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Hybrid Clinical Provider Auditor II: Fraud & Compliance

Job in Miami, Miami-Dade County, Florida, 33222, USA
Listing for: Elevance Health
Full Time position
Listed on 2026-02-15
Job specializations:
  • Healthcare
    Healthcare Compliance
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below
A leading healthcare company based in Miami is seeking a Clinical Provider Auditor II to ensure compliance with billing guidelines and to prevent fraud and abuse. Responsibilities include examining claims, conducting analyses, and collaborating with investigation units. Candidates should have an AA/AS degree, a minimum of 3 years of relevant experience, and a coding certification. The role operates in a hybrid environment requiring some in-office presence each week.
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