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Remote Clinical Fraud Investigator; RN​/CPC)

Remote / Online - Candidates ideally in
Somerville, Middlesex County, Massachusetts, 02143, USA
Listing for: Elevance Health
Remote/Work from Home position
Listed on 2026-10-09
Job specializations:
  • Healthcare
    Healthcare Compliance
Salary/Wage Range or Industry Benchmark: 65968 - 124992 USD Yearly USD 65968.00 124992.00 YEAR
Job Description & How to Apply Below
Position: Remote Clinical Fraud Investigator (RN/CPC)
A healthcare services provider is seeking a Clinical Fraud Investigator II, requiring an Associate Degree in Nursing and CPC certification. Responsibilities include analyzing clinical data, investigating claims for compliance, and collaborating with internal teams. Candidates must have at least 4 years of experience in healthcare, including 1 year in clinical fraud investigation.

This role offers remote work flexibility within certain commuting distances and a salary range of $65,968 to $124,992 depending on experience.
We invite applications for the Remote Clinical Fraud Investigator (RN/CPC) position located in Woburn, MA, United States. This posting is for the Remote Clinical Fraud Investigator (RN/CPC) role at Elevance Health, based in Woburn, MA, United States. We are looking to fill the Remote Clinical Fraud Investigator (RN/CPC) position at Elevance Health in Woburn, MA, United States.
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