Elevance Health seeks a Clinical Provider Auditor I to identify issues posing potential fraud and abuse. The role analyzes claims, reviews medical records prior to payment, and documents determinations in our systems. You will collaborate with the Special Investigation Unit and advise on risk interventions.
The position requires an AA/AS and at least 1 year of medical coding/auditing experience, with certification due within a year. Hybrid/virtual work with in-person onboarding is offered.
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 …
Takes a minute — just your name, email, and résumé.
