Top 517 Investigator Jobs in Georgia

SIU Investigator
Centene —Georgia
- $56,200 - $101,000 a year
- Full-time
- Remote
- Mid-level
- Fair chance
- 1 year
- Paid holidays
- Health insurance
Auditor/Investigator II
Qlarant —Georgia
- $57,512 - $85,839 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
Quick Apply
Healthcare Fraud Investigator
Contact Government Services, LLC —Atlanta, GA
- $85,000 - $105,000 a year
- Full-time
- Hybrid work
- Microsoft Outlook
- Mid-level
- 3 years
Quick Apply
Loss Prevention Investigator Senior Specialist
OnTrac —Atlanta, GA
- $84,000 - $126,000 a year
- 5 years
- Bachelor's degree
- Continuous improvement
- Paid parental leave
- Paid holidays
Quick Apply
11h
Regulatory Specialist
Rare Disease Research —Brookhaven, GA
- $55,000 - $70,000 a year
- 8 hour shift
- CPR Certification
- BLS Certification
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Principal Investigator (Pediatrics)
Professional Case Management —Riverdale, GA
- $156,600 - $266,700 a year
- Medicine
- 5 years
- Analysis skills
- Health savings account
- Disability insurance
Quick Apply
Associate Attorney-Relocation Required
Parnall Law —Atlanta, GA
- $200,000 - $400,000 a year
- Full-time
- 5 years
- In-person
- Senior level
- Paid holidays
- Disability insurance
Quick Apply
Clinical Research Nurse
Rare Disease Research, LLC —Brookhaven, GA
- $70,000 - $90,000 a year
- Full-time
- Nursing
- Vital signs
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
1d
Principal Investigator (Psychiatry)
Professional Case Management —Riverdale, GA
- $156,600 - $266,700 a year
- Medicine
- Psychiatry
- 5 years
- Health savings account
- Disability insurance
Quick Apply
Principal Investigator (Gastroenterology)
Professional Case Management —Riverdale, GA
- $156,600 - $266,700 a year
- Medicine
- 5 years
- Analysis skills
- Health savings account
- Disability insurance
Quick Apply
Principal Investigator (Neurology)
Professional Case Management —Riverdale, GA
- $156,600 - $266,700 a year
- Medicine
- 5 years
- Analysis skills
- Health savings account
- Disability insurance
Quick Apply
Clinical Research Assistant
Care Access —Dalton, GA
- $19 - $33 an hour
- Spanish
- Vital signs
- Computer literacy
- Health savings account
- Paid holidays
Clinical Research Coordinator/Nurse
CenExel Clinical Research —Decatur, GA
- Full-time
- Nursing
- Medication administration
- Psychiatry
- Health savings account
- Health insurance
Quick Apply
Director of Clinical Research | Onsite Diabetes Research Facility | 150k+ | ATL
Jackson Physician Search —Atlanta, GA
- $120,000 - $150,000 a year
- Full-time
- Management
- 3 years
- Mentoring
- Health insurance
- Paid time off
Quick Apply
2d
MSL/Sr. Medical Science Liaison, Hematology - South
Genmab —Atlanta, GA
- $162,320 - $243,480 a year
- Online Application
- Medicine
- Up to 50% travel
- HIPAA
- Commuter assistance
- Paid parental leave
Site Manager
Zimmerman Associates, Inc. —Atlanta, GA
- $51.31 an hour
- Contract
- Office
- Analysis skills
- Supervising experience
Clinical Research Coordinator II (Relocation Opportunity)
Care Access —Dalton, GA
- $60,000 - $90,000 a year
- Microsoft Word
- Vital signs
- Writing skills
- Health savings account
- Paid holidays
Property Adjuster - Field Estimating - Savannah, GA & Kennesaw, GA
Allstate —Georgia
- $60,000 - $98,450 a year
- Remote
- Background check
- Mid-level
- Driver's License
- Tuition reimbursement
- Work from home
15h
Senior Technical Specialist, General Liability
Travelers —Alpharetta, GA
- $94,400 - $155,800 a year
- Research
- High school diploma or GED
- Analysis skills
- Wellness program
- Continuing education credits
1d
Investigator, Extended Workforce Investigations (Fixed-Term Contract)
Google —Atlanta, GA
- $141,000 - $206,000 a year
- Full-time
- 7 years
- Writing skills
- Office
- Paid holidays
- Disability insurance
5d

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SIU Investigator

Centene -
Georgia

Apply Now

Job Details

Full-time
$56,200 - $101,000 a year

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Healthcare financial misconduct investigations
Data mining
Health data analysis
Bachelor's degree in business
Certified Fraud Examiner
Mid-level
Suspicious activity investigations
Data summary reports
Criminal Justice
Investigative data analysis
Insurance investigation report preparation
Outlier detection
Healthcare billing investigations
Case referral
1 year
Insurance claims auditing
Business
Healthcare claims compliance audits
Bachelor's degree in criminal justice

Full Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse.

Conduct investigations of potential waste, abuse, and fraud
Document activity on each case and refer issues to the appropriate party
Perform data mining and analysis to detect aberrancies and outliers in claims
Develop new queries and reports to detect potential waste, abuse, and fraud
Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or resolutions
Assist with complex allegations of healthcare fraud
Prepare summary and/or detailed reports on investigative findings for referral to Federal and State agencies
Complete various special projects and audits
Performs other duties as assigned
Complies with all policies and standards

Education/Experience:
Bachelor's Degree Business, Criminal Justice, Healthcare, or related field, or equivalent experience required. 1+ years Medical claim investigation, medical claim audit, medical claim analysis, or fraud investigation required. Strong Excel skills preferred. CFE (Certified Fraud Examiner) preferred.

Pay Range: $56,200.00 - $101,000.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

investigator jobs in georgia

SIU Investigator

Auditor/Investigator II

Healthcare Fraud Investigator

Loss Prevention Investigator Senior Specialist

Regulatory Specialist

Principal Investigator (Pediatrics)

Associate Attorney-Relocation Required

Clinical Research Nurse

Principal Investigator (Psychiatry)

Principal Investigator (Gastroenterology)

Principal Investigator (Neurology)

Clinical Research Assistant

Clinical Research Coordinator/Nurse

Director of Clinical Research | Onsite Diabetes Research Facility | 150k+ | ATL

MSL/Sr. Medical Science Liaison, Hematology - South

Site Manager

Clinical Research Coordinator II (Relocation Opportunity)

Property Adjuster - Field Estimating - Savannah, GA & Kennesaw, GA

Senior Technical Specialist, General Liability

Investigator, Extended Workforce Investigations (Fixed-Term Contract)

I want to receive the latest job alert for investigator in georgia

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