Healthcare Fraud Investigator I (Hybrid)
Elevance Health
Elevance Health is seeking an Investigator I to join our team, based in Atlanta, GA. This role involves investigating assigned cases, analyzing claim data to detect fraud, and drafting investigation reports. Ideal candidates will have a BA/BS and at least 2 years of experience in healthcare-related investigation or audit roles. The position offers a hybrid work model, requiring in-office attendance 1-2 days per week. Elevance Health values flexibility, innovation, and thoroughness in addressing complex claims and providing solutions. #J-18808-Ljbffr Elevance Health
$67.64k - $101.46k
Elevance Health is seeking an Investigator II in Atlanta, Georgia, to lead investigations into healthcare fraud. The role combines in-office collaboration 1-2 days a week with remote flexibility. Responsibilities include conducting claim reviews, developing investigations...SuggestedWork at officeRemote work2 days per week1 day per week- Veracity Research Company is seeking experienced SIU Field Investigators to join their Special Investigations Unit in Atlanta, Georgia. This hybrid role involves investigating insurance fraud across multiple lines of business, requiring travel within the region. The ideal...SuggestedRemote job
- ...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
- Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete...SuggestedFull timeWork experience placementWork at officeLocal area
- A government services provider is seeking a Healthcare Fraud Investigator to provide legal support for a major government project. The role involves reviewing and analyzing data, developing fraud case referrals, and advising attorneys on merits of HCF referrals. Candidates...SuggestedWork at office
$85k - $105k
Contact Government Services is seeking a Healthcare Fraud Investigator to provide legal support for a significant government project. The role requires attention to detail, strong analytical skills, and the ability to work under pressure. Candidates should have at least...- Tink is seeking a Senior Analyst in Atlanta to support fraud and scam investigations within the Payment Systems Intelligence team. This role involves... ...skills. Benefits include medical, dental, vision, and a hybrid work environment, requiring in-office attendance three...Work at office
$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- 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
- 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
$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$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 InvescoFull timeFlexible hours- ...of-the-art in multimedia processing. The ideal candidate should have a Ph.D. in Computer Science and expertise in deep learning, Python, and associated frameworks. Excellent compensation and a hybrid work structure are offered. #J-18808-Ljbffr Via Licensing Corporation
- ...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...
$110k - $145k
LVI Associates is looking for a Senior Investigative / Structural Engineer in Atlanta, GA. The... ...investigations. This position offers a hybrid working structure and a competitive... ...with comprehensive benefits including healthcare and 401(k) match. A clear path to leadership...$67.64k - $101.46k
Investigator II Location: Hybrid: This role requires associates be in the office 1-2 days per week, fostering collaboration and connectivity, while... ...and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on...Work at officeLocal area2 days per week1 day per week$135k
...A healthcare organization in Atlanta is seeking a Manager of Security Operations who will lead a team of security analysts and engineers... ...leadership experience, and strong communication skills. A flexible hybrid work model is offered along with comprehensive benefits...Flexible hours$61.2k - $76.5k
Anticipated End Date: 2026-06-30 Position Title: Investigator I Job Description: Investigator I Hybrid 1: This role requires associates to be in-office 1 -... ...of the Elevance Health family of companies, is a healthcare services organization that takes a whole-health approach...Full timeContract workWork experience placementWork at officeLocal areaMonday to Friday1 day per week- ...team in Atlanta, Georgia. The role focuses on analyzing cybercrime and fraud activities targeting the global payments ecosystem, particularly scam campaigns. The analyst will engage in investigations, provide intelligence reports, and support relationships with vendors...
$48.5 - $60 per hour
Job Description We are a growing occupational D.O.T Physical Clinic seeking a Licensed national Registry Certified Medical Examiner (NCRME) to perform D.O.T exams. If you are a Certified Medical Examiner and are interested in earning money, please contact us. If you do...Hourly payFull timePart timeMonday to FridayShift workWeekend workDay shiftWeekday work- ...Claims Investigator Part Time Uncover the Truth. Protect the Integrity. Advance Your Career. At CoventBridge Group, every claim tells... ..., SIU and Compliance, Claims Investigation, Counter-Fraud Programs, Desktop Investigations, Social Media, Record Retrieval...Hourly payPart timeH1bH2bWork from homeWorldwideFlexible hoursNight shift
$60 per hour
Georgia Piedmont Technical College seeks an investigator for the Medicaid Fraud Division. The role involves conducting healthcare fraud investigations and requires a POST PBLE Certification. Candidates should have law enforcement experience and analytical skills. The starting...- ...Solutions LLC in Atlanta, Georgia, is seeking an experienced SIU Investigator to conduct thorough investigations into potentially fraudulent... ...candidate will have at least 4 years of experience in SIU or fraud investigation. Key responsibilities include field...
- A national investigative services firm in Georgia is seeking a meticulous SIU Investigator to conduct comprehensive investigations into fraud and misconduct. The candidate will analyze data, collect statements, and compile detailed reports while supporting ethical practices...
- Colorwave is seeking a Payments Fraud Investigator in Atlanta, Georgia. This role is critical in safeguarding the financial ecosystem by investigating high-risk accounts and identifying various forms of fraud. You will lead cross-functional projects and enhance fraud detection...Remote jobWork at office
- ...services organization based in Atlanta is seeking a Financial Crimes Investigator I. This role involves conducting internal and external investigations into suspicious activities and potential fraud. The ideal candidate will have a Bachelor's degree and 3-4 years of related...
$25 - $31 per hour
...Our client, a global fintech company, is seeking a Risk and Fraud Customer Support Analyst located in Atlanta, GA. The position is... ...Benefits Russell Tobin offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage...Hourly payWork experience placementLocal area- ...or Certification Required Valid Georgia driver’s license. Registry certification from the American Board of Medicolegal Death Investigators (ABMDI) within two years of employment. Specific Knowledge, Skills, or Abilities Must be able to demonstrate proficiency in performance...Work at office
$48.5 - $60 per hour
D.O.T Physicals Atlanta is hiring a Licensed National Registry Certified Medical Examiner to perform D.O.T exams. This role requires D.O.T and FMCSA certifications alongside active medical licensure in Georgia. The position offers flexible work hours, both part-time and...Hourly payFull timePart timeFlexible hoursWeekday work$25.96 - $32.69 per hour
Analyst, Fraud Prevention Responsible for analyzing and monitoring daily risk reporting to identify fraudulent or suspicious activity across the FanDuel Group brands. Plays a key role in fraud prevention and response. Requires intermediate understanding of fraud risks within...Hourly payTemporary workLocal areaWorldwideFlexible hoursNight shiftWeekend workAfternoon shift
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