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Remote Clinical Provider Auditor II – Fraud & Compliance

Remote / Online - Candidates ideally in
Abbott, Hill County, Texas, 76621, USA
Listing for: Elevance Health
Remote/Work from Home position
Listed on 2026-10-02
Job specializations:
  • Healthcare
    Healthcare Compliance, Medical Billing and Coding
Salary/Wage Range or Industry Benchmark: 55000 - 101000 USD Yearly USD 55000.00 101000.00 YEAR
Job Description & How to Apply Below
Location: Abbott

Elevance Health seeks a Clinical Provider Auditor II to identify issues related to fraud and abuse in medical claims. The role focuses on ensuring compliance with billing guidelines and documenting determinations throughout the claims lifecycle.

You will review claims and medical records before payment, use required systems to document outcomes, and research questions as needed to support investigations and coding accuracy.

As a Remote Clinical Provider Auditor II – Fraud & Compliance, you will play an important part at Elevance Health in Grand Prairie, TX, United States.

The position is based in Grand Prairie, TX, United States.

This opportunity is part of our work in Legal, Bio & Pharmacology & Health.

The advertised compensation is 55..

We aim to respond to suitable candidates as soon as possible.

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