- Elevance Health (Atlanta, GA)
- **Clinical Fraud Investigator Senior** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... unless an accommodation is granted as required by law. The **Clinical Fraud Investigator Senior** is responsible for identifying issues and/or entities that may pose… more
- Dycom (West Palm Beach, FL)
- …pet insurance, and much more! **What you'll do as a Senior Investigator ** + Conduct investigations into claims of potential harassment, discrimination, ... **Discover a more connected Senior Investigator , Employee Relations (bilingual)** **career** At Dycom Industries,...drug, dental, vision, disability, life insurance) + 401(k) w/ Company Match + Stock Purchase Plan + Education Reimbursement… more
- Abbott (Abbott Park, IL)
- …114,000 colleagues serve people in more than 160 countries. **Nonconformance** **CAPA Investigator ** **Working at Abbott** At Abbott, you can do work that matters, ... a full life. You'll also have access to: + Career development with an international company where you can grow the career you dream of. + Employees can qualify for… more
- Elevance Health (Atlanta, GA)
- ** Investigator Assistant - Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days per week, ideally in **Atlanta, GA** or ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Assistant** will be responsible for providing administrative support to… more
- The Robison Group (Omaha, NE)
- …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... encouraged to apply. POSITION QUALIFICATIONS: + A current and valid Nebraska Private Investigator license is highly preferred. Ability to obtain an Iowa Private … more
- Henry Ford Health System (Detroit, MI)
- …Under the direction of the Compliance Audit Manager, the Principal Compliance Investigator will oversee compliance auditing and monitoring to assess and identify ... and State regulatory and contractual requirements. The Principal Compliance Investigator is responsible for conducting compliance audits, reporting results,… more
- CVS Health (Hartford, CT)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU). In this role,… more
- Humana (Tallahassee, FL)
- …Review/Insurance Billing) or Internal/External Audit or Regulatory/Compliance OR Claims Investigations or Criminal Investigation/White Collar Crime); interacting ... Certifications, CPC, CCS, CFE, AHFI). * Understanding of healthcare industry, claims processing and investigative process development. * Experience in a corporate… more
- CVS Health (Annapolis, MD)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... healthcare fraud cases. - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, customer members, etc. - Facilitates… more
- Humana (Oklahoma City, OK)
- …Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a corporate ... for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its… more