Investigator Sr
Elevance Health(28 days ago)
About this role
Senior Investigator at Elevance Health focused on identifying and developing complex healthcare fraud cases related to Medicare claims. The role operates in a hybrid model across multiple U.S. locations and supports efforts to protect corporate and client funds. The position works with internal legal teams and external law enforcement and regulatory agencies and may involve representing the company in court.
Required Skills
- Claim Review
- Data Mining
- Entity Review
- Law Enforcement
- Case Development
- Policy Development
- Court Testimony
- Provider Contracting
- Negotiation
- Investigative Reporting
+1 more
Qualifications
- BA/BS
- CFE
- AHFI
- CPC
- Paralegal
- RN
- JD
About Elevance Health
elevancehealth.comElevance Health, formerly Anthem, Inc., serves people across their entire health journey taking an integrated whole-health approach.
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