- Highmark Health (Austin, TX)
- …**Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year ... fraud , waste and abuse case, conducting the initial investigations and coordinating the recovery/savings of money related to...in Financial Analysis in an acute care hospital or health insurance setting + 1 year in… more
- Guidehouse (Richardson, TX)
- …gain employment with our rapidly growing firm. Guidehouse is seeking experienced Fraud Investigations Analyst's to conduct, identify, and investigate potential ... document and escalate such matters. The responsibilities of the Fraud Investigations Analyst will include, but are...workplace. Benefits include: + Medical, Rx, Dental & Vision Insurance + Personal and Family Sick Time & Company… more
- Elevance Health (Houston, TX)
- …Certificate or Registered Nurse strongly preferred + Law Enforcement dealing with Healthcare Fraud Please be advised that Elevance Health only accepts resumes ... **Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This role...clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims… more
- Conduent (San Antonio, TX)
- …incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and ... investigators, and internal stakeholders to ensure timely and effective fraud prevention. **Key Responsibilities** + Lead investigations ...For You** Perks and rewards designed for you: + Health and Welfare Benefits: Our health and… more
- Conduent (San Antonio, TX)
- …incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and ... be part of a culture where individuality is noticed and valued every day. ** Fraud Investigation Services Associate III** **$19.50 per hour** As a ** Fraud … more
- CVS Health (Austin, TX)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...federal policies. - Identify potential billing errors, abuse, and fraud . - Identify opportunities for savings related to potential… more
- Prime Therapeutics (Austin, TX)
- …& Experience** + Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the ... for work visa or residency sponsorship. **Additional Qualifications** + 3+ years' fraud investigations /claims experience. + Ability to manage workload while… more
- Ross Stores, Inc. (Dallas, TX)
- …and Store Manager, are eligible for extended benefits offered including Medical/Dental/Vision Health Insurance , Legal Insurance , Vacation Buy, Flexible ... Spending Account, Health Savings Account, Life/ADD Insurance , Long\- Term Disability, Enhanced Maternity and Parental Leave Benefit, Vacation Pay accrued at a… more
- Elevance Health (Houston, TX)
- …for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an Impact:** + Examines claims for ... compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. + Reviews and conducts analysis… more
- Elevance Health (Grand Prairie, TX)
- …by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to ... and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:**...new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and… more