• Clinical Fraud Investigator…

    Elevance Health (Chicago, IL)
    ** Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Fraud Investigator II ** is responsible for identifying… more
    Elevance Health (10/03/25)
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  • Investigator I, Investigator…

    State of Massachusetts (Boston, MA)
    …. ** INVESTIGATOR I, INVESTIGATOR II , and INVESTIGATOR III ** ** HEALTHCARE&FAIRCOMPETITIONBUREAU MEDICAID FRAUD DIVISION AttorneyGeneralAndrea Joy ... our designated office locations, either in Boston or at a regional office. _Salary_: Investigator I - $68,738.08, Investigator II - $75,611.27, … more
    State of Massachusetts (09/22/25)
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  • Medical Investigator I/ II

    Excellus BlueCross BlueShield (Rochester, NY)
    …of the SIU Management, this position is responsible for the accurate and thorough clinical investigation of potential fraud , waste and abuse (FWA) for all lines ... substantiating referrals, case planning and research, conducting onsite or desk audits, clinical reviews of medical records to ensure correct billing of services and… more
    Excellus BlueCross BlueShield (09/17/25)
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