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 ...
Columbia, MD ยท On-site +1
Columbia, MD (Remote) Description: We are seeking an experienced Child Care Scholarship (CCS ... Compliance, QA & Fraud Prevention * Ensure alignment with CCDF, audit, and data security ...
Columbia, MD ยท On-site +1
Columbia, MD (Remote) Description: We are seeking an experienced Child Care Scholarship (CCS ... Compliance, QA & Fraud Prevention * Ensure alignment with CCDF, audit, and data security ...
Baltimore, MD ยท On-site +1
$119/hr
This role is remote eligible in the continental U.S. with occasional business travel. What you'll do: * Responsible for insurance fraud detection and investigation services to reduce fraud-related ...
Baltimore, MD ยท On-site +1
$119/hr
This role is remote eligible in the continental U.S. with occasional business travel. What you'll do: * Responsible for insurance fraud detection and investigation services to reduce fraud-related ...
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.
Baltimore, MD ยท Remote
$28.41 - $40.35/hr
Job Requirements Senior Outpatient Coding Specialist - Remote Monday - Friday 6AM-6PM ET (28 hours ... If you suspect fraud, please contact us at careers@umms.edu. Employment Type: PART_TIME
Baltimore, MD ยท Remote
$28.41 - $40.35/hr
Job Requirements Senior Outpatient Coding Specialist - Remote Monday - Friday 6AM-6PM ET (28 hours ... If you suspect fraud, please contact us at careers@umms.edu. Employment Type: PART_TIME
Fort George G Meade, MD ยท 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 ยท 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 ...
Annapolis, MD ยท On-site +1
$86K - $198K/yr
Remote Work: No Job Number: R0242445 Location: Annapolis Junction,MD,US Share job via: Share Test ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Annapolis, MD ยท On-site +1
$86K - $198K/yr
Remote Work: No Job Number: R0242445 Location: Annapolis Junction,MD,US Share job via: Share Test ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Fort George G Meade, MD ยท 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 ยท 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 ...
Annapolis, MD ยท On-site +1
$86K - $198K/yr
Remote Work: Hybrid Job Number: R0242449 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 ยท On-site +1
$86K - $198K/yr
Remote Work: Hybrid Job Number: R0242449 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 ...
Fort George G Meade, MD ยท On-site +1
$69K - $158K/yr
Remote Work: No Job Number: R0243992 Location: Fort Meade,MD,US Share job via: Share Operations ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Fort George G Meade, MD ยท On-site +1
$69K - $158K/yr
Remote Work: No Job Number: R0243992 Location: Fort Meade,MD,US Share job via: Share Operations ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Fort George G Meade, MD ยท On-site +1
$86K - $198K/yr
Remote Work: No Job Number: R0245367 Location: Fort Meade,MD,US Share job via: Share Cyber Training ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Fort George G Meade, MD ยท On-site +1
$86K - $198K/yr
Remote Work: No Job Number: R0245367 Location: Fort Meade,MD,US Share job via: Share Cyber Training ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Fort George G Meade, MD ยท On-site +1
$77K - $176K/yr
Remote Work: No Job Number: R0245837 Location: Fort Meade,MD,US Share job via: Share Human ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Fort George G Meade, MD ยท On-site +1
$77K - $176K/yr
Remote Work: No Job Number: R0245837 Location: Fort Meade,MD,US Share job via: Share Human ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Annapolis, MD ยท On-site +1
$77K - $176K/yr
Remote Work: No Job Number: R0236261 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 ยท On-site +1
$77K - $176K/yr
Remote Work: No Job Number: R0236261 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 ...
Fort George G Meade, MD ยท On-site +1
$61K - $141K/yr
Remote Work: No Job Number: R0243498 Location: Fort Meade,MD,US Share job via: Share Network ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Fort George G Meade, MD ยท On-site +1
$61K - $141K/yr
Remote Work: No Job Number: R0243498 Location: Fort Meade,MD,US Share job via: Share Network ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Annapolis, MD ยท On-site +1
$69K - $158K/yr
Remote Work: Hybrid Job Number: R0245598 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 ยท On-site +1
$69K - $158K/yr
Remote Work: Hybrid Job Number: R0245598 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 ...
Fort George G Meade, MD ยท On-site +1
$86K - $198K/yr
Remote Work: Hybrid Job Number: R0243365 Location: Fort Meade,MD,US Share job via: Share ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Fort George G Meade, MD ยท On-site +1
$86K - $198K/yr
Remote Work: Hybrid Job Number: R0243365 Location: Fort Meade,MD,US Share job via: Share ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Aberdeen, MD ยท On-site +1
$77K - $176K/yr
Remote Work: No Job Number: R0245184 Location: Aberdeen Proving Ground,MD,US Share job via: Share ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Aberdeen, MD ยท On-site +1
$77K - $176K/yr
Remote Work: No Job Number: R0245184 Location: Aberdeen Proving Ground,MD,US Share job via: Share ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Fort George G Meade, MD ยท On-site +1
$86K - $198K/yr
Remote Work: No Job Number: R0242614 Location: Fort Meade,MD,US Share job via: Share Limited ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Fort George G Meade, MD ยท On-site +1
$86K - $198K/yr
Remote Work: No Job Number: R0242614 Location: Fort Meade,MD,US Share job via: Share Limited ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Fort George G Meade, MD ยท On-site +1
$86K - $198K/yr
Remote Work: No Job Number: R0245098 Location: Fort Meade,MD,US Share job via: Share Vulnerability ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Fort George G Meade, MD ยท On-site +1
$86K - $198K/yr
Remote Work: No Job Number: R0245098 Location: Fort Meade,MD,US Share job via: Share Vulnerability ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
$15.53 - $19.87
15% of jobs
$21.44 is the 25th percentile. Wages below this are outliers.
$19.87 - $24.21
28% of jobs
The median wage is $25.78 / hr.
$24.21 - $28.55
19% of jobs
$32.10 is the 75th percentile. Wages above this are outliers.
$28.55 - $32.90
16% of jobs
$32.90 - $37.24
12% of jobs
$37.24 - $41.58
3% of jobs
$41.58 - $45.93
1% of jobs
$45.93 - $50.27
3% of jobs
$50.27 - $54.61
0% of jobs
$54.61 - $58.95
3% of jobs
$58.95 - $63.30
0% of jobs
$15
$30
$63
| Aspect | Remote Fraud | Remote Fraud Analyst |
|---|---|---|
| Credentials | Typically requires knowledge of fraud prevention, certifications like CFE or CFCS beneficial | Requires similar certifications, often with experience in fraud detection and analysis |
| Work Environment | Remote, often part of a fraud prevention or security team within a company | Remote, usually within a security or risk management department |
| Industry Usage | Used broadly across finance, e-commerce, banking, and insurance sectors | Commonly found in finance, banking, and online retail industries |
Remote Fraud refers to the broader role of preventing and managing fraud remotely across various industries. Remote Fraud Analyst is a specific position focused on analyzing fraud cases, detecting patterns, and implementing prevention strategies. While both roles require similar skills and certifications, the Fraud Analyst typically performs detailed investigations and analysis, whereas Remote Fraud may encompass broader responsibilities in fraud prevention strategies.

Baltimore, MD โข Remote
Full-time
Re-posted 4 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.