Job Description

**Investigator Assistant** **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. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. Carelon Health is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery. The **INVESTIGATOR ASSISTANT i** s responsible for providing administrative support to the investigative unit and performing research on data to assist in identifying cases of potential overpayment or abuse. **How you will make an impact:** + Assists in managing fraud hotline calls. + Collects, researches, and validates bills and claims data against relevant guidelines. + Assists in preparation of statistical and financial analysis reports. + Requests medical records and additional documentation required for investigation. + Completes initial file set-up and tracks cases. + Processes and tracks all incoming reimbursement checks. + Provides administrative support for investigative management and staff. **Minimum Requirements:** **Requires a HS diploma or equivalent and minimum of 1 year experience; or any combination of education and experience, which would provide an equivalent background.** **Preferred Skills, Capabilities and Experiences:** **Experience with pivot tables and data mining strongly preferred.** **Experience with Microsoft Excel and data entry strongly preferred.** **For candidates working in person or virtually in the below location(s), the salary* range for this** **specific position is $39,915.20 to $71,860** **Locations: California** **In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits** **package, incentive and recognition programs, equity stock purchase and 401k contribution (all** **benefits are subject to eligibility requirements). The salary offered for this specific position is** **based on a number of legitimate, non** **-** **discriminatory factors set by the Company.** **The** **Company is fully committed to ensuring equal pay opportunities for equa** **l work regardless of** **gender, race, or any other category protected by federal, state, and local pay equity laws** **.** ***** **The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this** **role at the time of this posting. This range may be modified in the future and actual compensation may vary from** **posting based on geographic** **location, work experience, education and/or skill level. Even within the range, the** **actual compensation will vary depending on the above factors as well as market/business considerations. No** **amount is considered to be wages or compensation until such am** **ount is earned, vested, and determinable under** **the terms and conditions of the applicable policies and plans. The amount and availability of any bonus,** **commission, benefits, or any other form of compensation and benefits that are allocable to a particular** **employee** **remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole** **discretion, consistent with the law.** Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We 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. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Job Tags

Holiday work, Temporary work, Work experience placement, Local area, 2 days per week, 1 day per week,

Similar Jobs