- Elevance Health (Atlanta, GA)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or… more
- Highmark Health (Atlanta, GA)
- …**EXPERIENCE** **Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations ... in Financial Analysis in an acute care hospital or health insurance setting + 1 year in...(CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have… more
- Aflac (GA)
- …Law Specialist (FCLS), Health Care Anti- Fraud Associate (HCAFA), or Certified Insurance Fraud Investigator (CIFI) + Fluent in Spanish Travel + Less ... Investigator I The Company: Aflac Columbus The Location:...Fortune 500 company, is an industry leader in voluntary insurance products that pay cash directly to policyholders and… more
- Elevance Health (Atlanta, GA)
- …of benefit programs management with heavy emphasis in negotiation preferred. + Health insurance , law enforcement experience preferred. + Pharmacy technician ... ** Investigator II** **Location Hybrid 1** : This role...investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds… more
- Elevance Health (Atlanta, GA)
- … in order to recover corporate and client funds paid on fraudulent claims. Health insurance experience required with understanding of health insurance ... ** Investigator Senior** **Supports the Payment Integrity line of...Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity,… more
- Command Investigations (Augusta, GA)
- … insurance , PTO, 401(k) + Performance incentives + Biweekly pay Benefits: + 401(k) + Dental insurance + Health insurance + Vision insurance + Life ... you'll get: + A dedicated position as a surveillance investigator . + A steppingstone into the realms of investigations,...+ Minimum of 1 year experience relating to Work Compensation/ Fraud /Mobile and Stationary surveillance + Be able to hold… more
- Command Investigations (Atlanta, GA)
- …possible, setting the bar high for investigative excellence. Seeking experienced Insurance Fraud Investigators with commercial or personal lines experience, ... and find out why at www.GoCommand.com . The Claims/Surveillance Investigator should demonstrate proficiency in the following areas: +...experienced, Investigators pay in the industry + 401(k) + Health Insurance : Medical, Dental, Vision + Paid… more
- Bausch + Lomb (Atlanta, GA)
- …travel. **We offer competitive salary & excellent benefits including:** + Medical, Dental, Eye Health , Disability and Life Insurance begins on your hire date + ... + Lomb (NYSE/TSX: BLCO) is a leading global eye health company dedicated to protecting and enhancing the gift...and changes in scope, schedule, and resources. + Organize investigator and expert meetings relevant to the indication and… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka researches, develops, manufactures and markets innovative ... meet unmet medical needs and nutraceutical products for the maintenance of everyday health . This position can be based in Princeton, New Jersey, or Rockville,… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …inspection ready, resources are provided on site and/or remotely during health authority inspections, observational findings are responded to appropriately and ... of clinical facility and system audits at all relevant facilities, investigator sites, and vendors (including contract research organizations) and ensure that… more