Hybrid Clinical Fraud Investigator II Investigations

Summary

Elevance Health is seeking a Clinical Fraud Investigator II to identify issues that may indicate fraud and abuse, and to perform comprehensive data analysis and clinical evaluation. This role blends in-office collaboration 1–2 days per week with flexible, hybrid work to support productivity.Minimum requirements include an Associate Degree in Nursing and/or CPC certification with at least 4 years in related work, including fraud investigations; preferred RN and CPT/coding background.#J-18808-Ljbffr

Job Description

Elevance Health is seeking a Clinical Fraud Investigator II to identify issues that may indicate fraud and abuse, and to perform comprehensive data analysis and clinical evaluation. This role blends in-office collaboration 1–2 days per week with flexible, hybrid work to support productivity.Minimum requirements include an Associate Degree in Nursing and/or CPC certification with at least 4 years in related work, including fraud investigations; preferred RN and CPT/coding background.#J-18808-Ljbffr