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Investigator Senior

2 months ago

St Louis, Missouri, United States Elevance Health Full time
Job Title: Investigator Senior

At Elevance Health, we are seeking a highly skilled Investigator Senior to join our team. As a key member of our healthcare fraud investigation team, you will be responsible for identifying, investigating, and developing complex cases against perpetrators of healthcare fraud.

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 internal stakeholders, including senior management and legal department, to ensure effective investigation and resolution of cases
  • Develop and maintain relationships with external stakeholders, including law enforcement and regulatory agencies
  • Stay up-to-date with changing laws and regulations related to healthcare fraud
Requirements:
  • Bachelor's degree in a related field, such as healthcare administration or business
  • Minimum 5 years of experience in healthcare insurance and investigation, law enforcement, or a related field
  • Professional certification, such as CFE or AHFI, preferred
  • Strong analytical and problem-solving skills
  • Excellent communication and interpersonal skills
What We Offer:
  • Competitive salary and benefits package
  • Opportunities for professional growth and development
  • Collaborative and dynamic work environment
  • Recognition and rewards for outstanding performance

We are an equal employment opportunity employer and welcome applications from diverse candidates. If you are a motivated and detail-oriented individual with a passion for healthcare fraud investigation, we encourage you to apply for this exciting opportunity.