Government Careers

  • Hybrid Clinical Fraud Investigator II

  • Elevance Health
  • Tampa, Florida 33646 United States View Map

Summary

Elevance Health is seeking a Clinical Fraud Investigator II to join our hybrid Florida team. You will analyze clinical data, conduct in-depth investigations on providers, and review claims prior to payment to prevent fraud and abuse.The role requires an Associate Degree in Nursing and/or CPA coder certification with at least 4 years of related experience, including 1 year in fraud investigations. Collaboration with the Special Investigation Unit is essential to safeguard members and resources.#J-18808-Ljbffr

Job Description

Elevance Health is seeking a Clinical Fraud Investigator II to join our hybrid Florida team. You will analyze clinical data, conduct in-depth investigations on providers, and review claims prior to payment to prevent fraud and abuse.The role requires an Associate Degree in Nursing and/or CPA coder certification with at least 4 years of related experience, including 1 year in fraud investigations. Collaboration with the Special Investigation Unit is essential to safeguard members and resources.#J-18808-Ljbffr

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