IntegrityMHiring

Senior Investigator

  • Remote, United States
  • Full-time
  • Senior
  • Posted 9 days ago
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In one line

Senior investigator role at a small consulting firm, looking into possible fraud in government healthcare programs; fully remote.

About the role

Case work covers background research, claims and records analysis, interviews and written findings, often alongside analysts, lawyers and agency contacts. Reports go to management and clients, and quality standards and deadlines are set.

At a glance

Pay
Not stated in the posting
Remote scope
Remote, United States
Seniority
Senior
Employment
Full-time
Skills
Medicare, Medicaid, Data analytics, Fraud investigations
Posted
20 Oct 2026
Last checked
28 Oct 2026

What you will do

  • Research people, companies and other entities under review.
  • Look into suspected fraud, waste and abuse in healthcare programs.
  • Analyze claims and operational data for trends and odd patterns.
  • Check laws, rules and guidance that apply to each case.
  • Gather and review records and documents tied to investigations.
  • Interview subjects and keep evidence materials secure.

What they look for

  • Two or more years in healthcare program integrity, fraud investigations, Medicare, Medicaid or commercial healthcare.
  • Solid investigative, analytical and problem-solving ability.
  • Experience reading claims, enrollment records or medical records.

How Keywordise applies for you

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Claude

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ChatGPT

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Connector URL
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Muse

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Message for Muse
Add a custom connector called Keywordise. It is a remote MCP server at https://keywordise.com/mcp and uses OAuth. Give me the sign-in link.

Muse is available in the US only for now.

Prompt
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How to connect

Questions about this job

Is this job fully remote, and from where?

Yes. The posting lists Senior Investigator as a remote role for candidates in the United States.

What does this job pay?

No pay range is stated in the posting.

What experience is needed?

It is a senior role. The posting asks for: two or more years in healthcare program integrity, fraud investigations, Medicare, Medicaid or commercial healthcare; solid investigative, analytical and problem-solving ability; experience reading claims, enrollment records or medical records. Skills it names include Medicare, Medicaid, Data analytics, Fraud investigations.

How do I apply with Keywordise AI?

Click Apply with Keywordise AI, create an account and upload your CV. Your CV and cover letter are written for this job from what you have really done, then Keywordise applies for you. Trial: 7 days, no card.

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