Clinical Provider Auditor — Hybrid/Remote, Fraud & Compliance Focus
Mason, Warren County, Ohio, 45040, USA
Listed on 2026-10-16
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Business
AI Evaluation, Regulatory Compliance Specialist
Elevance Health is hiring a Clinical Provider Auditor I to identify issues that may pose fraud and abuse risk. The role involves examining claims for compliance, reviewing medical records prior to payment, and using required systems to document determinations.
Candidate should have an AA/AS and 1 year of related experience, with certification within a year. We operate with a hybrid/virtual model; onboarding includes in-person training as needed, and candidates must be within reasonable commuting
Consider building your career as a Clinical Provider Auditor I — Hybrid/Remote, Fraud & Compliance Focus at Elevance Health.
This opportunity is for the Clinical Provider Auditor I — Hybrid/Remote, Fraud & Compliance Focus role at Elevance Health.
We are seeking a motivated Clinical Provider Auditor I — Hybrid/Remote, Fraud & Compliance Focus to join Elevance Health in Mason, OH, United States.
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