Remote Nurse Audit Specialist: Healthcare Claims Fraud

Elevance Health in Florida seeks a Nurse Audit specialist to identify, monitor and analyze aberrant patterns of utilization and/or fraudulent activities by health care providers through prepayment claims review and post payment auditing. This role involves virtual work with required in-person training, focusing on accuracy, compliance, and collaboration with claims operations to improve medical policy and cost outcomes. #J-18808-Ljbffr Elevance Health