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Elevance Health
Indianapolis
**Investigator II** **Supporting the Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights,
Job Source: Elevance HealthFDA
Indianapolis, IN, United States
***HIRING IN MULTIPLE LOCATIONS*** Please reference the official job announcement for location details: https://www.fda.gov/media/178584/download?attachment IN: Indianapolis NJ: Parsippany PA: Philadelphia, Pittsburgh MD: Owings Mills OH: Brunswick MA: Stoneham MN: Minneapolis (Milwaukee) NC: Raleigh GA: Atlanta TN: Memphis IL: Chicago CA: South Sa
Job Source: FDAEmergencyMD
Indianapolis, IN, United States
Ethos Risk Services is continuing to expand our team of Private Field Surveillance Investigators ! We are looking for Experienced Licensed Investigators to investigate fraud and conduct covert surveillance in the field (from your vehicle). Ethos Risk is one of the largest and most respected fraud investigations businesses in the US. Join us i
Job Source: EmergencyMDElevance Health
Indianapolis, IN, United States
Senior Investigator (Investigator Sr) Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determi
Job Source: Elevance HealthElevance Health
Indianapolis, IN, United States
Anticipated End Date: 2024-05-29 Position Title: Investigator II Job Description: Investigator ll Location : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint location. The Investigator ll is responsible for the identification, investigation, and
Job Source: Elevance HealthElevance Health, Inc.
Indianapolis, IN, United States
Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Responsible for identifying and developing enterprise- Investigator, Insurance, Healthcare
Job Source: Elevance Health, Inc.Lauth Investigations, Inc.
Indianapolis, IN, United States
Family owned Lauth Investigations International, Inc.is an Indianapolis based private investigation firm with over 30 years of experience in corporate culture audit, attorney and legal services, workplace investigations, and missing persons.We are seeking to contract out a PrivateInvestigator who can work on an as needed basis and has evenings and
Job Source: Lauth Investigations, Inc.Elevance Health
Indianapolis, IN, United States
Investigator ll Location : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint location. The Investigator ll is responsible for the identification, investigation, and development of cases against perpetrators of healthcare fraud to recover corpora
Job Source: Elevance HealthIndianapolis
**Investigator II**
**Location** : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.
The **INVESTIGATOR II** is responsible for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims.
**How you will make an impact:**
+ Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims.
+ Responsible for identifying and developing enterprise-wide specific healthcare investigations that may impact more than one company health plan, line of business and/or state.
+ Effectively establish rapport and on-going working relationship with law enforcement.
+ May interface internally with Senior level management and legal department throughout investigative process.
+ May assist in training of internal and external entities.
+ Assists in the development of policy and/or procedures to prevent loss of company assets.
**Minimum Requirements:**
+ Requires a BA/BS and minimum of 3 years related experience; or any combination of education and experience, which would provide an equivalent background.
**Preferred Skills, Capabilities and Experiences** :
+ Fraud certification from CFE, AHFI, AAPC or coding certificates preferred.
+ Knowledge of Plan policies and procedures in all facets of benefit programs management with heavy emphasis in negotiation preferred.
+ Health insurance, law enforcement experience preferred.
Email Alert for Investigator II_ jobs in Indianapolis
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