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Remote Risk Investigator Jobs in Maryland (NOW HIRING)

Devoted Health

SIU Investigator

Nottingham, MD · On-site +1

$58K - $90K/yr

... annual SIU risk assessment and work plan * Thorough Documentation & Reporting: Conduct ... Certified Professional Coder (CPC) #LI-DS1 #LI-Remote Salary range: $58,000 - $90,000 /year The pay ...

Huntington

Segment Risk Specialist Sr

Hagerstown, MD · On-site +1

$57K - $113K/yr

Lead investigations and escalations for high-risk accounts, ensuring timely and well-informed ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

Huntington

Segment Risk Specialist Sr

Hagerstown, MD · On-site +1

$57K - $113K/yr

Lead investigations and escalations for high-risk accounts, ensuring timely and well-informed ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

Unison Risk Advisors

Senior Claims Adjuster

Cockeysville, MD · On-site +1

$62K - $81K/yr

Remote (need to be located in MD) FLSA Status: Exempt Compensation: $72k - $85k Grow With Us At RCM ... Who We Are RCM&D, a Unison Risk Advisors company and 2025 Awarded Best Places to Work is ranked ...

Unison Risk Advisors

Senior Claims Adjuster

Cockeysville, MD · On-site +1

$62K - $81K/yr

Remote (need to be located in MD) FLSA Status: Exempt Compensation: $72k - $85k Grow With Us At RCM ... Who We Are RCM&D, a Unison Risk Advisors company and 2025 Awarded Best Places to Work is ranked ...

TRI Challenge Convention

Central Monitor

Bethesda, MD · Remote

$18.25 - $19.50/hr

Creation and ownership of risk-based quality management and centralized monitoring processes ... CRAs for investigation and targeted activities. Train and support the project teams on ...

Sabre Systems LLC

Systems Engineer

Patuxent River, MD · On-site +1

This support includes the existing performance monitoring and deficiency investigation, periodic ... Participate in risk/issue identification, mitigation development, and resolution coordination.

Eclaro

Sales and Marketing Intern

Hunt Valley, MD · Remote

... gig economy workers, remote employees, student athletes). Explore cross-sell and bundling ... Investigate emerging trends such as parametric insurance, embedded coverage, usage-based models ...

OSI Beyond

CMMC Compliance Manager

Rockville, MD · Remote

$125K - $130K/yr

Support risk assessments and remediation tracking (POA&Ms) * Participate in security program ... CISA Position: * Location - Remote from the United States * Employment Type- Full time * ...

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All JobsRemote Risk Investigator JobsRemote Risk Investigator Jobs in Maryland

Remote Risk Investigator information

How does a Remote Risk Investigator typically collaborate with other departments to resolve complex cases?

Remote Risk Investigators frequently work cross-functionally with teams such as compliance, customer service, and legal to gather information and resolve suspicious activities. Collaboration often involves participating in virtual meetings, sharing investigative findings, and recommending actions based on analysis. Clear communication and documentation are essential, as remote investigators must coordinate efforts and ensure all stakeholders are informed. This teamwork approach helps to ensure that risk mitigation strategies are thorough and effective, even when working from different locations.

Can a risk analyst work remotely?

Yes, many risk analyst positions can be performed remotely, especially those involving data analysis, report writing, and risk assessment using specialized software. Employers often require strong analytical skills, familiarity with risk management tools, and reliable internet access for remote work arrangements.

What are the key skills and qualifications needed to thrive as a Remote Risk Investigator, and why are they important?

To thrive as a Remote Risk Investigator, you need strong analytical skills, attention to detail, and experience in fraud detection or risk management, often supported by a degree in finance, criminal justice, or a related field. Familiarity with fraud detection software, case management systems, and data analysis tools is typically required. Excellent written communication, critical thinking, and the ability to work independently are standout soft skills for this role. These capabilities are vital for accurately identifying and mitigating risks, protecting company assets, and maintaining trust in a remote work environment.

What jobs in the US pay 300,000 a year?

Remote Risk Investigators typically do not earn $300,000 annually, as this salary level is more common in executive, specialized medical, or high-level financial roles. High-paying jobs in the US at this level often include senior executives, specialized physicians, or investment professionals, which may require advanced degrees, certifications, and extensive experience. For risk investigators, salaries generally range lower unless they hold senior or managerial positions with additional responsibilities.

What is the difference between Remote Risk Investigator vs Remote Claims Analyst?

AspectRemote Risk InvestigatorRemote Claims Analyst
Required CredentialsRisk management certifications, insurance knowledgeClaims processing certifications, insurance industry knowledge
Work EnvironmentRemote, investigative and analytical tasksRemote, claims review and data analysis
Employer & Industry UsageInsurance companies, risk management firmsInsurance carriers, third-party administrators
Search & Comparison IntentUnderstanding risk investigation rolesUnderstanding claims processing roles

The Remote Risk Investigator and Remote Claims Analyst roles share similarities in working remotely within the insurance industry and requiring industry-specific certifications. However, Risk Investigators focus on assessing and investigating risks, while Claims Analysts handle claims processing and evaluation. Both roles are essential in insurance operations but differ in their core responsibilities and daily tasks.

What are Remote Risk Investigators?

Remote Risk Investigators are professionals who work from a remote location to identify, analyze, and mitigate risks within an organization, often related to fraud, compliance, or financial transactions. They use various tools and data sources to investigate suspicious activities, gather evidence, and create detailed reports. These specialists play a critical role in protecting companies from losses and ensuring regulatory compliance, often collaborating with other teams to resolve issues. Their work is essential across industries such as finance, e-commerce, and insurance.

What jobs pay 500,000 a year in the US?

High-paying roles such as senior risk investigators, executive-level positions, or specialized consultants can reach or exceed $500,000 annually, especially in finance, insurance, or corporate security sectors. These roles often require extensive experience, advanced certifications, and strong analytical skills, with some earning through bonuses or profit sharing.

What is the highest paying investigator job?

Senior risk investigators or specialized forensic investigators tend to have the highest salaries within investigative roles, often earning six-figure incomes. Factors such as experience, certifications, and industry sector influence compensation, with roles in finance, insurance, or corporate security typically offering higher pay.
What are popular job titles related to Remote Risk Investigator jobs in Maryland? For Remote Risk Investigator jobs in Maryland, the most frequently searched job titles are:
What job categories do people searching Remote Risk Investigator jobs in Maryland look for? The top searched job categories for Remote Risk Investigator jobs in Maryland are:
Remote Risk Investigator jobs near you
Infographic showing various Remote Risk Investigator job openings in Maryland as of June 2026, with employment types broken down into 60% Full Time, 37% Part Time, and 3% Temporary. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution.
SIU Investigator

SIU Investigator

Devoted Health

Nottingham, MD • On-site, Remote

$58K - $90K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 4 days ago

Devoted Health rating

9.0

Company rating: 9.0 out of 10

Based on 14 frontline employees who took The Breakroom Quiz

35th of 261 rated insurance

Job description

Job Description
A bit about this role:
Are you a highly analytical and experienced investigator with a passion for uncovering the truth and protecting vital healthcare resources? Our Special Investigations Unit (SIU) is looking for a skilled Investigator to join our dedicated team. In this crucial role, you'll be at the forefront of preventing, detecting, and responding to healthcare fraud, waste, and abuse (FWA), safeguarding our members and the integrity of the Medicare Fund. If you're driven by meticulous investigation, data-driven insights, and a commitment to justice, we encourage you to apply
Responsibilities and Impact will include:
As an SIU Investigator, you'll be responsible for the full lifecycle of complex FWA investigations, acting as a subject matter expert and collaborating with various stakeholders. Your key responsibilities will include:
  • Lead Complex Investigations: Plan, organize, and execute specialized investigations into allegations of healthcare fraud, waste, and abuse. This includes handling intricate cases requiring advanced investigative knowledge and skills
  • Data-Driven Detection: Utilize advanced data mining and analysis techniques to identify aberrancies and outliers in claims, medical records, enrollment, and other healthcare transactions. You'll independently research FWA issues and employ cutting-edge investigative resources.
  • Expert Guidance: Serve as a subject matter expert for other SIU Investigators, providing specialized knowledge and guidance to elevate team capabilities.
  • Policy & Strategy Development: Contribute to the development of robust policies and procedures related to FWA detection and investigation, as well as the annual SIU risk assessment and work plan
  • Thorough Documentation & Reporting: Conduct comprehensive FWA investigations, ensuring complete and accurate case documentation and detailed investigative reports that adhere to SIU policies and standards.
  • External Referrals & Collaboration: Prepare comprehensive summary and detailed reports on investigative findings for referral to federal and state agencies, ensuring full compliance with regulatory requirements. You'll also actively participate in OIG Healthcare Fraud Workgroups.
  • Stakeholder Engagement: Collaborate closely with internal stakeholders (e.g., FWA Monthly Workgroup, Market/Network, Credentialing Committee) to share updates on FWA schemes, coordinate recommendations, and facilitate fund recovery or other necessary actions.
  • Provider Education: Conduct impactful provider education sessions as a direct response to investigation findings and audits.
  • Liaison & Point of Contact: Serve as a key point of contact for corporate and field inquiries regarding FWA, and participate in meetings with providers, business partners, regulatory agencies, and law enforcement.
  • Training & Development: Assist in developing and presenting engaging FWA training programs for internal and external audiences.

Required skills and experience:
  • Education: A Bachelor's Degree in Business, Criminal Justice, Healthcare, or a related field, or equivalent relevant work experience.
  • Experience:Minimum of 3 years of dedicated experience in health insurancefraud investigation.
  • Proven experience within Medicare and/or Medicaid programs, specifically with medical claim billing, reimbursement, audit, or provider contracting.
  • Demonstrated experience with data analysis techniques.
  • Experience with the Healthcare Fraud Shield platform is a significant plus.
  • Exceptional Analytical Skills: Ability to interpret and dissect complex data sets, identifying patterns and anomalies indicative of FWA. Must have demonstrated experience with AI tools.
  • Outstanding Communication: Excellent written and verbal communication skills are essential for clear report writing, compelling presentations, and effective stakeholder engagement.
  • Integrity & Detail-Oriented: A strong commitment to integrity and compliance, coupled with meticulous attention to detail in all aspects of investigations.
  • Independent & Collaborative: Proven ability to work independently, manage a diverse caseload of investigations, and thrive in a fast-paced environment, while also excelling in collaborative team settings.
  • Strong Organizational Skills: Highly organized with the ability to manage multiple complex investigations simultaneously and effectively prioritize tasks.

Desired skills and experience:
  • Certified Fraud Examiner (CFE)
  • Certified Professional Coder (CPC)

#LI-DS1
#LI-Remote
Salary range: $58,000 - $90,000 /year
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
  • Employer sponsored health, dental and vision plan with low or no premium
  • Generous paid time off
  • $100 monthly mobile or internet stipend
  • Stock options for all employees
  • Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
  • Parental leave program
  • 401K program
  • And more....

*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

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