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Investigator II

2 months ago

Atlanta, Georgia, United States Elevance Health Full time
Job Title: Investigator II

At Elevance Health, we are seeking a skilled Investigator II to join our team. As a key member of our organization, you will play a critical role in identifying, investigating, and developing cases against perpetrators of healthcare fraud.

Key Responsibilities:
  • Conduct thorough claim reviews to identify potential healthcare fraud
  • Develop and implement effective investigative strategies to recover corporate and client funds
  • Collaborate with law enforcement agencies to ensure successful case outcomes
  • Interface with senior management and legal departments to ensure seamless investigative processes
  • Assist in the development of policies and procedures to prevent loss of company assets
Requirements:
  • Bachelor's degree in a related field (e.g., healthcare administration, business, or a related field)
  • Minimum 3 years of experience in healthcare fraud investigation or a related field
  • Fraud certification from CFE, AHFI, AAPC, or coding certificates preferred
What We Offer:
  • Market-competitive total rewards package, including merit increases, paid holidays, and incentive bonus programs
  • Comprehensive benefits, including medical, dental, vision, short and long-term disability benefits, and 401(k) + match
  • Opportunities for professional growth and development

Elevance Health is an Equal Employment Opportunity employer and welcomes applications from diverse candidates. If you are passionate about making a difference in the healthcare industry, we encourage you to apply for this exciting opportunity.