Investigator Ethos Risk ServicesInvestigatorIndianapolis, INPrevious Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports. This role involves performing both stationary and mobile surveillance, obtaining video and photographic evidence, and preparing thorough, detailed reports for clients.
Criminal Investigator, GS-1811-12/13 (MP) U.S. Department of EducationCriminal Investigator, GS-1811-12/13 (MP)Indianapolis, IN$89,508–$138,370 / yearSpecialized Experience for the GS-12 level: One year of specialized experience equivalent to the GS-11 grade level or equivalent public or private sector experience that has equipped you with the particular knowledge, skills, and abilities to perform successfully the following duties or work assignments below: Conducting the full range of criminal investigations of greater than average complexity and importance using accepted methodology and problem-solving techniques. If you are claiming eligibility under the Veterans Employment Opportunities Act (VEOA), you must submit: A copy of your DD-214 that shows active service and character of discharge (member copy 4, Separated Members only) OR a certification of expected discharge or release from active duty under honorable conditions within 120 days from the date of application (Current Active Duty Members only).
Claims Investigator, Total Loss & Client Recovery Allied Solutions LLCClaims Investigator, Total Loss & Client RecoveryCarmel, INThis position will also review database information found in systems such as Unitrac, insurance company websites, Lexis Nexis, ISO, and other automobile databases to investigate the applicability of insurance coverage to certain claim types prior to the assignment to a Claims Adjuster or Analyst. Associates in this position must process and investigate a high volume of incoming claim assignments, evaluate coverage through an investigative set of online tools and databases, as well as insurance records within our insurance tracking system.
Investigator Support Coordinator I Labcorp Holdings IncInvestigator Support Coordinator IIndianapolis, INEssential Job Duties: Investigator Support Coordinator I is responsible for supporting investigator sites through effective communication, managing phone interactions, resolving accession holds in coordination with internal teams, and delivering results via phone or fax. Notify investigator sites, sponsors, and affiliates of lab results, sponsor-designated flags, and test cancellations per the Statement of Work (SOW).
Claims Investigator State of IndianaClaims InvestigatorIndianapolis, INHowever, a High School Diploma or High School Equivalent (HSE) and at least 3+ years of experience in claims including 1+ years of supervisory experience applying the outlined knowledge, skills, and abilities in a similar role may be considered. A robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to: 150 hours of paid New Parent Leave and up to eight weeks of paid Childbirth Recovery Leave for eligible mothers.
Fraud, Waste & Abuse (FWA) Investigator - No Surprises Act (NSA) CVS Health CorpFraud, Waste & Abuse (FWA) Investigator - No Surprises Act (NSA)Work At Home, IN$66,330–$145,860 / yearThe position plays a key role in identifying fraud risks, supporting program integrity efforts, and helping to prevent financial losses related to fraud, waste, and abuse. Directs complex investigations, including data analysis, interviews, and document review, to identify potential fraud, waste, and abuse, including NSA-related activity.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)IN$46,988–$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.
Investigator Research Assistant - Neuro - St. Vincent Medical Center Bon Secours Mercy Health IncInvestigator Research Assistant - Neuro - St. Vincent Medical CenterIndianapolis, INAssist in facilitating communication with central statistical center, Data Safety Management Team, the study sites that are reporting to the CCC at St. Vincent, third party vendor providing the electronic data to the CCC and to all sites, any needed third party subcontract to maintain services needed across all sites and with the third party vendor, core imaging center and assuring timely completion of the tasks. Assist in Drafting and proof editing study abstract, meeting presentations, Submission of abstract to meeting website, Help and drafting of the paper/manuscript preparation, Double checking and performing statistical analysis as needed, submission of full paper to the journals.
SIU Investigator Lead (Must live in OH or surrounding states) CareSourceSIU Investigator Lead (Must live in OH or surrounding states)Indiana, IN$83,000–$132,800 / yearAct as the Program Integrity liaison and ensure collaboration with state and federal agencies and facilitate accurate deployment and ongoing monitoring of state-specific regulations and ongoing partnership with state regulators in managing Medicaid and Medicare programs. This role is also responsible for the identification and monitoring of emerging FWA trends and conducting research and interactions on claims, industry and other sources (internal and external) of data and information to identify potential FWA and support ongoing fraud investigations.
Principal Compliance Investigator Centene Corporation GroupPrincipal Compliance InvestigatorIN$107,700–$199,300 / yearThoroughly documents, organizes, and reviews case files, electronic and hardcopy, relative to each investigation in accordance with Company policy and ensures remediation activities are tracked and implemented. This includes defining investigation strategy, preserving evidence, conducting interviews, analyzing records, conducting root cause analysis, and recommended corrective and disciplinary actions.
NewClinical Investigator - Behavioral Health Centene Corporation GroupClinical Investigator - Behavioral HealthINRemote$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. 2+ years clinical experience with independent license required; 2 years of fraud, waste, and abuse experience required; experience in provider education and managed care organization preferred; coding certification preferred.
Investigator II Elevance Health IncInvestigator IIIndianapolis, INWe 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. Location: Hybrid1: This role requires associates be in the office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.
Investigator Assistant Elevance Health IncInvestigator AssistantIndianapolis, INWe 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. Hybrid 1: 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.
CQV Engineer / Deviation Investigator (New Grad) VeristaCQV Engineer / Deviation Investigator (New Grad)Indianapolis, IndianaThe nature of our business is to empower growth and innovation within the scientific community and to help researchers, organizations, and companies solve some of the world’s most pressing healthcare challenges. Our ability to grow is driven by world-class people who thrive in a team environment and share our mission to enable life sciences clients to improve lives.
Archaeologist State of IndianaArchaeologistIndianapolis, INNumber and timing of work hours may vary daily or weekly to accommodate operational needs and staffing concerns at the clients or customers worksite, minimize expenditures for repeated visits to complete the work, and allocate resources to complete assigned work effectively. Outreach Coordination: Communicates effectively with responsible parties, consultants, and/or their representatives, affected stakeholders, and interested parties such as citizens, public officials, and interest groups in a courteous and professional manner regarding permits, laws, questions, and program-related inquiries.