Hybrid Clinical Fraud Investigator II
elevance healthTampa (FL)
Hybrid Clinical Fraud Investigator II
Posted yesterday
elevance healthTampa (FL)
SENIORITY
Mid
About the role
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.
Before you apply
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Your profile is current
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Two examples you can talk through
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A number in mind
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Your notice period
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Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.