Current jobs related to Investigator Senior - Mendota Heights - Elevance Health
-
Senior Fraud Investigation Specialist
2 weeks ago
Mendota Heights, Minnesota, United States Elevance Health Full timeElevance Health - Senior Fraud Investigation SpecialistThis role is designed to operate in a hybrid work environment, requiring attendance at the office 1-2 times weekly. The preferred candidate should reside within a reasonable distance from one of our Elevance Health PulsePoint locations.About Carelon Payment Integrity:Carelon Payment Integrity, a...
-
Maryland Heights, Missouri, United States Gray Television, Inc Full timeJob Summary:Gray Television, Inc. is seeking a highly skilled and experienced investigative journalist to join our award-winning team at KMOV-TV. As an investigative reporter, you will be responsible for researching, developing, and presenting investigative news stories that make a significant impact on our community.Key Responsibilities:Research and develop...
-
Investigator Services Assistant
2 months ago
Highland Heights, United States Open Systems Technologies Full timeJob DescriptionJob DescriptionFirst Shift- Training will be M-F with a senior member and total 3-4 months, After training schedule will be- Tuesday-Saturday 9:00-5:30pm Responsibilities may include but are not limited to, provides support to most business units within the organization. Works closely with investigator sites regarding data discrepancies...
-
Human Resources Operations Manager
1 week ago
Mendota Heights, Minnesota, United States Advanced Drainage Systems Full timePosition Overview At Advanced Drainage Systems, we embrace innovation and encourage bold initiatives. With over five decades of experience, we specialize in creating sustainable and innovative solutions for stormwater management. As a leading manufacturer based in Hilliard, Ohio, we produce a wide range of products designed to manage water effectively,...
-
Human Resources Operations Manager
1 week ago
Mendota Heights, Minnesota, United States Advanced Drainage Systems Full timePosition Overview At Advanced Drainage Systems, we embrace innovative ideas and encourage bold initiatives. With over five decades of experience, we specialize in creating a range of sustainable and eco-friendly alternatives to conventional materials. As a leading stormwater management organization, we manufacture pipes and complementary products,...
-
Human Resources Operations Manager
5 days ago
Mendota Heights, Minnesota, United States Advanced Drainage Systems Full timePosition Overview At Advanced Drainage Systems, we embrace innovation and encourage bold initiatives. With over five decades of experience, we specialize in producing a wide range of sustainable and eco-friendly alternatives to conventional materials. As a leading stormwater management enterprise, we are dedicated to manufacturing high-quality pipes and...
-
Manager Human Resources
2 months ago
Mendota Heights, Minnesota, United States Advanced Drainage Systems Full timeAdvanced Drainage SystemsEEO Statement:Advanced Drainage Systems is proud to be an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic...
-
Senior Geotechnical Engineer
2 weeks ago
Sterling Heights, Michigan, United States Geo-Technology Associates Full timePosition Overview:Geo-Technology Associates is in search of a Senior Geotechnical Engineer to join our dynamic team. The ideal candidate will possess a minimum of 6 years of experience in construction oversight and testing across various geotechnical domains.Key Responsibilities:1. Conduct thorough observation and testing of earthwork, foundations, and...
-
Senior Audit Associate
2 weeks ago
Garfield Heights, Ohio, United States Jobot Full timeAbout Jobot:Jobot is a reputable CPA Firm with a strong presence in the financial services sector. With a legacy that spans over five decades, we excel in providing Audit and Accounting Services, Fraud Investigations, Tax Solutions, and CPA Advisory Services. Our firm is dedicated to fostering enduring relationships with both our clients and our team...
-
Senior Vice President of Compliance
2 weeks ago
Shaker Heights, Ohio, United States Emirates Full timeKey Responsibilities:Regulatory Oversight: Establish and uphold systems for Compliance Monitoring to guarantee that Emirates' airworthiness, maintenance, flight operations, and ground services adhere to the standards set by aviation authorities.System Optimization: Continuously refine Compliance Monitoring systems to surpass regulatory expectations and...
-
Senior Safety Professional
2 hours ago
Sterling Heights, Michigan, United States Worldwide Recruitment Services - EOC Full timeJob SummaryWe are seeking a highly skilled and experienced Senior Safety Professional to join our team at Worldwide Recruitment Services - EOC. As a key member of our organization, you will play a critical role in ensuring the safety and well-being of our employees and clients in the construction industry.Key ResponsibilitiesTour and Inspect Job Sites:...
-
Senior Family Services Specialist
2 days ago
Richmond Heights, Virginia, United States Commonwealth of Virginia Full timeJob SummaryWe are seeking a highly skilled and experienced Senior Family Services Specialist to join our team at the Commonwealth of Virginia. As a key member of our social services department, you will be responsible for providing professional, intensive, and specialized continuing case management services to families and children in need.Key...
-
Senior/Principal Quality Engineer
3 weeks ago
Needham Heights, United States Evolved By Nature Full timeEvolved By Nature team is seeking a Senior or Principal Quality Engineer, responsible for driving and supporting all aspects of the quality system, quality through new product introductions, and quality within manufacturing. This position reports into the Senior Director, Quality, and is based in Needham, MA. Responsibilities: • Actively participate in the...
-
Senior Safety Coordinator
2 days ago
Sterling Heights, Michigan, United States Southland Industries Full timeAbout the RoleWe are seeking a highly skilled and experienced Senior Safety Coordinator to join our team at Southland Industries. As a key member of our safety team, you will play a critical role in ensuring the health and safety of our employees, contractors, and clients.Key ResponsibilitiesTour and inspect job sites to ensure compliance with company,...
-
Senior Application Engineer
1 month ago
Sterling Heights, Michigan, United States ASRC Federal Holding Company Full timeASRC Federal is seeking a Senior Applications Engineer to work with our IT Team in support of our contract with the Drug Enforcement Agency's Diversion Control Division. Position is located in Sterling, VA.Work arrangement : Hybrid (must be flexible to work onsite at least 2x a week)Clearance: Position requires a Public Trust and successfully completion of a...
-
Senior Loss Prevention Coordinator
2 weeks ago
Arlington Heights, Illinois, United States Goodwill Industries of Southeastern Wisconsin, Inc. Full timeThe Senior Loss Prevention Coordinator plays a pivotal role in overseeing compliance evaluations of retail operations, focusing on point of sale and financial documentation to pinpoint potential losses for the organization. This position also contributes to fundamental team functions as necessary, aiding in the training and integration of new team...
-
Senior Software Engineer
2 days ago
Maryland Heights, Missouri, United States Spectrum Full timeJob SummaryWe are seeking a highly skilled Senior Software Engineer to lead our software development team in designing, developing, testing, and implementing software systems, including OLTP database systems. The ideal candidate will have a strong background in Oracle PL/SQL, Unix, and complex SQL queries, as well as experience with Industry ETL, scheduling...
-
Sterling Heights, Michigan, United States Cyber Management International Corp Full timeJob OverviewPosition: Senior Security Operations Center Analyst/EngineerEmployment Type: Full-timeSecurity Clearance: Active Secret Security Clearance requiredAbout Cyber Management International CorpCyber Management International Corp is a dynamic Veteran Owned Small Business (VOSB) dedicated to safeguarding critical information and technology. We...
-
Senior Controls Software Engineer
4 weeks ago
Sterling Heights, United States HTI Cybernetics, Inc. Full timeJob DescriptionJob DescriptionDescription: SENIOR CONTROLS SOFTWARE ENGINEERSince 1983, HTI Cybernetics® has provided intelligent manufacturing solutions that support and enhance production, including automation systems, material handling solutions, assembly tooling, and collaborative robotics. We are currently searching for a dynamic, self-starting Senior...
-
Senior Services Coordinator
2 weeks ago
Arlington Heights, United States Prairie Management & Development, Inc. Full timeJob DescriptionJob DescriptionResponsibilities: A senior independent living community is seeking a Senior Services Coordinator to become part of our team. The property is located on the northwest side of Chicago, IL. Candidates must have prior experience in social services or human services and be passionate about working with adults aged 62 and up or...
Investigator Senior
1 month ago
Elevance Health - Investigator Senior Location: Mendota Heights, Minnesota This position will work a hybrid model (remote and office), 1-2 times per week. 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 determined to recover, eliminate, and prevent unnecessary medical-expense spending. Responsibilities: Independently identify, investigate, and develop complex cases against perpetrators of healthcare fraud to recover corporate and client funds paid on fraudulent claims. Conduct 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. Identify and develop enterprise-wide specific healthcare investigations and initiatives that may impact more than one company health plan, line of business, and/or state. Interface internally with senior management and legal department throughout the investigative process. Assist in training of internal and external entities. Assist in the development of policy and/or procedures to prevent loss of company assets. Represent the company in court proceedings regarding research findings. Develop and maintain rapport with federal, state, and local law enforcement and regulatory agencies to assist in investigative efforts. Minimum Requirements: BA/BS and a minimum of 5 years related experience in healthcare insurance and healthcare insurance investigation, law enforcement; or any combination of education and experience that would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: Professional certification of CFE, AHFI, CPC, Paralegal, RN, JD, or other job-related designation preferred. Knowledge of plan policies and procedures in all facets of benefit programs management with an emphasis on negotiation preferred. Excel knowledge a plus. Experience within a Managed Care Organization a plus. Salary and Benefits: For candidates working in person or remotely in the below locations, the salary range for this specific position is $77,028 to $126,546. In addition to your salary, Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. The salary range is the range Elevance Health believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary based on geographic location, work experience, education, and/or skill level. #J-18808-Ljbffr
