- Elevance Health (Dearborn, MI)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The ** Investigator II ** is responsible for ... ** Investigator II ** **Supporting the Payment Integrity...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- Elevance Health (Dearborn, MI)
- **Nurse and CPC - Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:** This position will work a hybrid model (remote and office). The ideal ... 1-2 days in office per week The **Clinical Fraud Investigator II ** is responsible for identifying issues...control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions… more