Investigator Assistant (US)

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.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

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 HS diploma or equivalent and minimum of 1 year experience; or any combination of education and experience, which 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

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.