Hybrid Clinical Fraud Investigator II
Elevance Health
Elevance Health in Georgia is seeking a Clinical Fraud Investigator II to analyze data and perform in-depth investigations of providers, focusing on fraud and abuse detection in claims and medical records. The role requires an Associate Degree in Nursing and/or a Certified Professional Coder with at least 4 years of related experience, including 1 year in fraud investigations. Hybrid work arrangement is offered with some on-site presence. #J-18808-Ljbffr Elevance Health
- Elevance Health is seeking a Clinical Fraud Investigator II to conduct comprehensive analysis and investigations of provider data, review claims for... ...with the Special Investigation Unit. The role offers hybrid work with 1-2 days onsite and flexibility for remote work....SuggestedRemote job
- Clinical Fraud Investigator II Locations: This role requires associates to be in‑office 1-2 days per week, fostering collaboration and connectivity... ...distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting...SuggestedWork at officeLocal area2 days per week1 day per week
- Clinical Fraud Investigator II Location: Office 1‑2 days per week with flexibility for remote work. Alternate locations may be considered for candidates within commuting distance. Hybrid policy applies; candidates outside commuting distance are not eligible unless a legally...SuggestedWork at officeLocal areaRemote work2 days per week1 day per week
- ...Clinical Fraud Investigator II Locations: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity... ...from an office Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting...SuggestedFull timeTemporary workWork at officeLocal area2 days per week1 day per week
- ...and ensuring compliance with tax regulations. Candidates must hold a bachelor's degree in accounting or finance and a strong working knowledge of GAAP. This position offers a hybrid work schedule and is only open to those in the Atlanta area. #J-18808-Ljbffr Top ClosersSuggested
- ...Investigator II - Carelon Payment Integrity SIU This role requires associates to be in-office... ...cases against perpetrators of healthcare fraud in order to recover corporate and client... .... Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as...Work at officeLocal area2 days per week1 day per week
$61.68k - $106.4k
...Job Description Business Analyst II Location : Hybrid1: This role requires... ...considered. Please note that per our policy on hybrid/virtual work, candidates not within a... ...Beacon Health Options, offers superior clinical mental health and substance use disorder...Temporary workWork experience placementWork at officeLocal area2 days per week1 day per week$77.04k - $138.67k
A healthcare company is seeking an Actuarial Analyst II to perform complex actuarial studies and key functions related to cost of care. This role offers a hybrid work model with in-office collaboration 1-2 days a week. Candidates should have a BA/BS degree and have passed...Work at office2 days per week1 day per week$115.2k - $230.4k
...Senior Government Data Consultant II We are seeking a talented Senior Government... ...Ability to translate technical findings for clinical and policy audiences Strong critical... ...****@*****.***. Marsh is committed to hybrid work, which includes the flexibility of...Minimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week- VRC Investigations is looking for experienced SIU Field Investigators in Atlanta, Georgia. These roles include part-time and full-time opportunities focused on investigating suspected insurance fraud. Investigators will conduct interviews, collect evidence, and prepare...Full timePart time
$114.6k - $171.8k
...Operations team is looking for an experienced fraud analyst to join an industry-leading... ...identify and mitigate fraud exposure Investigate, conduct root cause analysis, and deploy... ...implementing product-level fraud and risk controls Hybrid work at Stripe This role is available...Work at officeLocal areaRemote workWork from homeRelocation- Axon is seeking an entry to mid-level Software Services professional in a hybrid role across US hubs (Atlanta, Boston, Denver, Scottsdale, Seattle). You will help capture customer outcomes, draft workflows, and partner with project managers and product teams to design...
- Fhlbatl is seeking an Enterprise Risk Governance Analyst II based in Atlanta, GA. This role focuses on supporting the bank's operational risk management framework through independent governance, EUC program management, and KRI reporting. The ideal candidate will have over...Remote work
$114.6k - $171.8k
...Operations team is looking for an experienced fraud analyst to join an industry-leading... ...identify and mitigate fraud exposure Investigate, conduct root cause analysis, and deploy... ...product-level fraud and risk controls Hybrid work at Stripe This role is available either...Work at officeLocal areaRemote workWork from homeRelocation$89k - $133.4k
...career. About The Team The mission of Fraud Operations is to act as guardians of the... ...account takeover, and financial partner investigation requests. We strive to improve manual fraud... ...create dashboards and visualizations. Hybrid work at Stripe This role is available...Work at officeRemote workWork from homeRelocation- Axon Enterprise in the United States is seeking a Business Analyst to join the Software Services Team in a hybrid role. You will capture customer needs, document workflows, and drive functional requirements to shape solution design. Travel up to 60% is possible across...
- ...commercial data environments Experience with SQL, dbt, or data pipeline tooling Standard professional office environment with a hybrid work schedule. Employees are expected to work on-site 2-3 days per week, with specific in-office days determined by business needs,...Temporary workWork at officeFlexible hoursShift work2 days per week3 days per week
- ...and provides statistical assessments for incoming build requests, working under the direction of the DI Manager. Candidates must reside in the Atlanta area and will operate under a hybrid schedule with on-site collaboration 2-3 days per week. #J-18808-Ljbffr good2grow2 days per week3 days per week
- Stripe is seeking an experienced Fraud Analyst to join their Risk Operations team. This role involves managing fraud rulesets, conducting... ...a deep understanding of fraud patterns. The position supports hybrid work options, with expectations for in-office and remote...Remote jobWork at office
- Sedgwick is hiring a Claim Examiner for general liability and product liability claims. This hybrid role involves the end-to-end management of complex claims, ensuring accurate liability assessments and maintaining strong relationships with clients and claimants. The ideal...
- Intuit Inc. is looking for a Forensic Financial Investigations Senior Analyst based in Atlanta, Georgia. In this hybrid role, you will manage complex investigations and analyze fraud patterns to make data-driven decisions that protect our customers and prevent financial...
- Physician Investigator Opportunities - Multiple Locations Nationwide At Headlands Research, we are dedicated to enhancing clinical trial delivery within our communities. As a leading network of... ...Investigator or Sub‑Investigator on Phase II-IV clinical trials. Roles may be...Full timePart timeLocal area
- Stripe is seeking a Payments Fraud Investigator in Atlanta, Georgia. This role involves safeguarding the financial ecosystem by investigating... ...investigation experience and proficiency in SQL. This position offers a hybrid work model along with competitive pay and benefits. #J-18808...Remote job
$120k - $160k
...candidates have a master's or PhD in a STEM field or equivalent experience. Benefits include flexible paid time off, health & wellness benefits, and a hybrid work schedule. A salary range of $120,000–160,000 is provided for similar positions in New York. #J-18808-Ljbffr...Full timeFlexible hours- The Federal Home Loan Bank of Atlanta is seeking an Enterprise Risk Governance Analyst II to support its operational risk management framework. This role involves managing the enterprise EUC inventory, ensuring adherence to risk policies, and providing oversight and governance...
$90.77k - $145.23k
...Business Analyst II Join Axon and be a Force for Good. At Axon, we're on a mission to Protect Life. We're explorers, pursuing... ...proposition of our Software Solutions. What You'll Do Location: Hybrid (4-days a week) in one of our US based hubs (Atlanta, Boston,...Work experience placement- ...New Business Analyst II Location: Atlanta Hybrid Contract- 3 Years Client- Southern Company Position Overview We are seeking a results-driven New Business Analyst II with 510 years of experience to identify, evaluate, and pursue strategic growth opportunities...Contract work
- QBE North America invites applications for a Senior Analyst II - Actuarial to proactively provide actuarial reserving services and lead initiatives across commercial, specialty and legacy lines. This full‑time position emphasizes defining project scope, data needs, and...Full time
- ...Industries, Inc is seeking a skilled individual for workplace investigations in Atlanta, GA. The role involves analyzing claims related to... ...the ability to handle confidential information. The position is hybrid with opportunities for continuous improvement in employee...
- ...build meaningful, long‑term careers. Good Things You Can Count On. Hybrid schedule: 2 days remote / 3 in‑office Predictable hours (no... ...& longevity bonuses Responsibilities The Product Filing Analyst II is responsible for preparing, submitting, and maintaining insurance...Work at officeRemote workWeekend work
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