• Investigator Senior

    Elevance Health (Columbus, OH)
    ** Investigator Senior ** **Supports the Payment Integrity line of business** **Hybrid 1:** This role requires associates to be in-office **1-2** days per week, ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Senior ** is responsible for the independent identification,… more
    Elevance Health (05/23/25)
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  • Investigator II

    Elevance Health (Mason, OH)
    …paid on fraudulent claims . **How you will make an impact:** + Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use ... ** Investigator II** **Location Hybrid 1** : This role requires associates to...of proprietary data and claim systems for review of facility, professional and… more
    Elevance Health (05/31/25)
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  • Investigator II

    Elevance Health (Columbus, OH)
    …paid on fraudulent claims . **How you will make an impact:** + Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use ... ** Investigator II** **Supporting the Payment Integrity line of business**...of proprietary data and claim systems for review of facility,… more
    Elevance Health (05/30/25)
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  • Director Complex Claims

    Sedgwick (Toledo, OH)
    …Bachelor's degree from an accredited college or university preferred. Fraud Claims Law Associate (FCLA), Certified Insurance Fraud Investigator (CIFI), ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Director Complex Claims **PRIMARY PURPOSE** **:** To be responsible for managing SIU investigations… more
    Sedgwick (05/08/25)
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  • Medical Director, Medical Affairs, Johnson…

    J&J Family of Companies (Cincinnati, OH)
    …MedTech** located **in Cincinnati, OH** This position will report into the Senior Director, Medical Affairs and will provide medical leadership globally to Johnson ... to drive evidence generation and dissemination activities that support product approvals, claims development, and product adoption. This role will also work closely… more
    J&J Family of Companies (05/22/25)
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