Email Alert for
ⓘ There was an unexpected error processing your request.
Please refresh the page and try again.
If the problem persists, please contact us with your issue.
You can always manage your preferences and update your interests to ensure you receive the most relevant opportunities.
Get ready to discover your next great opportunity.
Elevance Health
Indianapolis
**Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon
Job Source: Elevance HealthNorthwest Bank
Fishers, IN, United States
NW BANCSHARES HQ 3 Easton Oval Columbus, OH 43219, USA NW BANCSHARES HQ 3 Easton Oval Columbus, OH 43219, USA INDEPENDENCE BUS OFFICE INDEPENDENCE BUSINESS OFFICES | 523 6480 ROCKSIDE WOODS BLVD S STE 345 INDEPENDENCE, OH 44131, USA INDEPENDENCE BUS OFFICE INDEPENDENCE BUSINESS OFFICES | 523 6480 ROCKSIDE WOODS BLVD S STE 345 INDEPENDENCE, OH 44
Job Source: Northwest BankLauth Investigations International
Indianapolis, IN, United States
Family owned Lauth Investigations International, Inc. is an Indianapolis based private investigation firm with over 30 years of experience in corporate culture audit, attorney and legal services, workplace investigations, and missing persons. We are seeking to contract out a Private Investigator who can work on an as needed basis and has evenings a
Job Source: Lauth Investigations InternationalLowe's
Plainfield
Essential Functions: • Plans delivery activities, prints loading tickets, and delivers merchandise according to schedule to ensure on-time delivery of orders • Utilizes hand-held device technology to capture signatures for all deliveries • Matches items on invoice with quantities loaded by verifying descriptions, items, and model numbers. • May sup
Job Source: Lowe'sUMB Bank
Indianapolis
**Duties & Responsibilities** The Manager, Card Fraud Claims, will oversee and manage the UMB card fraud claims process, ensuring timely and accurate resolution of fraud cases. The role will lead a team of fraud analysts and assist in developing strategies to mitigate card fraud claims risk. This role will also assist with the oversight and managem
Job Source: UMB BankState of Indiana
Indianapolis
Employer Investigations Director Date Posted: Jul 3, 2024 Requisition ID: 446138 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a diverse range of opportunities across 60+ agencies. At the state, you'll find competitive compens
Job Source: State of IndianaApria
Indianapolis
At Owens & Minor, we are a critical part of the healthcare process. As a Fortune 500 company with 50+ facilities across the US and 18,000 teammates in over 90 countries, we provide integrated technologies, products and services across the full continuum of care. Customers—and their patients—are at the heart of what we do. Our mission is to empower
Job Source: ApriaFedEx Logistics
Mooresville
**AboutFedEx Supply Chain** FedExSupply Chain, a subsidiary of FedEx Corp. (NYSE: FDX), is a leader in thethird-party logistics industry offering a diverse service portfolio thatenables commerce for businesses. With a proven track record of innovation andoperational excellence, FedEx Supply Chain takes a consultative approach tooptimize logistics p
Job Source: FedEx LogisticsIndianapolis
**Location:** This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.
**Hybrid Workplace Strategy:** 1-2 days in office per week
The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse.
**How you will make an impact:**
+ Conducts data mining activities using available tools and internal data warehouse.
+ Performs comprehensive analysis and clinical evaluation of the collected data.
+ Performs in-depth investigations on identified providers as warranted.
+ Examines claims for compliance with relevant billing and processing guidelines and to identify opportunities for fraud and abuse prevention and control.
+ Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare related questions as necessary to aid in investigations.
+ Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern.
+ Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation.
**Minimum Requirements:**
Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years related experience, including minimum of 1 year experience in a Clinical Fraud and Abuse Investigation area; or any combination of education and experience, which would provide an equivalent background.
For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $66,800 to $120,240
Locations: California; Colorado; New York
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 _._
* 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.
Email Alert for Clinical Fraud Investigator II_ jobs in Indianapolis
ⓘ There was an unexpected error processing your request.
Please refresh the page and try again.
If the problem persists, please contact us with your issue.
You can always manage your preferences and update your interests to ensure you receive the most relevant opportunities.
Get ready to discover your next great opportunity.