Open app
Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Clinical Fraud Investigator II - Risk & Compliance

Elevance Health

Wilmington, DE

Elevance Health in Wilmington, Delaware, is seeking a Clinical Fraud Investigator II, responsible for analyzing and investigating issues related to fraud and abuse. The role requires an Associate Degree in Nursing and certification as a Certified Professional Coder, alongside a minimum of four years of relevant experience. This position promotes hybrid work, requiring in-office presence 1-2 days per week while supporting work-life balance. Key responsibilities include comprehensive analysis of clinical data and collaboration with internal teams to mitigate risks. #J-18808-Ljbffr Elevance Health

Apply
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Clinical Fraud Investigator II - Risk & Compliance in Wilmington, DE vacancy
  • Clinical Fraud Investigator II
    Clinical Fraud Investigator II Locations: This role requires associates to be in-office 1-2 days per week...  .../or entities that may pose potential risk associated with fraud and abuse. How...  ...providers as warranted. Examines claims for compliance with relevant billing and processing... 
    Suggested
    Work at office
    Local area
    2 days per week
    1 day per week

    Elevance Health

    Wilmington, DE
    4 days ago
  • Labor Law Enforcement Officer I, II, III
     ...decisions. Your responsibilities include conducting case intakes, investigations, resolving cases through mediation and negotiations, preparing...  ...writing. Job Requirements – Labor Law Enforcement Officer II One year’s experience conducting investigations, including interviews... 
    Suggested
    For contractors
    Remote work
    Flexible hours

    DelDOT

    Wilmington, DE
    8 hours ago
  • Labor Law Enforcement Officer II (Apprenticeship & Training Unit)
     ...Labor Law Enforcement Officer II In this Labor Law Enforcement Officer II role, you'll work within the Apprenticeship & Training...  ...performing data entry; prepare written reports; and conducting investigative activities. This position is responsible for these activities... 
    Suggested
    Apprenticeship

    Delaware State Jobs

    Wilmington, DE
    8 hours ago
  • Labor Law Enforcement Officer II
    Summary Statement In this Labor Law Enforcement Officer II role, you will work within the Apprenticeship & Training Unit, implementing...  ...data entry; preparing written reports; and conducting investigative activities. This position is responsible for these activities statewide... 
    Suggested
    For contractors
    Apprenticeship
    Remote work
    Flexible hours

    DelDOT

    Wilmington, DE
    3 days ago
  • Statewide Labor Standards Investigator II
    DelDOT is seeking a Labor Law Enforcement Officer II in Wilmington, DE to enforce labor standards across the state. The role includes investigating complaints, advising stakeholders on labor laws, gathering data, and preparing reports. Eligible for telework as per Delaware... 
    Suggested
    Remote work

    DelDOT

    Wilmington, DE
    3 days ago
  • Automation-Driven GRC Risk Analyst: Modernize & Migrate
     ...Services, Inc. is seeking a motivated GRC Analyst in Wilmington, Delaware, to support the modernization of the Governance, Risk, and Compliance program. The ideal candidate will drive migration from the current Archer platform to a new GRC solution, design automated workflows... 

    Liberty Personnel Services, Inc.

    Wilmington, DE
    1 day ago
  • Senior GRC Risk Analyst - Contract
     ...contacted We are seeking a highly motivated GRC Analyst to support the modernization and transformation of our Governance, Risk, and Compliance (GRC) program. This role is ideal for someone with a strong technical and automation background who is interested in applying... 
    Contract work
    Local area

    Liberty Personnel Services, Inc.

    Wilmington, DE
    8 hours ago
  • Fraud Surveillance Investigator - Paid Training & Benefits
    Frasco is seeking a full-time Surveillance Investigator based in Wilmington, DE. In this role, you will conduct surveillance and document findings while receiving training. The position provides a competitive hourly rate, plus benefits, including health insurance and paid... 
    Hourly pay
    Full time

    Frasco

    Wilmington, DE
    3 days ago
  • Senior Loans Fraud Data Analyst
     ...Role Overview The Senior Loans Fraud Data Analyst will be accountable for fraud strategy...  ...of suspected fraud, supporting daily investigations (approximately 15% of time). Manage and...  ...3+ years of experience in quantitative risk analytics (credit card or personal loans... 

    OneMain Financial

    Wilmington, DE
    4 days ago
  • Senior Loans Fraud Data Analyst
     ...Senior Loans Fraud Data Analyst The Senior Loans Fraud Data...  ...teams (Operations, Technology, Compliance) to align with broader organizational...  ...Enterprise Fraud Group in investigating fraud on daily basis (15%)....  ...' experience in quantitative risk analytics (credit card or... 
    Flexible hours

    Foursight Capital LLC

    Wilmington, DE
    1 day ago
  • Independent Insurance Field Inspector & Loss Control
    A regional inspection company seeks an energetic Insurance Field Inspector to perform property inspections in Wilmington, DE. In this independent contractor role, you will ensure comprehensive reporting on observable hazards for our clients. Key qualifications include ...
    For contractors
    Flexible hours

    Associated Services Inspections, LTD

    Wilmington, DE
    8 hours ago
  • Registered Nurse I-III (RN Investigator)
     ...Health and Social Services for clinical nursing positions. New...  ...Consultants, Nursing Supervisors, and Compliance Nurses $7,500.00 recruitment...  ...years with DHSS. RN Investigator The RN Investigator conducts...  ...compact license. Registered Nurse II – Psychiatric Nursing Possession... 

    DelDOT

    New Castle, DE
    4 days ago
  • Insurance Premium Auditor

    $50k - $60k

    Job Description RLD Associates, Inc. has an opening for a full-time, home-based premium auditor. As a premium auditor, you will work independently in the field, meeting with various businesses to conduct insurance premium audits. The purpose of a premium audit is to review...
    Full time
    Work from home
    Flexible hours
    3 days per week

    RLD Associates Inc.

    Wilmington, DE
    3 days ago
  • Insurance Field Inspector/Loss Control/Independent Contractor - Wilmington
     ...recommendations associated with a property are part of our comprehensive reports that summarize the observable hazards associated with a risk. The above information is used by our client companies to determine whether a risk meets the carrier's eligibility requirements.... 
    For contractors
    Work at office
    Immediate start

    Associated Services Inspections, LTD

    Wilmington, DE
    5 days ago
  • Special Investigator/State Detective II - IV (Fraud/Cons Prot)
    Introduction HAVE YOU CONSIDERED A CAREER WHERE INVESTIGATIVE SKILL MEETS PUBLIC SERVICE? Many professionals with investigative, law enforcement...  ...to play a critical role in protecting communities, uncovering fraud, and supporting justice across the state. Potential benefits... 
    Work at office

    DelDOT

    Wilmington, DE
    6 days ago
  • PUBLIC NOTICE- DEA Criminal Investigators
    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,... 
    Permanent employment
    Full time
    Part time
    Casual work
    Work at office
    Local area
    Relocation
    Trial period

    Drug Enforcement Administration

    New Castle, DE
    6 days ago
  • Non Certified Patrol Officer

    $66.04k

     ...elements of Phase I to be considered for Phase II. All applicants will be contacted...  ...evidence obtained during traffic and criminal investigations for prosecution purposes • Deliver...  ...reporting safety and/or security hazards or risks • Responsible for the entire arrest... 
    Immediate start
    Shift work
    Rotating shift

    Delaware River and Bay Authority

    New Castle, DE
    28 days ago
  • Research / Sr. Research Investigator, Quantitative Pharmacology
     ...in North America, Europe, and Asia. We are seeking a pharmacometrician to join our Clinical and Quantitative Pharmacology organization in Translational Medicine. A Research Investigator or Senior Research Investigator supports the execution of model-based analyses for... 
    Work experience placement

    Incyte Corporation

    Wilmington, DE
    6 days ago
  • Senior Quantitative Pharmacology Investigator — MIDD Focus
    Incyte Corporation in Wilmington, Delaware is looking for a pharmacometrician to join their Clinical and Quantitative Pharmacology organization. The ideal candidate will support clinical drug development through model-informed drug development (MIDD) approaches. Responsibilities... 

    Incyte Corporation

    Wilmington, DE
    6 days ago
  • Plans Examiner: Code Compliance & Permits
     ...Nari is seeking a Plans Examiner in Wilmington, DE, responsible for reviewing and approving plans for compliance with the City's building codes. This role involves advising clients, logging incoming plans, and conducting field inspections. The ideal candidate holds a... 

    NARI

    Wilmington, DE
    3 days ago
  • Plans Examiner

    $64.53k - $93.57k

     ...development plans, issues permits, and conducts inspections to ensure compliance with city ordinances and building codes. It also is involved...  ...All selected applicants must pass a criminal background investigation and pre‑employment physical. Physical Requirements: Works in... 
    For contractors

    NARI

    Wilmington, DE
    3 days ago
  • C/S Assistant Medical Examiner

    $122.85 per hour

    Job Posting Opening Date: 1/22/2026. Closing Date: 7/20/2026 11:59:00 PM Type of Recruitment: Casual/Seasonal. Salary: $122.85/hour. Pay Grade: FR1 Shift Hours: 8:00 am - 4:30 pm M-F, rotating weekend and holiday coverage Employment Type: Actual Vacancy...
    Casual work
    Seasonal work
    Work at office
    Shift work

    Delaware State Jobs

    Wilmington, DE
    2 days ago
  • Contract Information Security GRC Analyst
     ...Overview Information Security Governance, Risk and Compliance (GRC) Analyst – Risk and Policy focus. Responsibilities Assist in the execution of the organization’s security risk management program and support the policy governance lifecycle. Lead the execution of security... 
    Contract work

    CFC- Chatham Financial Corporation

    Kennett Square, PA
    8 hours ago
  • GRC Security Analyst - Risk & Policy (Contract)
    CFC- Chatham Financial Corporation is seeking an Information Security Governance, Risk and Compliance Analyst with a Risk and Policy focus. You will be responsible for assisting in security risk management, leading risk assessments, and collaborating with stakeholders to... 
    Contract work

    CFC- Chatham Financial Corporation

    Kennett Square, PA
    2 days ago
  • Certified Patrol Officer: Public Safety & Emergency Response
    An authority managing regional transportation is seeking a certified Patrol Officer for responsibilities including public engagement, law enforcement, and emergency response. The position requires US citizenship, minimum 21 years of age, and certification as a police officer...

    Delaware River & Bay Authority (DRBA)

    New Castle, DE
    8 hours ago
  • Contract Information Security GRC Analyst
     ...and contribute to the value Chatham delivers every day. This role sits within the Information Security Governance, Risk and Compliance (GRC) team, which reports directly into the CISO organization. The GRC team serves as the central function responsible for managing... 
    Contract work
    Immediate start

    Chatham Financial

    Kennett Square, PA
    3 days ago
  • PLANS EXAMINER

    $64.53k - $93.57k

    Code : 3034001-6 Type : INTERNAL & EXTERNAL Location : LAND USE & PLANNING Grade : LEVEL 8 Group : NON-UNION Job Family : PROFESSIONAL/TECHNICAL Job Class : PLANS EXAMINER Posting Start : 04/06/2026 Posting End : 12/31/9999 Details : Plans...

    City of Wilmington

    Wilmington, DE
    8 hours ago
  • Police Officer (Secret Service Police), $75,000 Recruitment Incentive
     ..., those who join the Secret Service are courageous, intelligent, strong and determined. A diverse team capable of balancing our investigative mission and fulfilling our protective legacy. Proven to be worthy of trust and confidence. Be tomorrow's Secret Service. Duties... 
    Relocation

    The United States Secret Service

    Yorklyn, DE
    3 days ago
  • National Security Cyber Investigator Special Agent

    $103.24k - $133.2k

     ...The Federal Bureau of Investigation is seeking a special agent in Wilmington, Delaware to conduct high-stakes investigations that protect the nation from cyberattacks and other threats. You'll leverage your cybersecurity expertise to tackle national security challenges... 
    Work at office

    Federal Bureau of Investigation

    Wilmington, DE
    4 days ago
  • Contract Investigator - Wilmington, DE
     ...individuals committed to excellence, honesty, and integrity to join our team. We are a trusted provider of high quality background investigations programs to Department of Homeland Security (DHS) and the intelligence community at locations throughout the United States.... 
    Contract work
    Temporary work
    For contractors
    Work at office
    Local area
    Immediate start
    Home office
    Shift work

    OMNIPLEX World Services Corporation, A Constellis Company

    Wilmington, DE
    8 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Clinical Fraud Investigator II - Risk & Compliance. Be the first to apply!

Related searches