WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Elevance Health requires a completed online application for consideration of employment for any position. We will never ask you for a credit card, send you a check, or ask you for payment as part of consideration for employment.
Investigator Assistant
Job Family: Enterprise Operations
Type: Full time
Date Posted:Dec 29, 2023
Anticipated End Date:Jan 31, 2024
Reference: JR99868
Location:
CA, WOODLAND HILLS
PA, SEVEN FIELDS
VA, ARLINGTON
FL, MIAMI
MA, BOSTON
IN, INDIANAPOLIS
OH, CINCINNATI
NY, NEW YORK
CT, ROCKY HILL
LA, BATON ROUGE
CA, RANCHO CORDOVA
MI, WIXOM
TN, BRENTWOOD
MD, ANNAPOLIS
DC, WASHINGTON
NV, LAS VEGAS
MN, MENDOTA HEIGHTS
TN, KNOXVILLE
MO, COLUMBIA
VA, ASHBURN
OH, COLUMBUS
NC, CARY
WA, LAKEWOOD
WI, MADISON
WV, CHARLESTON
NE, LINCOLN
DE, WILMINGTON
NE, OMAHA
OH, SEVEN HILLS
ID, MERIDIAN
ID, MERIDIAN
RI, SMITHFIELD
MA, HINGHAM
NC, WINSTON
GA, ATLANTA
IL, DEERFIELD
VA, RICHMOND
FL, TAMPA
KY, SHELBYVILLE
FL, ALTAMONTE SPRINGS
FL, TALLAHASSEE
KS, TOPEKA
VA, ROANOKE
NY, Lake Success
CO, COLORADO SPRINGS
FL, JACKSONVILLE
MD, BALTIMORE
NJ, LAKEWOOD
WI, Waukesha
NJ, MORRISTOWN
MO, JEFFERSON CITY
TN, MEMPHIS
OH, MASON
NY, ALBANY
CA, SACRAMENTO
CA, WALNUT CREEK
KY, LOUISVILLE
PA, HERMITAGE
WA, SEATTLE
NH, MANCHESTER
TX, GRAND PRAIRIE
IL, CHICAGO
NY, EAST SYRACUSE
TX, AUSTIN
MI, DEARBORN
TX, DENISON
VA, CHESAPEAKE
TN, NASHVILLE
MN, GILBERT
LA, METAIRIE
NY, MIDDLETOWN
AR, LITTLE ROCK
GA, MIDLAND
TX, HOUSTON
VA, NORFOLK
CA, LOS ANGELES
CT, WALLINGFORD
MO, ST LOUIS
CA, COSTA MESA
MD, HANOVER
NJ, ISELIN
OH, MASON
IL, CHICAGO
CO, DENVER
NV, LAS VEGAS
CA, PALO ALTO
ME, SOUTH PORTLAND
NY, LATHAM
OH, COLUMBUS
HI, KAPOLEI
GA, AUGUSTA
IA, W DES MOINES
MA, WOBURN
MA, NEWTON 55 CHAPEL ST
Description
Investigator Assistant
Location: Hybrid, 3 days in office. Must reside within 50 miles of an Elevance pulse point.
Hours: Monday – Friday, 8 am – 4 pm
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 will make an impact:
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.
Assists in managing fraud hotline calls.
Provides administrative support for investigative management and staff.
Minimum Requirements:
Preferred Skills, Capabilities and Experiences:
Proficient utilizing excel and data entry.
Preferred background working in a pharmacy
Previous experience working in investigations or law enforcement preferred.
Previous experience working with another health plans preferred.
* For candidates working in person or remotely in the below locations, the salary* range for this specific position is $18.62 to $33.51
Locations : California; Colorado; Nevada, Washington State; Jersey City, NJ; New York City, NY; Ithaca, NY and Westchester County, NY
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.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success – for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance.
EEO is the Law
Equal Opportunity Employer / Disability / Veteran
Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.
EEO Policy Statement
Know Your Rights
Pay Transparency
Privacy Notice for California Residents
Elevance Health, Inc. is anE-verify Employer (https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf)
Need Assistance?
Email us ([email protected])
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