6 Fraud Risk Management jobs in St. Louis.

Hiring now: Vice President Of Prod Fr @ Hawk, Investigator Sr Carelon P @ Elevance H, Damage Prevention Analyst @ Spire.Explore more at jobswithgpt.com.

šŸ”„ Skills

healthcare fraud (3) data mining (3) negotiation (3) policy development (2) claim reviews (2) law enforcement (2) Vice President (1) Product (1) Fraud (1) Remote (1)

šŸ“ Locations

St. Louis (5) East Saint Louis (1)
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Hawk

Vice President of Product, Fraud East Saint Louis
Skills & Focus: Vice President, Product, Fraud, Remote, Product Management, Compensation, Employment Type, Skills, Qualifications, Application
Salary: $200K ā€“ $275K
Type: Full time

Elevance Health

Investigator Senior - Carelon Payment Integrity SIU St. Louis
Skills & Focus: healthcare fraud, claims review, data mining, investigative process, law enforcement referral, health insurance experience, policy development, training, court proceedings, negotiation
About the Company: Elevance Health is a health company dedicated to improving lives and communities ā€“ and making healthcare simpler. We are a Fortune 25 company with a longstandiā€¦
Experience: minimum 5 years related experience in healthcare insurance and healthcare insurance investigation or any combination of education and experience that provides an equivalent background
Type: Hybrid
Benefits: merit increases, paid holidays, Paid Time Off, and incentive bonus programs, medical, dental, vision, short and long teā€¦
Payment Integrity Manager St. Louis
Skills & Focus: payment integrity, claims payment, fraud detection, billing errors, process management, project plans, compliance program, report development, strategic support, healthcare administration
About the Company: Elevance Health is a health company dedicated to improving lives and communities ā€“ and making healthcare simpler. We are a Fortune 25 company with a longstandiā€¦
Experience: Minimum of 5 years related work experience, including minimum of 2 years leadership experience.
Type: Hybrid
Benefits: Market-competitive total rewards including merit increases, paid holidays, Paid Time Off, 401(k) +match, medical, dentaā€¦

Spire Inc.

Damage Prevention Analyst St. Louis
Skills & Focus: damage prevention, analytics, financial analysis, data collection, reporting, business systems, compliance, strategies, process optimization, communication
About the Company: At Spire, we believe energy exists to help people. To enrich their lives, grow their businesses, advance their communities. Itā€™s a simple idea, but one thatā€™s ā€¦
Experience: At least five years of relevant experience required

Elevance Health

Investigator Senior St. Louis
Skills & Focus: healthcare fraud, insurance investigation, claim reviews, data mining, policy development, law enforcement, communications, negotiation, provider networks, health insurance
About the Company: Elevance Health is a health company dedicated to improving lives and communities ā€“ and making healthcare simpler. We are a Fortune 25 company with a longstandiā€¦
Experience: Minimum of 5 years related experience in healthcare insurance and healthcare insurance investigation, law enforcement.
Type: Hybrid
Benefits: Includes merit increases, paid holidays, Paid Time Off, incentive bonus programs, medical, dental, vision, short and loā€¦
Investigator II - Carelon Payment Integrity SIU St. Louis
Skills & Focus: healthcare fraud, claim reviews, coding, data mining, law enforcement, investigations, enterprise-wide specific healthcare investigations, relationships, negotiation, policies and procedures
About the Company: Elevance Health is a health company dedicated to improving lives and communities ā€“ and making healthcare simpler. We are a Fortune 25 company with a longstandiā€¦
Experience: 3 years related experience minimum
Type: Hybrid
Benefits: merit increases, paid holidays, Paid Time Off, incentive bonus programs, medical, dental, vision, short and long term dā€¦