Hiring: Senior Investigator Company: UnitedHealthcare Location: Houston, TX Job Posted Time: 2026-09-12 10:46:16 Employment Type: Full-time Target Skills & Keywords : Microsoft Excel About the job Experience: •2+ years of experience in fraud, waste and abuse (FWA) investigations/audit •2+ years of experience with state/federal laws and regulations pertaining to healthcare FWA •2+ years of experience in analyzing data to identify fraud, waste and abuse trends Required Skills: •Assess complaints of alleged misconduct received within the Company •Investigate medium to high complex cases of fraud, waste, and abuse •Detect fraudulent activity by members, providers, employees, and other parties against the Company •Develop and deploy the most effective and efficient investigative strategy for each investigation •Maintain accurate, current, and thorough case information in the Special Investigations Unit's (SIU's) case tracking system •Collect and secure documentation or evidence and prepare summaries of the findings •Participate in settlement negotiations and/or produce investigative materials in support of the latter •Collect, collate, analyze, and interpret data relating to fraud, waste, and abuse referrals Qualifications: •Associate's degree •Intermediate level of proficiency in Microsoft Excel and Word •Demonstrated capacity to travel up to 25% and valid US driver's license •Specialized knowledge/training in healthcare FWA investigations •Active affiliations with the National Health Care Anti-Fraud Association (NHCAA) •Accredited Health Care Fraud Investigator (AHFI) •All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Compensation: •$60,200 - $107,400 / year •Flexible work environment (work from home / hybrid options) •Competitive benefits and rewards package •Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!