Senior Investigator

Welcome to Elevance Health, where we are dedicated to transforming healthcare through innovative solutions and cutting-edge technology. We are currently seeking a highly skilled Senior Investigator to join our dynamic team. As a Senior Investigator, you will play a crucial role in identifying and preventing healthcare fraud, waste, and abuse, ultimately ensuring the delivery of quality care to our members. We are looking for a self-motivated and detail-oriented individual with a strong background in investigations and a passion for making a positive impact in the healthcare industry. If you are ready to take on a challenging and rewarding role, we encourage you to apply for this position.

1. Conduct thorough investigations of potential healthcare fraud, waste, and abuse cases, utilizing various techniques and tools such as data analysis and interviews.
2. Collaborate with other team members and departments to gather information and evidence for investigations.
3. Develop investigative strategies and plans to effectively identify and prevent fraudulent activities.
4. Utilize industry knowledge and expertise to identify red flags and potential risks.
5. Review and analyze data to identify patterns and anomalies that may indicate fraudulent activities.
6. Conduct interviews and gather statements from relevant parties involved in investigations.
7. Prepare detailed reports and documentation of investigation findings.
8. Present investigation findings and recommendations to management and other relevant stakeholders.
9. Stay updated on industry regulations and best practices related to healthcare fraud, waste, and abuse.
10. Provide training and education to other team members on fraud detection and prevention.
11. Monitor and track investigation outcomes and ensure appropriate actions are taken.
12. Maintain confidentiality and adhere to ethical standards in all aspects of investigations.
13. Continuously assess and improve investigative processes and procedures.
14. Represent the organization in meetings and discussions related to fraud, waste, and abuse.
15. Serve as a subject matter expert and resource for other team members and departments.

According to JobzMall, the average salary range for a Senior Investigator in Indianapolis, IN, USA is between $72,000 and $112,000 per year. However, this can vary depending on the specific industry and company, as well as the individual's experience and qualifications.

Elevance Health, Inc. is an American health insurance provider. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California,Wellpoint, and Carelon.It is the largest for-profit managed health care company in the Blue Cross Blue Shield Association. As of 2022, the company had 46.8 million members within their affiliated companies' health plans. Prior to June 2022, Elevance Health was named Anthem, Inc.