• Staff Vice President (VP), Special…

    Elevance Health (Atlanta, GA)
    …recover, eliminate and prevent unnecessary medical-expense spending. **Staff Vice President (VP), Special Investigations Unit (SIU)** **Location:** May be ... the national SIU. + Functions within the SIU include investigations , case intake and assignment, and data analysis. +...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (10/29/25)
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  • Manager , Special Investigation

    CVS Health (Atlanta, GA)
    …Health Care Anti-Fraud Association (AHFI) + Experience In Medicaid Compliance, Medicaid Investigations , MCO Medicaid FWA Unit in the following States: **Texas, ... Leads a team in the planning and execution of investigations of acts of healthcare fraud and abuse by...years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance… more
    CVS Health (10/19/25)
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  • District Loss Prevention Manager - Atlanta…

    Kohl's (Roswell, GA)
    About the Role As District Loss Prevention Manager , you will develop and implement the Loss Prevention program for 15+ selling locations. You will drive results by ... Ensure compliance with Apprehension Guidelines/Ethical Standards as related to investigations and apprehensions + Partner with cross-functional teams, law… more
    Kohl's (08/08/25)
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  • Clinical Fraud Investigator II - Registered Nurse…

    Elevance Health (Atlanta, GA)
    …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... analysis and clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance… more
    Elevance Health (11/04/25)
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  • Human Resources Business Advisor

    Wipfli LLP (Atlanta, GA)
    …career-defining opportunity. Job Summary- Under the direction of the Human Resources Manager , the HR Business Advisor is responsible for providing day-to-day HR ... performance related concerns, and talent development. + Participates in objective investigations related to workplace matters under the guidance of senior members… more
    Wipfli LLP (10/30/25)
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  • Clinical Provider Auditor II

    Elevance Health (Atlanta, GA)
    …and billing issues, trends and changes in laws/regulations. + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
    Elevance Health (11/01/25)
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