Pharmacy Investigator Senior

Elevance Health

Multiple Locations
Hybrid
Healthcare insurance experience
Data mining and analysis
Claim reviews and coding
The Pharmacy Investigator Senior is responsible for the independent identification and investigation of healthcare fraud cases

Job Summary

  • The Pharmacy Investigator Senior is responsible for the independent identification and investigation of healthcare fraud cases.
  • This role requires associates to work in-office 1-2 days per week, promoting collaboration and flexibility.
  • Elevance Health offers a range of market-competitive total rewards including medical, dental, and wellness programs.

Matching Summary

The Pharmacy Investigator Senior is responsible for the independent identification and investigation of healthcare fraud cases.

Skills & Requirements

Must-have

  • Healthcare insurance experience
  • Data mining and analysis
  • Claim reviews and coding

Nice-to-have

  • Professional certification in relevant fields
  • Pharmacy technician experience
  • Strong communication skills

Key Requirements

  • BA/BS degree
  • Minimum 5 years related experience
  • Experience with large data files

Work Rights

Not specified

Tailored Resume

Cover Letter