- Elevance Health (Seattle, WA)
- ** Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role enables associates to work ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Fraud Investigator II** is responsible for...and Experiences:** + Fraud and Abuse experienced Nurse with a CPC are highly desired.… more
- Zelis (St. Petersburg, FL)
- …claims preferred + Current, active Outpatient Coding Certification required (such as CPC , CCS, or equivalent credentialing). + Registered Nurse licensure ... shape who you are. Position Overview At Zelis, the Clinical Dispute Analyst role is responsible for the resolution...WhatsApp or personal emails for recruitment. Forward any suspected fraud to ###@zelis.com for prompt investigation. Thank you for… more
- Magellan Health Services (Boise, ID)
- …Accredited Healthcare Fraud Investigator - EnterpriseEnterprise, CFE - Certified Fraud Examiner - EnterpriseEnterprise, CPC - Certified Professional Coder - ... This position is responsible for comprehensive management and ownership of fraud , waste and abuse investigations including development and presentation of… more