Senior Investigator

Min 5 yrs required

Full-time

No

Salary Information:
The salary for this position is competitive and will be commensurate with experience and qualifications. Elevance Health also offers a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs, medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Job Title:
Senior Investigator (Investigator Sr)

Experience Information:
Requires a BA/BS and minimum of 5 years related experience in healthcare insurance and healthcare insurance investigation, law enforcement; or any combination of education and experience, which would provide an equivalent background.

H1 Friendly Heading:
Join Elevance Health as a Senior Investigator and make a difference in the fight against healthcare fraud.

H2 Friendly Headings:
- Location: Indiana, Maryland, Ohio, Rhode Island, Florida, New Jersey, Virginia, Illinois, and Georgia
- Job Description: Investigate and develop complex cases against perpetrators of healthcare fraud to recover corporate and client funds
- Impact: Conduct claim reviews, interface with management and legal department, assist in training, and represent the company in court proceedings
- Requirements: BA/BS and 5 years of healthcare insurance and investigation experience
- Preferred Skills: Proficiency in Microsoft Excel, professional certifications, and knowledge of health insurance policies and procedures
- Who We Are: A Fortune 25 company dedicated to making healthcare simpler and improving lives and communities
- How We Work: Creating a culture of personal and professional growth, with competitive total rewards and a hybrid workforce strategy
- Vaccination Policy: Elevance Health requires new candidates in patient/member-facing roles to be vaccinated against COVID-19

Bold Headlines:
- Join the Fight Against Healthcare Fraud as a Senior Investigator at Elevance Health
- Competitive Salary and Total Rewards Package Available
- Work at the Forefront of Healthcare Simplification and Community Impact
- Hybrid Workforce Strategy with Opportunities for Personal and Professional Growth
- Vaccination Policy in Place to Protect Associates and Communities

Not applicable

Medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources

Not specified

Data Mining, Claim Reviews, Microsoft Excel, Legal Proceedings, Policy Development, Communication, Rapport Building, Strategic Thinking

BA/BS in related field

Submit resume to

Qualification and Experience BA/BS in related field, 5 years of experience in healthcare insurance and investigation or equivalent combination of education and experience

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