessary actions. Their role often involves reviewing flagged transactions, investigating fraud cases, and working with other teams to implement fraud prevention strategies. Strong analytical skills, attention to detail, and knowledge of fraud detection systems are essential for this position.

What cities near Clinton, MA are hiring for Remote Fraud Analyst jobs? Cities near Clinton, MA with the most Remote Fraud Analyst job openings:
Remote Fraud Analyst jobs near you
Infographic showing various Remote Fraud Analyst job openings in Clinton, MA as of August 2026, with employment types broken down into 85% Full Time, 9% Part Time, and 6% Contract. Highlights an 100% Remote job distribution, with an average salary of $69,957 per year, or $33.6 per hour.

Medical Program Auditor/ Analyst

University of Massachusetts Medical School

Westborough, MA • On-site, Remote

$80K - $95K/yr

Full-time

Re-posted 12 days ago

Job description

Under the general direction of the Associate Director or designee, the Fraud, Waste, and Abuse (FWA) Auditor serves a crucial role in identifying, investigating, and preventing fraud, waste and abuse for Medicaid programs. A major function of this position is to conduct desk and onsite audits across various provider types to ensure compliance with federal and state regulations. The Auditor performs investigative activities to develop leads and detect aberrant billing practices, including data mining, claims analysis, and medical record assessment.

Onsite requirement 1-2 times per month, all other aspects of the job are remote.


Responsibilities:

  • Ensure compliance with federal and state regulations and healthcare FWA industry standards.
  • Perform independent data mining and data analysis utilizing claims data to detect patterns and trends that may uncover fraud, waste, or non-compliant billing practices.
  • Conduct onsite audits as required, to assess the completeness of medical and administrative records and the compliance with applicable regulatory requirements.
  • Prepare detailed audit documentation, summaries of investigative findings, compile case files, calculate sanctions and overpayments based on violations cited.
  • Communicate with providers regarding issues such as general regulatory compliance, audit findings, and the recovery process.
  • Recommend policy, procedure and system changes to enhance investigative outcomes.
  • Update appropriate internal management staff regularly on progress of investigations.
  • Stay current with regulatory updates, coding changes, and industry standards.
  • Identify trends from national fraud-related publications and recommend new or improved strategies to strengthen fraud-detection efforts.
  • Assist with document management, updating case-tracking system and adhering to record retention policies and procedures.
  • Perform other duties as assigned.

Qualifications:

  • Bachelor's degree in business, health care administration, or other related field
  • 4-6 years of related experience in the healthcare industry, business,; with at least two years of experience conducting data mining in the healthcare insurance industry, healthcare claim audits, administrative medical record reviews or other claims analysis related experience
  • Knowledge of CPT, HCPCS and ICD-10 coding, reimbursement and claims processing policies
  • Strong analytical and qualitative skills as well as problem solving skills with the ability to look for root causes and implement workable solutions
  • Ability to interpret and apply law and regulations as it relates to fraud and fraud investigations
  • Ability to multi-task, establish priorities and work independently and collaboratively to achieve audit objectives
  • Proficiency in Microsoft Office applications (Word, Excel, PowerPoint and Access)
  • Excellent Customer service skills with the ability to interact professionally and effectively with providers, clients, and internal stakeholders from all departments
  • Ability to travel within Massachusetts and be on-site as needed for audits

Preferred Qualifications:

Prefer individual possessing any of the following certifications or licensure: CPC or CPMA
Knowledge of state and federal regulations as they apply to public assistance programs

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