Investigator II

1 week ago


Atlanta, Georgia, United States Elevance Health Full time
Job Title: Investigator II - Healthcare Fraud Specialist

At Elevance Health, we are committed to improving lives and communities through our dedication to healthcare. As a Healthcare Fraud Specialist, you will play a critical role in identifying and investigating healthcare fraud, ensuring the integrity of our healthcare system.

Key Responsibilities:
  • Conduct thorough investigations of healthcare claims to identify potential fraud and abuse
  • Develop and implement strategies to prevent and detect healthcare fraud
  • Collaborate with law enforcement and other stakeholders to ensure effective resolution of cases
  • Provide training and support to internal teams on healthcare fraud prevention and detection
Requirements:
  • Bachelor's degree in a related field (e.g. healthcare administration, business, or law)
  • Minimum 3 years of experience in healthcare fraud investigation or a related field
  • Fraud certification from a recognized organization (e.g. CFE, AHFI, AAPC)
What We Offer:
  • Competitive salary and benefits package
  • Opportunities for professional growth and development
  • Collaborative and dynamic work environment

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


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