Job Responsibilities * Review beneficiary, provider, and/or pharmacy cases for potential overpayment, fraud, waste, and abuse. * Conduct desk reviews in alignment with applicable contract ...
Quick apply
Job Responsibilities * Review beneficiary, provider, and/or pharmacy cases for potential overpayment, fraud, waste, and abuse. * Conduct desk reviews in alignment with applicable contract ...
Quick apply
Job Responsibilities * Review beneficiary, provider, and/or pharmacy cases for potential overpayment, fraud, waste, and abuse. * Conduct desk reviews in alignment with applicable contract ...
Job Responsibilities * Review beneficiary, provider, and/or pharmacy cases for potential overpayment, fraud, waste, and abuse. * Conduct desk reviews in alignment with applicable contract ...
Quick apply
Job Responsibilities * Review beneficiary, provider, and/or pharmacy cases for potential overpayment, fraud, waste, and abuse. * Conduct desk reviews in alignment with applicable contract ...
Baltimore, MD · On-site +1
$119/hr
... fraud-related laws and regulations. This role is remote eligible in the continental U.S. with ... Performs leadership and management tasks, i.e., providing coaching, evaluating performance, review ...
Baltimore, MD · On-site +1
$119/hr
... fraud-related laws and regulations. This role is remote eligible in the continental U.S. with ... Performs leadership and management tasks, i.e., providing coaching, evaluating performance, review ...
REMOTE - Must Reside in New York City, Baltimore, Philadelphia ABOUT US Victra is Verizon's largest ... Conduct investigations involving internal and external theft, fraud, and policy violations.
Quick apply
REMOTE - Must Reside in New York City, Baltimore, Philadelphia ABOUT US Victra is Verizon's largest ... Conduct investigations involving internal and external theft, fraud, and policy violations.
Payment Processing & Provider Management * Advise provider payment workflows, invoice validation ... Compliance, QA & Fraud Prevention * Ensure alignment with CCDF, audit, and data security ...
Payment Processing & Provider Management * Advise provider payment workflows, invoice validation ... Compliance, QA & Fraud Prevention * Ensure alignment with CCDF, audit, and data security ...
Baltimore, MD · On-site +1
$288K/yr
Refers any problems to management timely, providing clear details. * Complies with AHIMA standards ... If you suspect fraud, please contact us at careers@umms.edu.
Baltimore, MD · On-site +1
$288K/yr
Refers any problems to management timely, providing clear details. * Complies with AHIMA standards ... If you suspect fraud, please contact us at careers@umms.edu.
Baltimore, MD · Remote
$28.41 - $40.35/hr
Refers any problems to management timely, providing clear details. * Complies with AHIMA standards ... If you suspect fraud, please contact us at careers@umms.edu. Employment Type: PART_TIME
Baltimore, MD · Remote
$28.41 - $40.35/hr
Refers any problems to management timely, providing clear details. * Complies with AHIMA standards ... If you suspect fraud, please contact us at careers@umms.edu. Employment Type: PART_TIME
Fort George G Meade, MD · On-site +1
$99K - $225K/yr
Remote Work: No Job Number: R0238629 Location: Fort Meade,MD,US Share job via: Share Data Scientist ... Across private and public sectors-from fraud detection to cancer research to national intelligence ...
Fort George G Meade, MD · On-site +1
$99K - $225K/yr
Remote Work: No Job Number: R0238629 Location: Fort Meade,MD,US Share job via: Share Data Scientist ... Across private and public sectors-from fraud detection to cancer research to national intelligence ...
Belcamp, MD · On-site +1
$61K - $141K/yr
Remote Work: No Job Number: R0245754 Location: Belcamp,MD,US Share job via: Share SharePoint ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Belcamp, MD · On-site +1
$61K - $141K/yr
Remote Work: No Job Number: R0245754 Location: Belcamp,MD,US Share job via: Share SharePoint ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Annapolis, MD · On-site +1
$125K - $233K/yr
Remote Work: Yes Job Number: R0245450 Location: Annapolis Junction,MD,US Share job via: Share ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Annapolis, MD · On-site +1
$125K - $233K/yr
Remote Work: Yes Job Number: R0245450 Location: Annapolis Junction,MD,US Share job via: Share ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Annapolis, MD · On-site +1
$77K - $176K/yr
Remote Work: No Job Number: R0236261 Location: Annapolis Junction,MD,US Share job via: Share ... Provide customers insight into their network through monitoring and performance management.
Annapolis, MD · On-site +1
$77K - $176K/yr
Remote Work: No Job Number: R0236261 Location: Annapolis Junction,MD,US Share job via: Share ... Provide customers insight into their network through monitoring and performance management.
Belcamp, MD · On-site +1
$86K - $198K/yr
Remote Work: Hybrid Job Number: R0242037 Location: Belcamp,MD,US Share job via: Share EW Platform ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Belcamp, MD · On-site +1
$86K - $198K/yr
Remote Work: Hybrid Job Number: R0242037 Location: Belcamp,MD,US Share job via: Share EW Platform ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Annapolis, MD · On-site +1
$86K - $198K/yr
Remote Work: Hybrid Job Number: R0242449 Location: Annapolis Junction,MD,US Share job via: Share ... Experience building, managing, and expanding cyber technology partnerships including companies ...
Annapolis, MD · On-site +1
$86K - $198K/yr
Remote Work: Hybrid Job Number: R0242449 Location: Annapolis Junction,MD,US Share job via: Share ... Experience building, managing, and expanding cyber technology partnerships including companies ...
Fort George G Meade, MD · On-site +1
$61K - $141K/yr
Remote Work: No Job Number: R0243498 Location: Fort Meade,MD,US Share job via: Share Network ... Manage and operate communications and internal networks. Install new software, administer security ...
Fort George G Meade, MD · On-site +1
$61K - $141K/yr
Remote Work: No Job Number: R0243498 Location: Fort Meade,MD,US Share job via: Share Network ... Manage and operate communications and internal networks. Install new software, administer security ...
Annapolis, MD · On-site +1
$69K - $158K/yr
Remote Work: Hybrid Job Number: R0245598 Location: Annapolis Junction,MD,US Share job via: Share ... Experience building, managing, and expanding cyber technology partnerships including companies ...
Annapolis, MD · On-site +1
$69K - $158K/yr
Remote Work: Hybrid Job Number: R0245598 Location: Annapolis Junction,MD,US Share job via: Share ... Experience building, managing, and expanding cyber technology partnerships including companies ...
Fort George G Meade, MD · On-site +1
$61K - $141K/yr
Remote Work: No Job Number: R0244934 Location: Fort Meade,MD,US Share job via: Share RMF ... Analyze, implement, and manage policies and procedures to ensure system security. Apply specific ...
Fort George G Meade, MD · On-site +1
$61K - $141K/yr
Remote Work: No Job Number: R0244934 Location: Fort Meade,MD,US Share job via: Share RMF ... Analyze, implement, and manage policies and procedures to ensure system security. Apply specific ...
Fort George G Meade, MD · On-site +1
$69K - $158K/yr
Remote Work: No Job Number: R0243731 Location: Fort Meade,MD,US Share job via: Share Logistics ... Using your knowledge in logistics management, you'll help coordinate all system elements and ensure ...
Fort George G Meade, MD · On-site +1
$69K - $158K/yr
Remote Work: No Job Number: R0243731 Location: Fort Meade,MD,US Share job via: Share Logistics ... Using your knowledge in logistics management, you'll help coordinate all system elements and ensure ...
Aberdeen, MD · On-site +1
$55K - $126K/yr
Remote Work: Yes Job Number: R0246038 Location: Aberdeen Proving Ground,MD,US Share job via: Share ... As a project management specialist, you know the complexities of supporting a project from concept ...
New
Aberdeen, MD · On-site +1
$55K - $126K/yr
Remote Work: Yes Job Number: R0246038 Location: Aberdeen Proving Ground,MD,US Share job via: Share ... As a project management specialist, you know the complexities of supporting a project from concept ...
New
Fort George G Meade, MD · On-site +1
$77K - $176K/yr
Remote Work: No Job Number: R0234832 Location: Fort Meade,MD,US Share job via: Share Data Scientist ... Across private and public sectors-from fraud detection to cancer research to national intelligence ...
Fort George G Meade, MD · On-site +1
$77K - $176K/yr
Remote Work: No Job Number: R0234832 Location: Fort Meade,MD,US Share job via: Share Data Scientist ... Across private and public sectors-from fraud detection to cancer research to national intelligence ...
Fort George G Meade, MD · On-site +1
$86K - $198K/yr
Remote Work: No Job Number: R0245367 Location: Fort Meade,MD,US Share job via: Share Cyber Training ... Provide SME support to the management of a DoD-wide training program, including coordinating with ...
Fort George G Meade, MD · On-site +1
$86K - $198K/yr
Remote Work: No Job Number: R0245367 Location: Fort Meade,MD,US Share job via: Share Cyber Training ... Provide SME support to the management of a DoD-wide training program, including coordinating with ...
$50.7K - $63.9K
19% of jobs
$67.2K is the 25th percentile. Wages below this are outliers.
$63.9K - $77.1K
25% of jobs
The median wage is $80.8K / yr.
$77.1K - $90.4K
23% of jobs
$102.1K is the 75th percentile. Wages above this are outliers.
$90.4K - $103.6K
9% of jobs
$103.6K - $116.8K
0% of jobs
$116.8K - $130.1K
0% of jobs
$130.1K - $143.3K
3% of jobs
$143.3K - $156.5K
5% of jobs
$156.5K - $169.8K
5% of jobs
$169.8K - $183K
5% of jobs
$183K - $196.2K
5% of jobs
$50.7K
$101.4K
$196.2K
| Aspect | Remote Fraud Manager | Remote Fraud Analyst |
|---|---|---|
| Required Credentials | Typically requires a bachelor’s degree in finance, criminal justice, or related field; certifications like CFE or CFCS are common | Similar credentials; often holds a bachelor’s degree and may pursue certifications like CFE |
| Work Environment | Leads fraud prevention teams, manages strategies, and collaborates with other departments remotely | Performs data analysis, investigates suspicious activity, and reports findings remotely |
| Employer & Industry Usage | Used by financial institutions, e-commerce, and insurance companies to oversee fraud prevention | Employed in similar industries to analyze fraud patterns and support fraud prevention efforts |
The main difference is that a Remote Fraud Manager oversees fraud prevention strategies and manages teams, while a Remote Fraud Analyst focuses on investigating and analyzing suspicious activities. Both roles require similar credentials and are vital in fraud prevention, but the manager has a leadership and strategic role, whereas the analyst is more hands-on with data analysis.

Baltimore, MD • Remote
Full-time
Re-posted 2 days ago
Job Responsibilities
Review beneficiary, provider, and/or pharmacy cases for potential overpayment, fraud, waste, and abuse.
Conduct desk reviews in alignment with applicable contract requirements to identify potential fraud or overpayment.
Prepare detailed case summaries and provide results to investigators to support the investigative process.
Perform case-specific or plan-specific data entry and reporting to ensure accuracy and compliance.
Required Qualifications
Active, non-restricted Registered Nurse (RN) license.
Strong computer proficiency with excellent written communication skills.
Demonstrated research and analytical skills.
Preferred Qualifications
Coding certification (e.g., CPC, CCS, or equivalent).
Familiarity with Medicaid and Medicare regulations.
Experience with medical chart review.
Broad clinical background; experience in Hospice, Home Health, or Skilled Nursing Facility (SNF) review highly beneficial.