All roles

Open role

Bilingual Junior Healthcare Fraud Investigator-Florida Work at Home

Remote · Singapore Full-time

Bilingual Spanish Junior Healthcare Fraud Investigator: Are you ready to launch your Healthcare Fraud Investigator career and make a real difference? If you're a recent college graduate eager to take the first step in your professional journey, this early‑career opportunity is designed for you. This is a fantastic opportunity for someone with a Bachelors degree in Criminal Justice and is early in their career seeking to grow in a dynamic organization. As a Junior Fraud Investigator for Cigna's Special Investigations Unit, you’ll support our US Commercial Healthcare Business in conducting and supporting audits and investigations of potentially fraudulent claim activity by providers. You will bring investigative and analytics skills that include planning, developing and implementing investigative processes and procedures, along with making recommendations for potential corrective actions that include prosecution, recovery and/or litigation based on investigative findings. What you’ll do: Analyze information gathered by investigation/audit and report findings and prepare written summary/recommendations Prepare evidence package for referral to third parties including contract holders, state insurance fraud bureaus and law enforcement agencies Support on-site inspections and patient/provider interviews as necessary Respond to subpoenas and requests for information from law enforcement agencies and State Departments of Insurance. May represent company as a witness in judicial proceedings when appropriate Prepare reports to expedite tracking and reporting of investigations What you need to do the job:

  • Bilingual Spanish and ability to pass oral and written assessments
  • A bachelor’s degree in a Criminal Justice, or related field
  • 1+ years professional work experience, preferably with health insurance investigations/audit
  • Outstanding technical & analytical skills, with particular proficiency with Access, Excel and Word
  • Excellent verbal and written communication skills, along with ability to effectively manage conflict
  • Keen ability to deal with ambiguity and leverage reasoning skills
  • Possession of a strong desire and demonstrated ability to lead

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

More open positions

[Hiring] Corporate Fraud Investigator @Glacier Bancorp, Inc.

Work from home Full-time role

Fraud Analyst

Work from home Full-time role

Lead Fraud Investigator

Work from home Full-time role

[Hiring] Complex Bill Reviewer 2 @Enlyte

Work from home Full-time role

Book Reviewer | Upto $150/hr

Work from home Full-time role

Remote Entry-Level Data Entry Clerk – Flexible Shifts, No Experience Required, Grow with careerzynith

Work from home Full-time role

Licensed Crisis Counselor - Fully Remote in Overland Park, KS

Work from home Full-time role

[Remote] Product Manager, Classwork, Digital Product

Work from home Full-time role

Event Marketing Lead Job at Alpha Life Sciences in woodbridge township

Work from home Full-time role

WWT Microsoft Enterprise Sales Sr. Specialist, Sales Operations

Work from home Full-time role

Project Executive - Electrical Construction | (Remote, Southeast US)

Work from home Full-time role

Android Engineer (m/f/x)

Work from home Full-time role

reputed company - Per Diem - RN Clinical Nurse Educator

Work from home Full-time role

Associate Recruiter - Construction Desk

Work from home Full-time role

Engineering Team Leader

Work from home Full-time role

Manager, Customer Success – Secondary Education East Coast (USA Remote)

Work from home Full-time role

Observability Engineer (Prometheus / Grafana / Datadog)

Work from home Full-time role

Senior Director, Billing

Work from home Full-time role

Remote Financial Consultant Professional (Entry Level - Training Provided)

Work from home Full-time role

Staff Regulatory Affairs Specialist, Pharmaceuticals (Remote)

Work from home Full-time role

Remote Agronomist - Sustainable Agriculture

Work from home Full-time role