6 Fraud Risk Management jobs in Columbus.

Hiring now: Investigator I @ Elevance H, Customer Service And Call @ Citizens, Dir Payment Integrity Ana @ Molina Hea.Explore more at jobswithgpt.com.

🔥 Skills

investigation (3) healthcare fraud (2) claim reviews (2) data mining (2) law enforcement (2) policy development (2) claim reimbursement (2) payment integrity (2) data systems (2) leadership (2)

đź“Ť Locations

Columbus (6)
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Elevance Health

Investigator I Columbus
Skills & Focus: investigation, claims analysis, fraud detection, healthcare insurance, statistical analysis, case reports, customer communication, data analysis, research, healthcare spending
About the Company: Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstandi…
Experience: Minimum of 2 years related experience preferably in healthcare insurance departments such as Grievance and Appeals, Contracting or Claim Operations, law enforcement; or any combination of education and experience which would provide an equivalent background.
Benefits: Includes merit increases, paid holidays, Paid Time Off, incentive bonus programs, medical, dental, vision, short and lo…
Investigator Senior Columbus
Skills & Focus: healthcare fraud, investigation, claim reviews, data mining, law enforcement, health insurance policies, provider network contracting, health insurance claims handling, policy development, entity review
About the Company: Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstandi…
Experience: 5 years related experience in healthcare insurance and healthcare insurance investigation, law enforcement; or any combination of education and experience, which would provide an equivalent background.
Type: Hybrid
Benefits: merit increases, paid holidays, Paid Time Off, incentive bonus programs, medical, dental, vision, short and long term d…

Citizens

Customer Service and Call Center Jobs Columbus
Skills & Focus: Customer Service, Call Center, Fraud Support, Operations, Entry Level, Professional, Financial Institution, Support, Careers, Growth
About the Company: Citizens is a leading financial institution committed to providing innovative banking and financial services.
Experience: Entry Level
Type: Full Time
Benefits: We’re committed to providing a range of benefits and resources to support the well-being of our employees.

Molina Healthcare

Director, Payment Integrity (Analytics) Columbus
Skills & Focus: claim reimbursement, payment integrity, data systems, leadership, big data, analytics, root cause analysis, automated processes, team management, performance review
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: 5+ years related experience in Claims, Analytics or Payment Integrity related job functions, 5+ years Managed Care payor experience, preferably Medicare / Medicaid experience, 3+ years of experience in a leadership role
Salary: $97,299 - $227,679 / ANNUAL
Benefits: Molina Healthcare offers a competitive benefits and compensation package.
Director, Payment Integrity (Analytics) Columbus
Skills & Focus: claim reimbursement, payment integrity, data systems, leadership, big data, analytics, root cause analysis, automated processes, team management, performance review
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: 5+ years related experience in Claims, Analytics or Payment Integrity related job functions, 5+ years Managed Care payor experience, preferably Medicare / Medicaid experience, 3+ years of experience in a leadership role
Salary: $97,299 - $227,679 / ANNUAL
Benefits: Molina Healthcare offers a competitive benefits and compensation package.

Elevance Health

Investigator Senior Columbus
Skills & Focus: healthcare fraud, claim reviews, data mining, law enforcement, health insurance, investigation, policy development, provider network, compliance, Negociation
About the Company: 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 h…
Experience: 5 years related experience
Type: Hybrid
Benefits: market-competitive total rewards including merit increases, paid holidays, Paid Time Off, incentive bonus programs, med…