Fraud Investigation Manager jobs in Oklahoma

Fraud Investigation Manager manages the operations of the fraud investigations department. Develops policies and procedures to prevent fraud activities and to recover any incurred losses. Being a Fraud Investigation Manager identifies the weakness of current control process and recommends enhancements. Collaborates investigation with appropriate business partners and local, state and federal authorities. Additionally, Fraud Investigation Manager requires a bachelor's degree. Typically reports to a head of a unit/department. The Fraud Investigation Manager typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Fraud Investigation Manager typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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BENEFITS INVESTIGATION SPECIALIST
  • Amerita
  • Oklahoma, OK FULL_TIME
  • Our Company:
    Amerita
    Overview:
    Amerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. As one of the most respected Specialty Infusion providers in America, we service thousands of patients nationwide through our growing network of branches and healthcare professionals.

    The Benefits Investigation Specialist
    role will be responsible for verifying patient medical and pharmacy coverage, investigating authorization requirements, and facilitating patient copay card assistance based on eligibility criteria.

    NOTE: Work Schedule: Monday - Friday / 9:00am - 5:30pm OR 10:00am - 6:30pm

    • Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts
    • Supplemental Coverage – Accident, Critical Illness and Hospital Indemnity Insurance
    • 401(k) Retirement Plan with Employer Match
    • Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability
    • Employee Discounts
    • Tuition Reimbursement
    • Paid Time Off & Holidays
    Responsibilities:
    • Verifies patient prescription benefits, including medical and pharmacy coverage, to ensure accurate billing and reimbursement
    • Investigates authorization requirements for medications and any ancillary supplies, collaborating with healthcare providers and insurance companies as necessary
    • Determines patient eligibility for copay card assistance programs based on program criteria and facilitate enrollment as appropriate
    • Knowledgeable to perform all Benefit Investigation functions. Provides thorough, accurate and timely responses to requests
    Qualifications:
    • High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy
    • 1 years pharmacy experience
    • Pharmacy or healthcare-related knowledge
    • Knowledge of pharmacy terminology including sig codes, and Roman numbers, brand/generic names of medication
    • Basic math and analytical skills
    • Intermediate typing/keyboard skills
    About our Line of Business: Amerita is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness and entrepreneurial spirit of a local provider. For more information about Amerita, please visit www.ameritaiv.com. Follow us on Twitter and LinkedIn. Additional Job Information:
    • Possible Saturday on a rotating schedule
    Salary Range: USD $18.00 - $27.00 / Hour
  • 6 Days Ago

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BENEFITS INVESTIGATION SPECIALIST
  • BrightSpring Health Services
  • Oklahoma, OK FULL_TIME
  • BENEFITS INVESTIGATION SPECIALIST Job Locations US-OK-OKLAHOMA CITY ID 2024-142484 Line of Business Amerita Position Type Full-Time Pay Min USD $18.00/Hr. Pay Max USD $27.00/Hr. Our Company Amerita Ov...
  • 6 Days Ago

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Fraud Supervisor
  • MidFirst Bank - Default
  • Oklahoma, OK FULL_TIME
  • This position is part of the Enterprise Fraud department within the Financial Crimes group. Enterprise Fraud is primarily responsible for reviewing suspicious checks; counterfeit, altered, forged and ...
  • 1 Month Ago

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Human Resources (HR) Investigation Specialist
  • Hobby Lobby
  • Oklahoma, OK FULL_TIME
  • Human Resources (HR) Investigation Specialist Oklahoma City Oklahoma Job Description - Overview Hobby Lobby Stores, Inc., a privately-held company based in Oklahoma City, Oklahoma, is seeking a qualif...
  • 5 Days Ago

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Human Resources (HR) Investigation Specialist
  • Hobby Lobby
  • Oklahoma, OK FULL_TIME
  • Human Resources (HR) Investigation Specialist Oklahoma City Oklahoma Job Description - Overview Hobby Lobby Stores, Inc., a privately-held company based in Oklahoma City, Oklahoma, is seeking a qualif...
  • 5 Days Ago

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Special Agent: Psychology/Counseling Background
  • Federal Bureau of Investigation
  • Oklahoma, OK FULL_TIME
  • HOW TO APPLY STEP 1: Click on the “Apply” button to be directed to the FBIJobs Careers website. STEP 2: Click the “Start” button to begin. You will be prompted to either Sign In to continue or to regi...
  • 19 Days Ago

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EHS Coordinator (Data Center Construction)
  • SAVI EHS
  • Hillsboro, OR
  • Job Description Job Description Compensation $40.00 per hour (40-50 hours per week) Employment Type Full-Time (3 months,...
  • 4/24/2024 12:00:00 AM

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Special Investigator Managed Care - DMV Counties only
  • AmeriHealth Caritas
  • Washington, DC
  • Job Brief This position will work as a remote employee but must reside in DC or surrounding areas contractually: Montgom...
  • 4/22/2024 12:00:00 AM

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Associate Director, Operations Compliance and Investigations Management
  • Legend Biotech US
  • Raritan, NJ
  • Company Information Legend Biotech is a global biotechnology company dedicated to treating, and one day curing, life-thr...
  • 4/22/2024 12:00:00 AM

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Services Specialist 9-12 Alpena/Montmorency County (Case Manager/ Investigator) - Current Vacancy
  • State Of Michigan
  • Alpena, MI
  • The MDHHS mission is to provide opportunities, services, and programs that promote a healthy, safe, and stable environme...
  • 4/22/2024 12:00:00 AM

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Safety Manager 1099 Short Term
  • SAVI EHS
  • Berlin Center, OH
  • Job Description Job Description Compensation $40.00 1099 Employment Type Short Term (2 weeks) Why Work Here? SAVI EHS is...
  • 4/22/2024 12:00:00 AM

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Analyst, Fraud Investigations
  • Upgrade
  • Phoenix, AZ
  • Upgrade is a fintech company that provides affordable and responsible credit, mobile banking, and payment products to ev...
  • 4/21/2024 12:00:00 AM

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Security Officer I
  • Southern Illinois Health
  • Harrisburg, IL
  • Overview: Your Career. Our Company. Together, We Grow. At Southern Illinois Healthcare (SIH), we realize that in order t...
  • 4/21/2024 12:00:00 AM

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Investigation Owner
  • CSL Behring
  • Bradley, IL
  • This role is responsible for leading investigations to ensure the written investigation report contains the technical me...
  • 4/5/2024 12:00:00 AM

Oklahoma is the 20th-largest state in the United States, covering an area of 69,899 square miles (181,040 km2), with 68,595 square miles (177,660 km2) of land and 1,304 square miles (3,380 km2) of water. It lies partly in the Great Plains near the geographical center of the 48 contiguous states. It is bounded on the east by Arkansas and Missouri, on the north by Kansas, on the northwest by Colorado, on the far west by New Mexico, and on the south and near-west by Texas. Much of its border with Texas lies along the Southern Oklahoma Aulacogen, a failed continental rift. The geologic figure defi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Fraud Investigation Manager jobs
$109,809 to $128,055

Fraud Investigation Manager in Springfield, MA
But a fraud investigation is still a workplace investigation.
January 02, 2020
Fraud Investigation Manager in Madison, WI
Conduct better fraud investigations with logical workflow rules that keep investigations on track and ensure nothing falls through the cracks.
February 08, 2020
A fraud investigation determines whether some scam has occurred and gathers evidence both to prove improper conduct and identify weaknesses in internal controls.
February 06, 2020
Fraud Investigation Manager in Virginia Beach, VA
You will be an integral member of a team of investigators, analysts and specialists conducting complex investigations of fraud activity.
December 06, 2019