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Remote Integrity Investigator Jobs (NOW HIRING)

Kentech Consulting Inc

LEAD INVESTIGATOR: W2

Miami, FL · Remote

$45K/yr

As a remote investigator, you will analyze applications, conduct interviews, research public ... integrity, and meaningful work, we encourage you to apply. KENTECH Consulting Inc. is an equal ...

Kentech Consulting, Inc.

LEAD INVESTIGATOR: W2

Miami, FL · On-site +1

$45K/yr

As a remote investigator, you will analyze applications, conduct interviews, research public ... integrity, and meaningful work, we encourage you to apply. KENTECH Consulting Inc. is an equal ...

CoventBridge Group

Desktop Investigator

Howell, NJ · Remote

$18/hr

Overview Desktop Investigator - Remote Full-Time / Hourly Uncover the Story Behind Every Claim At ... Join the global leader in full-service investigations - where precision, integrity, and curiosity ...

CoventBridge Group

Desktop Investigator

Howell, NJ · On-site +1

$18/hr

Overview Desktop Investigator - Remote Full-Time / Hourly Uncover the Story Behind Every Claim At ... Join the global leader in full-service investigations - where precision, integrity, and curiosity ...

CoventBridge Group

Desktop Investigator

Grand Rapids, MI · On-site +1

$18/hr

Overview Desktop Investigator - Remote Full-Time / Hourly Uncover the Story Behind Every Claim At ... Join the global leader in full-service investigations - where precision, integrity, and curiosity ...

CoventBridge Group

Desktop Investigator

Howell, NJ · Remote

$18/hr

Desktop Investigator - Remote Full-Time / Hourly Uncover the Story Behind Every Claim At ... Join the global leader in full-service investigations -- where precision, integrity, and curiosity ...

CoventBridge Group

Desktop Investigator

Grand Rapids, MI · Remote

$18/hr

Overview Desktop Investigator - Remote Full-Time / Hourly Uncover the Story Behind Every Claim At ... Join the global leader in full-service investigations - where precision, integrity, and curiosity ...

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Remote Integrity Investigator information

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$32K

$75.3K

$131K

How much do remote integrity investigator jobs pay per year?

As of May 29, 2026, the average yearly pay for remote integrity 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 Integrity Investigator vs Remote Compliance Analyst?

AspectRemote Integrity InvestigatorRemote Compliance Analyst
Required CredentialsTypically requires investigative certifications, background checks, and knowledge of legal standardsUsually needs compliance certifications, such as CCEP or CRC, and understanding of regulations
Work EnvironmentPrimarily investigative tasks, analyzing data, interviewing, and reportingMonitoring, auditing, policy review, and ensuring adherence to regulations
Employer & Industry UsageUsed in sectors like finance, healthcare, and corporate compliance for fraud and misconduct investigationsCommon in finance, healthcare, and corporate sectors for regulatory adherence and risk management

While both roles involve ensuring organizational integrity, Remote Integrity Investigators focus on uncovering misconduct and fraud through investigations, whereas Remote Compliance Analysts concentrate on maintaining regulatory compliance and policy adherence. Both roles require analytical skills and industry-specific knowledge, but their core functions differ in scope and focus.

More about Remote Integrity Investigator jobs
What cities are hiring for Remote Integrity Investigator jobs? Cities with the most Remote Integrity Investigator job openings:
What are the most commonly searched types of Integrity Investigator jobs? The most popular types of Integrity Investigator jobs are:
What states have the most Remote Integrity Investigator jobs? States with the most job openings for Remote Integrity Investigator jobs include:
What job categories do people searching Remote Integrity Investigator jobs look for? The top searched job categories for Remote Integrity Investigator jobs are:
Remote Integrity Investigator jobs near you
Infographic showing various Remote Integrity Investigator job openings in the United States as of May 2026, with employment types broken down into 97% Full Time, and 3% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $75,325 per year, or $36.2 per hour.
Payment Integrity Investigator, Senior Analyst

Payment Integrity Investigator, Senior Analyst

Gainwell Technologies LLC

Austin, TX • On-site, Remote

$64.50K - $92.20K/yr

Other

Medical, Retirement, PTO

Posted 6 days ago

Gainwell Technologies rating

7.7

Company rating: 7.7 out of 10

Based on 72 frontline employees who took The Breakroom Quiz

104th of 183 rated software companies

Job description

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.
Job Summary
We are seeking an experienced healthcare fraud, waste, and abuse (FWA) investigator and certified coder to support our Program Integrity Audit Unit. The Payment Integrity Investigator, Senior Analyst role conducts professional audits and investigations of Medicaid claims, identifies overpayments and potential fraud, and prepares clear, defensible audit findings for clients. The ideal candidate has strong investigative skills, excellent written documentation abilities, and confidence communicating audit results directly with clients and providers.
Your role in our mission
  • Conduct FWA audits and investigations, including medical record review, coding validation, and claims analysis.
  • Prepare high?quality written audit findings, referrals, and overpayment recommendations with clear, defensible rationale.
  • Communicate audit results to clients professionally and confidently.
  • Review claims, billing practices, and medical documentation to identify improper payments, aberrant patterns, and potential fraud schemes.
  • Support referrals to state agencies, OIG, MFCU, or law enforcement and assist in testimony preparation as needed.
  • Research applicable billing, coding, and reimbursement rules to ensure findings align with Medicaid policy.
  • Manage a caseload independently, ensuring accuracy, timeliness, and contractual SLA compliance.
  • Provide subject?matter guidance to internal teams regarding FWA trends, audit standards, and industry best practices.

Basic Qualifications
  • 5+ years of Healthcare FWA Audit or Investigative experience required
  • Certified coder (CPC, CPMA, or equivalent) with strong knowledge of ICD?10?CM, CPT/HCPCS, and Medicaid Reimbursement Methodologies.
  • Experience analyzing claims, documentation, and billing patterns to determine compliance with program rules.
  • Strong analytical and critical?thinking skills; ability to synthesize information from multiple sources.
  • Professional credentials such as CFE, AHFI, or nursing licensure (RN/LPN) preferred.

What you should expect in this role
  • Fully Remote Opportunity
  • Opportunities to travel through your work (0-10%)
    Note
    • Video cameras must be used during all interviews, as well as during the initial week of orientation.

The deadline to submit applications for this posting is July 30, 2026.
The pay range for this position is $64,500.00 - $92,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

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About Gainwell Technologies

Sourced by ZipRecruiter

With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US

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