• Claims Investigator

    Command Investigations (Raleigh, NC)
    Command Investigations, LLC is looking for Claims Investigator to become part of a dynamic team. This is a great opportunity for individuals with prior SIU ... however, we pride ourselves on distributing available cases fairly. Position(s) Available: Claims Investigator Our employees have opportunities to grow within a… more
    Command Investigations (11/12/25)
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  • Claims Investigator - Experienced

    Command Investigations (Greensboro, NC)
    …for hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, ... Auto, or Homeowners Investigations. + Writing accurate, detailed reports + Strong initiative, integrity, and work ethic + Securing written/recorded statements + Accident scene investigations + Possession of a valid driver's license + Ability to prioritize and… more
    Command Investigations (09/09/25)
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  • Surveillance Investigator

    Allied Universal (Asheville, NC)
    Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... us and make a difference. Allied Universal(R) is hiring a Surveillance Investigator . The Surveillance Investigator will perform discreet mobile and stationary… more
    Allied Universal (10/31/25)
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  • Clinical Fraud Investigator II - Registered…

    Elevance Health (Durham, NC)
    **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that… more
    Elevance Health (11/04/25)
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  • Senior Investigator (Aetna SIU)

    CVS Health (Raleigh, NC)
    …every day. **Position Summary** **WEST VIRGINIA RESIDENCY** **REQUIRED** As a Senior Investigator you will conduct high level, complex investigations of known or ... or intricate healthcare fraud schemes. + Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business + Researches and prepares… more
    CVS Health (10/31/25)
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  • Investigator

    Highmark Health (Raleigh, NC)
    …Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider facility payment ... methodology, claims processing systems and coding and billing proficiency + Must have understanding of technical and financial aspects of the health insurance… more
    Highmark Health (10/24/25)
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  • Senior Fraud and Waste Investigator

    Humana (Raleigh, NC)
    …Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a corporate ... environment and understanding of business operations **Additional Information** **Work at Home Requirements** * At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested *… more
    Humana (11/01/25)
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  • GYN Oncology, Regional Medical Scientific Director…

    Merck (Raleigh, NC)
    …external medical and scientific community. Scientific exchange does not include promotional claims about any drug, vaccine or biologic product. The Oncology Regional ... Medical Scientific Director provides research support to our companies Investigator -Sponsored and Company-Sponsored Trials to enhance the understanding of the… more
    Merck (11/07/25)
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  • Senior/Statistical Scientist - Global Medical…

    United Therapeutics (Research Triangle Park, NC)
    …team and other stakeholders to provide biostatistical resources for investigator -sponsored clinical studies and address internal/external investigator queries ... expert input, conduct thorough reviews, and grant approval for submitted investigator -sponsored clinical studies, external investigator queries of UT databases,… more
    United Therapeutics (09/26/25)
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  • Senior Clinical Project Manager (Remote)

    Stryker (Raleigh, NC)
    …to support the various needs of the business (eg, regulatory filings, supporting claims ). + Maintains relationships with Key Opinion Leaders in support of Clinical ... Affairs activities. + Manage assigned Investigator Initiated Study proposals, reviews, and conduct. + Supports the development of publication plans and their… more
    Stryker (11/08/25)
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