Investigator I

1 day ago


Durham, North Carolina, United States Elevance Health Full time
Job Summary

We are seeking a skilled Investigator I to join our team at Elevance Health. As a key member of our healthcare insurance department, you will be responsible for investigating assigned cases, collecting and analyzing claim data to detect fraudulent, abusive, or wasteful activities.

Key Responsibilities
  • Investigate assigned cases to detect and prevent healthcare insurance fraud, abuse, and waste.
  • Collect and analyze claim data to identify trends and patterns.
  • Prepare statistical and financial analyses to document findings and maintain up-to-date electronic case files.
  • Communicate findings to management and stakeholders.
Requirements
  • Bachelor's degree in a related field.
  • Minimum of 2 years of experience in healthcare insurance, law enforcement, or a related field.
  • Fraud certification from CFE, AHFI, AAPC, or coding certificates preferred.
About Elevance Health

Elevance Health is a health company dedicated to improving lives and communities. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.



  • Durham, North Carolina, United States Duke University Full time

    Job Title: Research Analyst IDuke University is seeking a highly motivated and detail-oriented Research Analyst I to join our team at the Sanford School of Public Policy. As a Research Analyst I, you will play a critical role in supporting the implementation of a research study focused on improving the lives of families and children.Job Summary:The Research...


  • Durham, North Carolina, United States KBI BioPharma Full time

    Job Summary:This role provides QA oversight of the Deviations, CAPA, and Complaints organization. The Senior Manager works closely with the Program Management team to facilitate communications between KBI and clients regarding quality-related events. The role develops and maintains the Quality Assurance staff by recruiting, training, and managing team...


  • Durham, North Carolina, United States CARsgen Therapeutics Full time

    Job Title: Cell Therapy Manufacturing Engineer IAt CARsgen Therapeutics, we are seeking a highly skilled and experienced Cell Therapy Manufacturing Engineer I to join our team. As a key member of our manufacturing team, you will be responsible for the manufacture of cellular drug therapies within a GMP setting for ongoing product pipelines.Key...


  • Durham, North Carolina, United States SHATTUCK LABS, INC. Full time

    Job DescriptionAbout the Position:The Associate Director/Director of Clinical Research will lead the design, conduct, analysis, and reporting of clinical trials. This individual will collaborate with the Medical Monitor to ensure clinical, scientific, and regulatory issues are addressed throughout the clinical trial. The successful candidate will act as the...

  • Nurse Practitioner

    4 weeks ago


    Durham, North Carolina, United States IntelyCare Full time

    Unlock Your Potential as a Registered Nurse with IntelyCareEarn a competitive hourly rate of up to $82 as a Registered Nurse (RN) in Durham, Connecticut, and enjoy the flexibility to choose your own shifts and schedule. With IntelyCare, you'll have the freedom to work at our partner facilities and take time off on your own terms, without the need for...


  • Durham, North Carolina, United States Strata Solar LLC Full time

    Job Title: Accounts Payable SpecialistAt Strata Solar LLC, we are seeking a highly skilled Accounts Payable Specialist to join our team. This role is responsible for assisting the AP Manager in completing day-to-day accounts payable functions, working closely with the Accounts Payable Team to ensure assigned tasks are completed efficiently.Key...


  • Durham, North Carolina, United States Teledyne FLIR Full time

    Job SummaryThe Trade Compliance Director will lead the successful implementation of trade compliance requirements across OEM and Teledyne Scientific & Imaging (TS&I) with office locations in Goleta, CA / Thousand Oaks, CA / Camarillo, CA and Durham, NC. This role will serve as the primary trade compliance liaison with executive leadership at these locations...


  • Durham, North Carolina, United States CARsgen Therapeutics Full time

    Job SummaryWe are seeking a highly skilled Manufacturing Engineer I to join our team at CARsgen Therapeutics. As a key member of our manufacturing team, you will be responsible for the manufacture of cellular drug therapies within a GMP setting.Key ResponsibilitiesExecute batch records in compliance with current regulations and quality standards for the...


  • Durham, North Carolina, United States CARsgen Therapeutics Full time

    Job SummaryWe are seeking a highly skilled Manufacturing Engineer I to join our team at CARsgen Therapeutics. As a key member of our manufacturing team, you will be responsible for the manufacture of cellular drug therapies within a GMP setting for ongoing product pipelines.Key ResponsibilitiesExecute batch records in compliance with current regulations and...


  • Durham, North Carolina, United States Teledyne FLIR Full time

    Job SummaryThe Trade Compliance Director will lead the implementation of trade compliance requirements across OEM and Teledyne Scientific & Imaging (TS&I) locations. This role will serve as the primary trade compliance liaison with executive leadership and manage one trade compliance professional. The ideal candidate will have extensive expertise in ITAR and...


  • Durham, North Carolina, United States D2V Clinical Full time

    Job DescriptionThis is a remote position that offers a unique opportunity to make a real difference in the world of Clinical Research.We're looking for a passionate and driven Contract Clinical Research Associate to help us tackle the challenges of early-phase studies and fast-track groundbreaking treatments to patients.As a key member of our team, you will...


  • Durham, North Carolina, United States CARsgen Therapeutics Full time

    Job SummaryWe are seeking a highly skilled Cell Therapy Manufacturing Engineer I to join our team at CARsgen Therapeutics. As a key member of our manufacturing team, you will be responsible for the manufacture of cellular drug therapies within a GMP setting for ongoing product pipelines.Key ResponsibilitiesExecute batch records in compliance with current...


  • Durham, North Carolina, United States LCI Full time

    I. POSITION OVERVIEW Department: Manufacturing Location: Not Specified Reports to: Quality Manager/QSE Administrator II. OBJECTIVE The role involves conducting quality assessments of raw materials upon receipt, during production, and upon completion of items at specified inspection stages. III. SUPERVISORY RESPONSIBILITIES No supervisory responsibilities....


  • Durham, North Carolina, United States LCI Full time

    I. POSITION OVERVIEW Department: Manufacturing Location: Durham Reports to: Quality Manager/QSE Administrator II. OBJECTIVE The role involves conducting inspections of raw materials upon receipt, monitoring work in progress, and evaluating finished products at designated inspection stages. III. SUPERVISORY RESPONSIBILITIES No supervisory responsibilities....


  • Durham, North Carolina, United States IQVIA Full time

    Job OverviewAs a Clinical Research Associate at IQVIA, you will play a critical role in ensuring the successful execution of clinical trials. Your primary responsibility will be to conduct site management and monitoring visits to ensure that sites are conducting the study(ies) and reporting study data as required by the study protocol, applicable regulations...


  • Durham, North Carolina, United States SpringWorks Therapeutics Full time

    About SpringWorks TherapeuticsSpringWorks Therapeutics is a commercial-stage biopharmaceutical company dedicated to developing and delivering life-changing medicines for people with severe rare diseases and cancer.Our diversified targeted oncology pipeline spans solid tumors and hematological cancers, including clinical trials in rare tumor types and highly...


  • Durham, United States BioFire Diagnostics, LLC Full time

    Want to see more? Find all job opportunities for both BioFire and bioMérieux worldwide by . Description Position Summary: The Clinical Applications Specialist I (CAS I) provides product applications and technical support to internal and external customers for the diagnostic test systems marketed by bioMérieux including but not limited to...


  • durham, United States CARsgen Therapeutics Full time

    Position Summary: Manufacturing Engineer I performs the manufacture of cellular drug therapies within a GMP setting for ongoing product pipelines. Operates under current regulations and company policies. Participates in the lifecycle of manufacturing from preparation to support of product release.Responsibilities:Manufacture of CAR-T cell therapy products by...


  • Durham, United States CARsgen Therapeutics Full time

    Position Summary: Manufacturing Engineer I performs the manufacture of cellular drug therapies within a GMP setting for ongoing product pipelines. Operates under current regulations and company policies. Participates in the lifecycle of manufacturing from preparation to support of product release.Responsibilities:Manufacture of CAR-T cell therapy products by...


  • Durham, United States CARsgen Therapeutics Full time

    Position Summary: Manufacturing Engineer I performs the manufacture of cellular drug therapies within a GMP setting for ongoing product pipelines. Operates under current regulations and company policies. Participates in the lifecycle of manufacturing from preparation to support of product release.Responsibilities:Manufacture of CAR-T cell therapy products by...

  • Scientist I

    2 months ago


    Durham, United States Cambrex Full time

    Company Information You Matter to Cambrex. Cambrex is a leading global contract development and manufacturing organization (CDMO) that provides drug substance, drug product, and analytical services across the entire drug lifecycle. With more than 40 years of experience and a growing team of over 2,000 professionals servicing global clients. Cambrex is a...

  • Registered Nurse

    4 weeks ago


    durham, United States IntelyCare Full time

    Earn an hourly wage of up to $68 as a Registered Nurse (RN) in Durham and nearby areas, with the flexibility to live your life as you see fit. At IntelyCare, founded by nurses for nurses, we value a healthy work-life balance because we know our nurse professionals perform at their best when they're not stretched thin. We also provide the security of W2...

  • Registered Nurse

    2 months ago


    durham, United States IntelyCare Full time

    Earn an hourly wage of up to $68 as a Registered Nurse (RN) in Durham and nearby areas, with the flexibility to live your life as you see fit. At IntelyCare, founded by nurses for nurses, we value a healthy work-life balance because we know our nurse professionals perform at their best when they're not stretched thin. We also provide the security of W2...


  • Durham, United States MobilexUSA Full time

    Description TridentCare, the nation's leading mobile diagnostics imaging services provider, is hiring dedicated, compassionate, true HEALTHCAREHEROES! We're making a difference in the lives of our patients every day. SIGN ON BONUS AVAILABLE- $5,000 Full Time position working in a clinic setting working Friday, Saturday and Sunday. Are you an R.T.?...

  • Registered Nurse

    4 weeks ago


    durham, United States IntelyCare Full time

    Earn as much as $82 per hour as a Registered Nurse (RN) in Durham, Connecticut, and throughout the area, with the peace of mind that W2 employment provides and the freedom of a completely flexible schedule. Nursing professionals at IntelyCare, which was founded by nurses, get to choose their own shifts at our partner facilities and take time off on any day,...

  • Registered Nurse

    2 months ago


    durham, United States IntelyCare Full time

    Earn as much as $82 per hour as a Registered Nurse (RN) in Durham, Connecticut, and throughout the area, with the peace of mind that W2 employment provides and the freedom of a completely flexible schedule. Nursing professionals at IntelyCare, which was founded by nurses, get to choose their own shifts at our partner facilities and take time off on any day,...

  • Registered Nurse

    2 months ago


    durham, United States IntelyCare Full time

    Earn as much as $82 per hour as a Registered Nurse (RN) in Durham, Connecticut, and throughout the area, with the peace of mind that W2 employment provides and the freedom of a completely flexible schedule. Nursing professionals at IntelyCare, which was founded by nurses, get to choose their own shifts at our partner facilities and take time off on any day,...

  • Principal Scientist I

    4 months ago


    Durham, United States Cambrex Full time

    Company Information You Matter to Cambrex. Cambrex is a leading global contract development and manufacturing organization (CDMO) that provides drug substance, drug product, and analytical services across the entire drug lifecycle. With more than 40 years of experience and a growing team of over 2,000 professionals servicing global clients, Cambrex is a...

  • Sr. Scientist I

    5 months ago


    Durham, United States Cambrex Full time

    Company Information You Matter to Cambrex. Cambrex is a leading global contract development and manufacturing organization (CDMO) that provides drug substance, drug product, and analytical services across the entire drug lifecycle. With more than 40 years of experience and a growing team of over 2,000 professionals servicing global clients, Cambrex is a...

  • Registered Nurse

    3 weeks ago


    Durham, United States IntelyCare Full time

    Earn as much as $82 per hour as a Registered Nurse (RN) in Durham, Connecticut, and throughout the area, with the peace of mind that W2 employment provides and the freedom of a completely flexible schedule. Nursing professionals at IntelyCare, which was founded by nurses, get to choose their own shifts at our partner facilities and take time off on any day,...

  • Registered Nurse

    4 weeks ago


    Durham, United States IntelyCare Full time

    Earn as much as $82 per hour as a Registered Nurse (RN) in Durham, Connecticut, and throughout the area, with the peace of mind that W2 employment provides and the freedom of a completely flexible schedule. Nursing professionals at IntelyCare, which was founded by nurses, get to choose their own shifts at our partner facilities and take time off on any day,...

  • Registered Nurse

    3 weeks ago


    Durham, United States IntelyCare Full time

    Earn as much as $82 per hour as a Registered Nurse (RN) in Durham, Connecticut, and throughout the area, with the peace of mind that W2 employment provides and the freedom of a completely flexible schedule. Nursing professionals at IntelyCare, which was founded by nurses, get to choose their own shifts at our partner facilities and take time off on any day,...

  • Registered Nurse

    3 weeks ago


    Durham, United States IntelyCare Full time

    Job DescriptionEarn as much as $82 per hour as a Registered Nurse (RN) in Durham, Connecticut, and throughout the area, with the peace of mind that W2 employment provides and the freedom of a completely flexible schedule. Nursing professionals at IntelyCare, which was founded by nurses, get to choose their own shifts at our partner facilities and take time...


  • Durham, United States Biogen Full time

    Job DescriptionAbout This Role  This is a full time on-site positionThe Sr. Associate II is responsible for the oversight of key strategic, tactical, and operational aspects within Quality Assurance at the Biogen Research Triangle Park (RTP) facility.  The Sr. Associate II has an advanced understanding of QC Microbiology laboratory, testing, and Annex I...


  • Durham, United States BioCryst Pharmaceuticals Full time

    Description COMPANY: At BioCryst, we share a deep commitment to improving the lives of people living with complement-mediated and other rare diseases. For over three decades we've been guided by our passion for not settling for "ordinary" in our quest to develop novel medicines. We leverage our expertise in structure-guided drug design to develop...

  • Inspector, QA

    2 weeks ago


    Durham, United States LC Industries Full time

    I. JOB DESCRIPTIONDepartment: ManufacturingLocation:DurhamReports to:Quality Manager/QSE AdministratorII. STATEMENT OF PURPOSEPerforms quality raw material receiving, work in-process, and end item inspection at defined points of inspection.III. RESPONSIBILITY FOR WORK OF OTHERSNoneIV. BUSINESS COMMUNICATIONMust be able to communicate with manager and...