Investigator Assistant (US)

Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. The Investigator Assistant is responsible for providing administrative support to the investigative unit and performing research on data to assist in identifying cases of potential overpayment or abuse. How You’ll Make a Difference Collects, researches, and validates bills and claims data against relevant guidelines. Assists in preparation of statistical and financial analysis reports. Requests medical records and additional documentation required for investigation. Completes initial file set-up and tracks cases. Processes and tracks all incoming reimbursement checks. Provides administrative support for investigative management and staff. Completes requests for information from law enforcement and regulatory agencies. Minimum Requirements Requires a high school diploma or equivalent and a minimum of 1 year experience; or any combination of education and experience that would provide an equivalent background. Preferred Skills, Qualifications and Experiences Expert skills in Excel. Experience with pharmacy healthcare. Experience with Medicaid and Medicare. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $31.32 to $33.44. Locations: California. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, and local laws. Applicants who require accommodation to participate in the job application process may contact View email address on click.appcast.io for assistance. #J-18808-Ljbffr Elevance Health