Elevance Health · 10 hours ago
Manager I Investigations
Indianapolis, IN
Full-time
Hybrid
Mid, Senior Level
$93K/yr - $161K/yr
5+ years expElevance Health is a health company dedicated to improving lives and communities. They are seeking a Manager I Investigations to oversee the Fraud Investigations Unit responsible for Medicaid markets, supervising investigations and coordinating with various agencies to combat fraud.
Health CareHealth InsurancePersonal HealthWellness
No H1B
U.S. Citizen Only
Responsibilities
Supervises and coordinates the investigations of alleged Medicaid fraud
Coordinates the analysis of provider utilization patterns and trends and of provider billing and financial data and supervises the case inventory to include monitoring of aging and priority
Oversees the integration of various computer systems in the Unit, to include monitoring of aging and priority
Coordinates the review of documentation to ensure validity and applicability of data, the preparation of written summaries of the investigations, and the development of cases to be referred to the Office of the Inspector General (OIG)
Continually communicates with Medicaid state agencies CMS, OIG, and Department of Justice regarding current fraud trends, current case issues, and current analyses and training opportunities
Keeps abreast of changes in Medicaid benefits, policies and regulations and in CMS performance standards and assists management in the interpretation of Medicaid policies and procedures
Hires, trains, coaches, counsels, and evaluates performance of direct reports
Qualification
Required
Requires a BA/BS in business or nursing and minimum of 5 years in investigations; or any combination of education and experience, which would provide an equivalent background
The Government requires that personnel working on Medicaid Fraud investigations are U.S. Citizens
Preferred
Previous management experience is a must
CFE, AHFI, CPC Certifications preferred
Experience with Virginia and Arkansas Medicaid preferred
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical
Dental
Vision
Short and long term disability benefits
401(k) +match
Stock purchase plan
Life insurance
Wellness programs
Financial education resources
Company
Elevance Health
Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
unknown2001-10-30IPO
Leadership Team
Gail K. Boudreaux
President and CEO
Geeta Wilson
Chief Technology Officer (CTO): Digital Health and Service Experience Platforms
Recent News
2026-01-23
2026-01-16
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