Clinical Fraud Investigator II Elevance Health IncClinical Fraud Investigator IIAtlanta, GAMinimum 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. Locations: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.
SIU Investigator Allied UniversalSIU InvestigatorAtlanta, GeorgiaAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance . High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud .
NewClinical Fraud Investigator II Elevance HealthClinical Fraud Investigator IIAtlanta, GeorgiaRequires 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. Locations: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.
Surveillance Investigator VRC InvestigationsSurveillance InvestigatorAtlanta, GeorgiaVRC provides their investigators with necessary equipment and comparable pay, to include drive time, above normal commute mileage reimbursement, company paid licensing fees in most states and allowance for non-reimbursed business expenses. We currently have career opportunities for experienced, self-determined, and highly motivated SURVEILLANCE INVESTIGATORS that would like to join our team of professionals in our efforts to deter and combat insurance fraud.
Senior Financial Investigator CONTACT GOVERNMENT SERVICESSenior Financial InvestigatorAtlanta, GA$74,156.16–$107,114.45 / yearEstablishes and verifies relationships among all facts and evidence obtained or presented to confirm the authenticity of documents, corroborate witness statements, and otherwise build proof necessary to successful case resolution. Establishes and/or verifies relationships among all facts and evidence obtained or presented to confirm the authenticity of documents, corroborate witness statements, and otherwise build proof necessary for successful litigation.
Financial Investigator CONTACT GOVERNMENT SERVICESFinancial InvestigatorAtlanta, GA$57,677.01–$78,275.94 / yearEstablishes and verifies relationships among all facts and evidence obtained or presented to confirm the authenticity of documents, corroborate witness statements, and otherwise build proof necessary to successful case resolution. Establishes and/or verifies relationships among all facts and evidence obtained or presented to confirm the authenticity of documents, corroborate witness statements, and otherwise build proof necessary for successful litigation.
Financial Investigator Contact Government Services LLCFinancial InvestigatorAtlanta, GAEstablishes and verifies relationships among all facts and evidence obtained or presented to confirm the authenticity of documents, corroborate witness statements, and otherwise build proof necessary to successful case resolution. Establishes and/or verifies relationships among all facts and evidence obtained or presented to confirm the authenticity of documents, corroborate witness statements, and otherwise build proof necessary for successful litigation.
Affirmative Civil Enforcement (Ace) Investigator CONTACT GOVERNMENT SERVICESAffirmative Civil Enforcement (Ace) InvestigatorAtlanta, GA$51,435.30–$66,131.10 / yearPerforms sophisticated analyses of large-scale hard-copy and electronic data, such as health care claims data, financial transaction data, accounting records, or bank records to develop investigative leads and to determine their potential relevance to the allegations at issue. Skills and attributes for success: The investigator will generate new investigations, and to continue with ongoing investigation and civil actions involving fraud in areas such as healthcare, contracting, and grants, as well as other fraud and abuse of federal public funds and programs.
Senior Trade Compliance Investigator Honeywell International IncSenior Trade Compliance InvestigatorAtlanta, GAAs a trusted partner, we provide actionable solutions and innovation through our Aerospace Technologies, Building Automation, Energy and Sustainability Solutions, and Industrial Automation business segments - powered by our Honeywell Forge software - that help make the world smarter, safer and more sustainable. Experience as the lead investigator conducting complex investigations involving potential trade compliance violations of the ITAR and/or EAR, restricted party screening, OFAC sanctions violations, diversion concerns, classification, licensing, customs, or recordkeeping matters.
Investigator Assistant Elevance Health IncInvestigator AssistantAtlanta, GAWe 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. 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.
Clinical Investigator Behavioral Health Centene Corporation GroupClinical Investigator Behavioral HealthGA$56,200–$101,000 / yearPosition requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. 3+ years of providing direct Psychotherapy or Inpatient group therapy within inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals.
Entry-Level Investigator Ethos Risk Services LLCEntry-Level InvestigatorAtlanta, GAOur Full-Time Entry-Level Field Investigator position will help launch your career by providing you with an industry leading FULLY PAID Investigator Training Program - no prior experience necessary! Documentation: Finalize case files by submitting case reports and uploading video footage via personal laptop at the end of the day.
Investigator, Extended Workforce Investigations (Fixed-Term Contract) Google LLCInvestigator, Extended Workforce Investigations (Fixed-Term Contract)Atlanta, GANote: By applying to this position you will have an opportunity to share your preferred working location from the following: Mountain View, CA, USA; Atlanta, GA, USA; Austin, TX, USA; Chicago, IL, USA; Seattle, WA, USA; San Francisco, CA, USA; Washington D.C., DC, USA; Los Angeles, CA, USA; New York, NY, USA; Ann Arbor, MI, USA. Whether recruiting the next Googler, refining our core programs, developing talent, or simply looking for ways to inject some more fun into the lives of our Googlers, we bring a data-driven approach that is reinventing the human resources field.
Assistant, Associate, and Senior Investigator (Research Faculty) Shriners Children's Research InstituteAssistant, Associate, and Senior Investigator (Research Faculty)Atlanta, GeorgiaLocated in Atlanta, Georgia's Science Square innovation district, SCRI will occupy a 150,000-square-foot, state-of-the-art facility focused on tissue engineering, genomics, movement science, artificial intelligence, clinical informatics, augmented reality, and biomanufacturing. We seek candidates with expertise in the following areas of research to advance this effort and to work both within the institute, in collaboration with our domestic and international clinical and research partners within Shriners Children’s, and in concert with our local research collaborators in the academic and not-for-profit research community in Atlanta.
Investigator Ethos Risk ServicesInvestigatorAtlanta, GAFull timeCONDITIONS:While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be requiredMost surveillance cases start at 6:00AM. REQUIREMENTS:Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.
Principal Investigator - Internal Medicine CenExelPrincipal Investigator - Internal MedicineDecatur, GeorgiaMedical knowledge and ability to provide clinical information to study teams; Knowledge of medications and general medical conditions; Knowledge and Understanding of GCP/ICH guidelines. Evaluate participants for clinical research trials based on their past medical history in comparison to the protocol specific inclusion and exclusion criteria.
Part Time Criminal Investigator - Savannah Police Department - (no benefits) City of Savannah GAPart Time Criminal Investigator - Savannah Police Department - (no benefits)Savannah, GAThis unique opportunity is ideal for a current or former certified peace officer who has a passion for investigative work and wants to continue making a meaningful impact while enjoying the flexibility of a reduced work schedule. As a Part-Time Detective, you will conduct thorough, impartial investigations of criminal offenses; identifies, collects, and preserves evidence; prepares cases for prosecution; and works cooperatively with prosecutors, victims, witnesses, and allied agencies.
Investigator II City of AtlantaInvestigator IIAtlanta, GAUnder the supervision of the Investigations Manager of the Atlanta Citizen Review Board ("ACRB"), the investigator will perform professional-level investigative work primarily involving officer-involved-shootings/officer-in custody-deaths and use of force allegations in connection with the actions of sworn members of the Atlanta Police and Corrections Departments. The COA is prepared to modify or adjust the job application process or the job or work environment to make reasonable accommodations to the known physical or mental limitations of the applicant or employee to enable the applicant or employee to be considered for the position he or she desires, to perform the essential functions of the position in question, or to enjoy equal benefits and privileges of employment as are enjoyed by other similarly situated employees without disabilities, unless the accommodation will impose an undue hardship.
Senior Compliance Investigator Centene Corporation GroupSenior Compliance InvestigatorGA$70,100–$126,200 / yearLeads and conducts compliance and ethics investigations across all business units and health plans, including but not limited to assessment of allegations, review of relevant documents, witness interviews, analysis of facts, root cause analysis, and preparation of investigation reports with recommended remedial or disciplinary actions. Education/Experience: A Bachelor's Degree in Related Field or Associates with 5 years of applicable experience, or a High School/GED with 6 years of applicable experience may substitute for the Bachelor's Degree, required.
Computer Forensics Investigator Xtreme SolutionsComputer Forensics InvestigatorAtlanta, GeorgiaXtreme Solutions Inc. (XSI) is a rapidly expanding cybersecurity firm that provides innovative solutions to protect organizations from evolving cyber threats. The ideal candidate will possess extensive experience in digital evidence collection, analysis, and reporting to support investigations into cybercrimes, data breaches, and other security incidents.