Healthcare Fraud Investigator I
Elevance Health
Elevance Health is seeking an Investigator I to be based in Cincinnati, OH. This hybrid role requires being in-office 1-2 days a week to investigate assigned cases and analyze claim data to detect fraudulent activities. Candidates with a BA/BS and 2 years of experience in healthcare insurance are highly encouraged to apply. Strong communication skills and the ability to prepare complex reports are essential. Experience in healthcare or prior insurance company work is preferred. Contribute to a dynamic team focused on maintaining ethical standards in healthcare. #J-18808-Ljbffr Elevance Health
- ...Associate's Degree or Diploma in Nursing New Hires required to complete BSN within 5 years of hire Basic Life Support for Healthcare Providers (BLS) Registered Nurse Knowledge, judgement and skills derived from the Principles of Biological, Physical, Behavioral...SuggestedReliefLocal area
- Clinical Fraud Investigator II Locations: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity... ...and medical records prior to payment. Researches new healthcare related questions as necessary to aid in investigations....SuggestedTemporary workWork at officeLocal area2 days per week1 day per week
- Elevance Health is looking for a Clinical Fraud Investigator II in Cincinnati, Ohio. This role involves comprehensive analysis and investigation of potential fraud and abuse in healthcare claims. Applicants must have an Associate Degree in Nursing or coding certification...SuggestedWork at office2 days per week1 day per week
$26.25 - $33.22 per hour
..., 4:59:00 AM Work Location Work Location: Summit Behavioral Healthcare 1101 Summit Road Cincinnati 45237-2621 Primary Location Primary... ...Skill: Law Enforcement Technical Skills : Communications, Investigation, Law Enforcement Professional Skills : Collaboration,...SuggestedHourly payPermanent employmentFull timeContract workPart timeWork experience placementWork at officeShift workNight shiftAfternoon shift$26.25 - $33.22 per hour
A state government agency is seeking a Police Officer to ensure safety at the Summit Behavioral Healthcare in Cincinnati. Responsibilities include patrolling, enforcing laws, and assisting in medical emergencies. The position offers full-time shifts with pay ranging from...SuggestedHourly payFull timeShift work- Fifth Third Bank in Cincinnati is hiring a Fraud Analyst I for a cross-functional role within Fraud Operations. The candidate will support Fraud Detection, Communication, and Collections, analyzing fraud alerts and interacting with customers. Essential skills include strong...Monday to Friday
- Fifth Third in Cincinnati, Ohio is looking for a Fraud Analyst I to join their Fraud Operations team. This role involves analyzing fraud detection alerts, handling communications with customers and bank employees, and supporting fraud-related inquiries. The ideal candidate...
- ...career in banking at Fifth Third Bank. General Function The Fraud Analyst I is a cross functional position within Fraud Operations... ...Required One to three years of experience in fraud, banking, investigative work, or a related field preferred. Associate's degree or equivalent...Work experience placementZero hours contractWork at office3 days per weekWeekday work
- Delta Group is seeking talented Private Investigators in Cincinnati, Ohio to conduct ethical investigations on Workers’ Compensation and Liability claims through surveillance and factual data collection. The role includes responsibilities such as conducting surveillance...
- ...quality and innovative products for applications ranging from sustainable transportation and food safety to clean water and quality healthcare. LYB places high priority on diversity, equity and inclusion and is Advancing Good with an emphasis on our planet, the...
- Commercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field inspections and risk control services to support our clients’ underwriting processes....For contractorsWork at officeLocal areaWork from home
$61.2k - $91.8k
...Investigator I This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing... ...facility claims to detect fraudulent, abusive or wasteful healthcare insurance payments to providers and subscribers....Temporary workWork at officeLocal area2 days per week1 day per week- ...looking for an experienced Casualty Claims Specialist based in Cincinnati, Ohio. The role involves reviewing claims, conducting investigations, and processing claims following established office procedures. Candidates should have 3-5 years of casualty claims experience...Work at office
- Great American Insurance Group in Cincinnati, Ohio is seeking a claims handler to manage claims, evaluate compensability, and negotiate settlements. Ideal candidates should have a Bachelor’s degree and 2+ years of property and casualty claims experience. The position offers...
- Fifth Third Bank, N.A., located in Cincinnati, Ohio, is looking for a Fraud Analyst I to work within their Fraud Operations team. This role involves analyzing alerts from fraud detection systems, engaging with customers regarding fraud risks, and providing necessary support...Work at office
$23 - $24 per hour
Job Description - Overview Do you have EXPERIENCE IN RETAIL LOSS PREVENTION and want to work for a company that still believes in apprehending and prosecuting criminals? The Loss Prevention Department for Hobby Lobby is currently seeking a full time In-Store Loss Prevention...Full timeLocal areaFlexible hoursWeekend work- ...profile below and apply today! Ensures a safe and secure environment for customers, team members, and vendors. Responsible for investigating of internal and external theft, to include ORC (Organized Retail Crime) activity. Seeks best practices and continuous...Weekly payWork experience placement
$14.55 - $20.4 per hour
...maintains confidentiality Observes, apprehends, and/or deters any acts of dishonesty from outside sources Participates in investigations and surveillance as assigned Ensures apprehensions are consistent with store theft activity Completes and distributes...Hourly payTemporary workLocal areaHome officeFlexible hours$18.1 per hour
...Prevention Supervisor you will improve company profitability by executing company programs around external theft deterrence, internal investigations and operational shortage. You will increase associate awareness of shortage opportunities through training, lead and influence...Full timeLocal area- ...Labor Management Relations Examiner, GS - 0244 - 15, your typical work assignments may include: Supervising Labor Relations Investigators and Field Attorneys who preside over and conduct public hearings, administer oaths, examine witnesses, and receive evidence....
- Bridge Program The Bridge Program provides a meaningful way for administrative professional employees to change their career paths and obtain positions as a Labor Management Relations Examiner. This is a three-year training program with an option for a one-year extension...
- ..., Subregional or Resident Office of the National Labor Relations Board. This position is responsible for the supervision of investigations and the handling of representation cases (R cases) of simple to the highest complexity and a variety of unfair labor practices...Work at office
- ...Job Title Labor Management Relations Examiner (Labor Relations Investigator (Bridge)), GS-0244-5 Duties The incumbent will participate in a training program where they will learn to perform the duties of a Field Examiner to include: Interviewing witnesses...
- Summary THIS IS NOT AN OPEN JOB ANNOUNCEMENT** This is a public notice for Drug Enforcement Administration Criminal Investigator GL-1811-7/9/11 positions open to U.S. Citizens. A job announcement will be posted on USAJobs on April 20th, July 20th, and October 19th, 2...Permanent employmentLocal areaRelocationTrial periodWeekend work
- Registered Nurse- FLEX RN Gig Location: 625 Eden Park Dr Cincinnati, OH Assistant Nurse Manager - Med Surg Pulmonary Location: 10500 Montgomery Rd Montgomery, OH Nurse Educator I Location: 375 Dixmyth Avenue Cincinnati, OH TriHealth Inc.Flexible hours
- ...job profile below and apply today!Ensures a safe and secure environment for customers, team members, and vendors. Responsible for investigating of internal and external theft, to include ORC (Organized Retail Crime) activity. Seeks best practices and continuous...Weekly payWork experience placementInternship
- ...profile below and apply today! Ensures a safe and secure environment for customers, team members, and vendors. Responsible for investigating internal and external theft, including ORC (Organized Retail Crime) activity. Seeks best practices and continuous improvement in...Weekly payWork experience placement
- Loss Prevention Agents job at Deckers Brands. Midwest, OK. Loss Prevention Agents A shift 10:00Am-8:30PM Role: Loss Prevention Agent POSITION PURPOSE/SUMMARY STATEMENT INCLUDES, BUT NOT LIMITED TO: Maintains safe and secure environment for customers and employees by patrolling...Seasonal workWork at officeLocal areaImmediate startShift workWeekend work
- ...Store Detective Intern in Cincinnati, OH. This role focuses on creating a safe environment for customers and team members through investigation of theft, adherence to safety protocols, and effective documentation. The ideal candidate will have a high school diploma and a...Internship
- A leading healthcare company is seeking a Mobile Examiner to provide field coverage for mobile exams. Responsibilities include collecting specimens timely and accurately, conducting exams, and maintaining professional standards. Candidates must have at least one year of...
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