Clinical Provider Auditor I - SIU Fraud and Abuse
Elevance Health•Washington, DC
441d•$55,869 - $95,763•Hybrid
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About The Position
The Clinical Provider Auditor I at Elevance Health is responsible for identifying potential risks associated with fraud and abuse in medical claims. This role involves examining claims for compliance, conducting analyses of claims and medical records, and collaborating with the Special Investigation Unit to recommend interventions for loss control and risk avoidance. The position is part of Carelon Payment Integrity, which focuses on recovering and preventing unnecessary medical expenses.
