Clinical Fraud Investigator II — Hybrid Role with Impact
The Elevance Health Companies, Inc.
The Elevance Health Companies, Inc. is seeking a Clinical Fraud Investigator II to identify potential fraud risks and perform comprehensive analysis of clinical and billing data. This role requires conducting investigations to mitigate loss and exposure. The ideal candidate will possess an Associate Degree in Nursing, have at least four years of experience, and demonstrate advanced Excel skills. The position supports a hybrid work model, requiring office presence 1-2 days per week. The role offers opportunities for professional growth within a diverse and inclusive work environment. #J-18808-Ljbffr The Elevance Health Companies, Inc.
- Clinical Fraud Investigator II Position Title: Clinical Fraud Investigator II Location & Work Model: Requires office presence 1-2 days per week; hybrid arrangement with flexible virtual work supported. Alternate locations may be considered for candidates residing within...SuggestedWork at officeLocal areaFlexible hours2 days per week1 day per week
- Elevance Health is seeking a dedicated Investigator II to join their team in Atlanta, Georgia. This hybrid role requires working in the office 1... ...on cases related to healthcare fraud, leading investigations and establishing relationships with law enforcement while developing...SuggestedWork at office2 days per week1 day per week
- ...Investigator II - Carelon Payment Integrity SIU This role requires associates to be in-office... ...office engagement with the autonomy of virtual... ...of healthcare fraud in order to recover... ...you will make an impact: Claim reviews... ...operates in a Hybrid Workforce Strategy...SuggestedWork at officeLocal area2 days per week1 day per week
- ...based accounting firm is seeking a Senior Accountant with 3-5 years of experience, preferably in audit. The role involves coordinating accounting functions,... ...working knowledge of GAAP. This position offers a hybrid work schedule and is only open to those in the Atlanta...Suggested
- ...seeking a detail-oriented professional in Atlanta, GA for a hybrid role focusing on fraud and risk management. The position involves handling... ...at least 2 years of experience in financial call centers, with strong customer service skills and an analytical mindset to...SuggestedContract work
- ...looking for a Risk Analyst in Atlanta, GA (Hybrid) to handle complex risk-related calls and analyze financial data to detect fraud. You will provide top-notch customer service... ...skills and a knack for problem-solving. This role offers a pay rate of $29-31.77/hr on W2, and...
$29 - $31.77 per hour
Creative Solutions Services, LLC is seeking a Fraud Investigation Specialist for a hybrid role in Atlanta, GA. This 12-month contract position involves independent... .... The role offers a pay rate of $29-$31.77/hour along with benefits like health insurance, 401(k) plan, and paid...Contract workImmediate start$71.1k - $97.8k
...community. The Senior Fraud and Waste Investigator conducts... ...unlawful activity impacting the organization... ...stakeholders. This role focuses on complex... ...documented in alignment with organizational... ...(MBA, J.D., MSN, Clinical Certifications,... ...provide Home or Hybrid Home/Office...Bi-weekly payTemporary workApprenticeshipRemote workWork from homeHome officeMonday to Friday- Investigator II Location: Hybrid1: This role requires associates be in the office 1... ...office engagement with the autonomy of virtual... ...per our policy on hybrid/virtual work,... ...perpetrators of healthcare fraud in order to recover... ...you will make an impact Claim reviews for...Temporary workWork at officeLocal area2 days per week1 day per week
$35k - $75k
...for clients through reputation. With highly specialized teams,... ...and Instagram. More About The Role Burson is looking for an entry... ...reputation, sustainability, and social impact initiatives. Monitor online... .... That's why we’ve adopted a hybrid approach, with teams in the...InternshipWork at office$115.2k - $230.4k
...Government Data Consultant II We are seeking a... ...at Mercer. In this role, you will serve as... ..., working directly with actuarial,... ...on the reasons and impacts of data anomalies,... ...technical findings for clinical and policy... ...Marsh is committed to hybrid work, which includes...Minimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week$89k - $133.4k
...Team The mission of Fraud Operations is to... ...financial partner investigation requests. We strive... ...for users impacted by fraud decisions... ...will play a critical role in safeguarding our... ..., and collaborate with stakeholders to enhance... ...visualizations. Hybrid work at Stripe...Work at officeRemote workWork from homeRelocation$98.5k - $147.5k
...Employee Title: Senior Analyst II - Actuarial The Opportunity: In this role you will proactively... ...and priorities with a large degree of creativity... ...knowledge of extensive and impactful financial strategies by monitoring... ...will have access to: ~ Hybrid Working - a mix of...Full timePart timeWork experience placementWork at officeWork from homeFlexible hours$67.81k - $89k
...family. About the role You will be the architect... ...a systems thinker with a collaborative... ...involve a hybrid presence at the hub... ...and implemented. Investigate and resolve cross‑functional... ...internal teams (Product, Clinical, Regulatory) on how configuration impacts operations and...Work experience placementWork at officeRemote work- ...results-driven New Business Analyst II based in Atlanta, Georgia. This position... ...to drive organizational success. The role emphasizes financial analysis and... ...negotiation skills, making a significant impact on revenue growth. This hybrid contract spans 3 years and presents a...Contract work
- Gasoc is seeking a Records Analyst II to operate and maintain electronic and physical records management programs. The role includes managing the records lifecycle, ensuring compliance with policies, and assisting in the coordination of records storage activities. Candidates...
- ...New Business Analyst II Location: Atlanta Hybrid Contract- 3 Years Client- Southern... ...New Business Analyst II with 510 years of experience to... ...growth opportunities. This role focuses on market research,... ...Evaluate risk and business impact of potential ventures....Contract work
- ...Business Analyst II Location: Hybrid 1: This role requires associates to be in-office... ...office engagement with the autonomy of virtual work... ...How you will make an impact: Analyzes business needs... ...Monitors report accuracy and investigates discrepancies or exceptions...Temporary workWork 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$171k - $198k
...thinking research practice with the ability to deliver... ...a Senior UX Researcher II , you will own research... ..., scaling your impact beyond a single squad... ...that span multiple user roles and touchpoints Familiarity... ...Atlanta, GA. We work a hybrid schedule of three days per...Full timeWork at officeLocal areaWorldwideRelocationRelocation package3 days per week$114.6k - $171.8k
...Fraud Patterns Analysts Stripe is a financial infrastructure... ..., while minimizing impact to users, and working collaboratively with fraud, operations, and... ...candidate for this role will have a minimum of five... ...mitigate fraud exposure. Investigate, conduct root cause...Full timeWork at officeLocal areaRemote workWork from homeRelocation- ...Marketing and Data Analyst II Welcome to Our World... ...partnership platforms with impeccable, personalized... ...publishers likely played a role by influencing,... .... Overview This is a hybrid role requiring 3 days a... ...performance and quantify impact. Take ownership of project...Work at officeFlexible hours3 days per week
- ...support the Revenue Operations team. This role involves managing HubSpot CRM, overseeing... ...integrity. We seek analytical candidates with up to 2 years of experience and a strong educational... ...compensation, equity from day one, and a hybrid work setup. #J-18808-Ljbffr RoadSync
$61.68k - $92.52k
Business Analyst II - Wellpoint Federal Location : This role requires associates to be in-office... ...office engagement with the autonomy of virtual work... ...requirements. How you will make an impact Anaylzes business needs... ...operational areas (e.g., Clinical Claims, Appeals, Provider...Work experience placementWork at officeLocal area2 days per week1 day per week- ...Business Information Analyst II - Local Cost of Care Location: This role requires associates to be... ...office engagement with the autonomy of virtual work... ...note that per our policy on hybrid/virtual work, candidates... ...How you will make an impact: Creates and maintains...Temporary workWork at officeLocal area1 day per week
- A leading law firm in Atlanta is seeking a Pricing Analyst for a hybrid role that involves analyzing historical billing data to develop effective pricing strategies. The ideal candidate will assist in implementing Alternative Fee Arrangements and support the annual rate...
$57.3k - $132.71k
...looking for a detail-oriented Business Analyst in Atlanta, GA. This role involves bridging business needs with technology, driving data-informed decisions, and supporting project delivery in a hybrid work setting. Ideal candidates will possess exceptional communication...$73k - $110k
...Analytics team. Protiviti works in a hybrid environment and this role requires that you work in-person in our... .... You will make an impact by embodying a key component of our mission... ...Deliver." In this role you will partner with HR, IT, and business stakeholders to...Full timeTemporary workWork at officeLocal areaRemote workFlexible hours$32.16 per hour
...fuel your professional journey with better benefits, valuable resources... ...Epic Inpatient Orders Analyst II to join our team -- this... ...experience for this opportunity. This role will work on builds and configs... ...interdisciplinary workgroups; clinical and financial department...Hourly payFull timeCasual workLocal areaRemote workShift work- ...level client has a need to hire a hybrid SOW Analyst located in the... ...extendable and likely to go perm with good performance. --Hybrid... ...per hour + benefits Role Overview: This role sits... ...delivery, financial, and margin impacts and working with Solutions and...Hourly payPermanent employmentContract workFor subcontractorWork at officeRemote workShift work2 days per week
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