Elevance Health
A healthcare organization is seeking a Pharmacy Investigator Senior to investigate complex healthcare fraud cases. This role requires a minimum of 5 years of experience in healthcare insurance investigations and the ability to work hybrid, requiring in-office attendance 1-2 days a week. Key responsibilities include reviewing claims, developing investigations, and interfacing with law enforcement. A bachelor's degree and relevant certifications are preferred. The company emphasizes associate health and well-being, including COVID-19 vaccination requirements.
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