Unfortunately, this job posting is expired.
Don't worry, we can still help! Below, please find related information to help you with your job search.
Don't worry, we can still help! Below, please find related information to help you with your job search.
Related keywords
Some similar recruitments
Associate Investigator Jobs
Recruited by Salient Strategic 8 months ago
Address Beacon, NY, United States
Private Investigator Jobs
Recruited by Lemieux & Associates 8 months ago
Address Buffalo, NY, United States
Associate Investigator Jobs
Recruited by Ethos 8 months ago
Address New York, NY, United States
Investigator Jobs
Recruited by VeriFi Investigative Services 8 months ago
Address Cicero, NY, United States
Investigator Research Manager Jobs
Recruited by Synectics Inc. 8 months ago
Address New York, NY, United States
Principal Investigator Jobs
Recruited by X4 Life Sciences 8 months ago
Address Florida, United States
Blockchain Developer Jobs
Recruited by Webgen Technologies - USA 9 months ago
Address New York, United States
Investigator Jobs
Recruited by NYC Careers 9 months ago
Address , Queens, 11370
$65,797 - $75,666 a year
Investigator Jobs
Recruited by New York State Department of Civil Service 9 months ago
Address Albany, NY, United States
Medicolegal Investigator I Jobs
Recruited by NYC Careers 9 months ago
Address , New York
$80,725 - $93,825 a year
Investigator Sr (Us) Jobs
Company | Elevance Health |
Address | Florida, United States |
Employment type | FULL_TIME |
Salary | |
Category | Hospitals and Health Care |
Expires | 2023-07-31 |
Posted at | 10 months ago |
- Date Posted:Jun 29, 2023
- Req #: JR77634
- Job Family: Enterprise Operations
- Type: Full time
- National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint
- NY, NEW YORK
- Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims.
- Responsible for independently identifying and developing enterprise-wide specific healthcare investigations and initiatives that may impact more than one company health plan, line of business and/or state.
- May interface internally with Senior level management and legal department throughout investigative process.
- Health insurance experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting.
- May be called upon to represent the Company in court proceedings regarding research findings.
- May assist in training of internal and external entities.
- Develops and maintains a high degree of rapport and cooperation with the Federal, State and local law enforcement and regulatory agencies which can assist in investigative efforts.
- Assists in the development of policy and/or procedures to prevent loss of company assets.
- The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
- Privacy Notice for California Residents
- EEO Policy Statement
- Know Your Rights
- Pay Transparency
-
Systems Analyst - Excel, Xml, Sql, Scripting
By CyberCoders At Salt Lake City, UT, United States 8 months ago
-
(Senior) Finance & Shared Services Manager
By Catholics For Choice At Washington, DC, United States 8 months ago
-
Paralegal - Probate Administration
By CyberCoders At Miami, FL, United States 8 months ago
-
Account Executive - Automotive Software
By ECW Search At United States 8 months ago
-
Construction Project Coordinator Jobs
By CyberCoders At River Falls, WI, United States 8 months ago