- The Cigna Group (St. Louis, MO)
- …years of equivalent work experience + Relevant experience as a Fraud Investigator in healthcare + Certified Pharmacy Technician, Certified Fraud ... This role will also oversee multiple investigations as it relates to pharmacy and patient outreach and must coordinate the successful transfer of essential… more
- Molina Healthcare (GA)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... of experience working in a FWA / SIU or Fraud investigations role for New Jersey/New York location +...insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy , etc.) + Experience with UNET, Comet, Macess/CSP, or… more
- Elevance Health (Columbus, GA)
- **Senior Investigator ( Investigator Sr)** _Location: This position will work a hybrid model ( remote and office). The ideal candidate will live within 50 ... recover, eliminate, and prevent unnecessary medical-expense spending. The **Senior Investigator ** is responsible for the independent identification, investigation and… more
- Elevance Health (Indianapolis, IN)
- ** Investigator II** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint ... to recover, eliminate, and prevent unnecessary medical-expense spending. The ** Investigator II** is responsible for the identification, investigation and development… more