Hybrid Clinical Provider Auditor II - Fraud & Payment
Elevance Health
Elevance Health is seeking a Clinical Provider Auditor II in Tampa, Florida. This role focuses on reviewing claims for compliance and preventing fraud and abuse. Candidates should have at least 3 years of medical coding/auditing experience and a coding certification. The job requires in-office presence 1-2 days per week to promote collaboration while allowing for flexible virtual work. Strong knowledge of coding guidelines and compliance regulations is essential for success in this position. #J-18808-Ljbffr Elevance Health
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Hybrid Clinical Provider Auditor II - Fraud & Payment in Tampa, FL vacancy
- Clinical Provider Auditor II - Payment Integrity SIU Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration... ...processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts...FraudWork at officeLocal area2 days per week1 day per week
$67.64k - $101.46k
Elevance Health is seeking an Investigator II in Tampa, Florida, to identify and investigate healthcare fraud cases effectively. This hybrid role balances office presence with work-from-home flexibility, ensuring collaboration while prioritizing work-life balance. The Investigator...FraudWork at officeWork from home$100k
...industry since 1945 and seeking a Premium Auditor as we continue to grow our team. Premium... ...premium auditor, looking for evidence of fraud and checking that insured businesses adhere... .... Travel to multiple audit locations. Hybrid position - work from home and complete...FraudWeekly payLocal areaImmediate startRemote workWork from homeHome office2 days per week3 days per week$82.23k - $155.81k
Title Diagnosis Related Group Clinical Validation Auditor‑RN (CDI, MS‑DRG, AP‑DRG and APR‑DRG) Virtual... ...required in‑person training sessions, providing maximum flexibility and autonomy.... ...guidelines, medical claims billing and payment systems, provider billing guidelines,...SuggestedFull timeWork at officeLocal area- ...Payments Processing And Acceptance Manager It's a great time to join... ...designed to minimize payment fraud and chargebacks. You will lead... ...payments subject matter expert to provide both internal and external... ...offers WorkFlex. WorkFlex is ARC's hybrid work program which offers...FraudWork at officeWork from homeFlexible hours
Airlines Reporting Corporation
Tampa, FL2 days ago $70 - $75 per hour
...25 applicants This range is provided by Mindlance. Your actual pay... ...Job Title: Business Analyst - Payments Risk Transformation Program Location... ...: New York, NY /Tampa, FL (Hybrid) Duration: 12+ Months (... ...reducing processing risk (not fraud or cyber), improving controls...FraudContract work$90k - $127k
...to join IQVIA as an Oncology Hybrid Sales Specialists working closely... ..., you will convey complex clinical, diagnostics and access... ...superior selling skills focused on providing a high level of customer... ...tolerance policy for candidate fraud. All information and credentials...FraudFull timePart timeWork at officeImmediate startRemote workWork from homeWorldwideWeekend workIQVIA
Tampa, FL4 days ago$45 - $48 per hour
A leading insurance services provider is seeking a Premium Auditor to join their team in Florida. This hybrid role involves conducting insurance premium audits with travel required to various audit locations. Candidates should have an Associate's Degree or equivalent experience...Remote jobHourly payFull timePart timeFlexible hours$29.05 - $56.64 per hour
...Job Description Job Summary Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching...Hourly payFull timeWork experience placementWork at office$67.64k - $101.46k
Investigator II Location: Hybrid: This role requires associates be in the office 1-2 days per week... ...collaboration and connectivity, while providing flexibility to support productivity and... ...cases against perpetrators of healthcare fraud in order to recover corporate and...FraudWork at officeLocal area2 days per week1 day per week- Investigator II Location: Hybrid1: This role requires associates... ...and connectivity, while providing flexibility to support productivity... ...note that per our policy on hybrid/virtual work, candidates not within... ...perpetrators of healthcare fraud in order to recover corporate...FraudTemporary workWork at officeLocal area2 days per week1 day per week
- Join our team as a Solutions Analyst II and be at the forefront of driving technical... ...Testing defects and the re-testing process Provide updates on Project calls and... ...capabilities, and skills Working knowledge of Payments Message Processing/Validation with formats...Fraud
- ...litigation and regulatory matters, including the defense of providers in fraud and similar disputes. The ideal candidate will have at least... ...work independently and collaboratively. The position offers a hybrid schedule of 3 days in the office and 2 days remote. #J-18808...FraudWork at officeRemote work
- ...Service Representative II ensures the patients receive... ...in the areas of non-clinical support and acts as a... ...patient services staff, providing guidance on more... ...records, collecting co-payments, deductibles, and any outstanding... ...General Compliance and Fraud, Waste & Abuse....FraudWork at officeShift work
- Barbaricum is seeking a Financial Systems Analyst II (Program Analyst) to support technical program management, budgeting, and lifecycle... ...support program planning, scheduling, and risk analysis while providing data-driven insights to support decision-making....
- ...Fund Servicing Associate II Join JPMorganChase as a Fund Servicing Associate II and... ...fund accounting and administration, you will provide advice and support to ensure progress... ...focus on enhancing cybersecurity and anti-fraud measures. Advanced emotional intelligence...FraudFlexible hours
- Financial Systems Analyst II (Budget Analyst) Barbaricum is seeking a Financial Systems Analyst II (Budget Analyst) to support budget... ...will analyze financial data, support budgeting processes, and provide recommendations to improve program financial performance. Responsibilities...
- ...−for you and for us. Chase, a leading provider of diverse financial services worldwide... ...interaction. As a Business Analyst II in the POS Fraud Strategy Team, you will manage fraud risk... ...3 years experience in fraud/risk/payments or related field Proven track record...FraudWork experience placementWorldwideFlexible hours
- ...Senior Auditor Employment Type: Full Time, Mid-level CGS is seeking a Senior Auditor... ...records for purposes to include identifying payments and kickbacks, tracing money flows,... ...litigation consulting, and/or health care fraud analysis required. The resume must demonstrate...FraudFull timeFlexible hours
$59k - $62k
...Financial Examiner/Analyst II - 43004869 The Office of Financial Regulation (OFR) is responsible for licensing, chartering, examining... ...authority must be made in advance to allow sufficient time to provide the accommodation. The State of Florida supports a Drug-Free...Work experience placementWork at officeLocal areaImmediate startFlexible hoursNight shift- ...Auditor Employment Type: Full-Time, Mid-Level Department: Financial CGS is seeking a highly skilled Auditor to provide general auditing and accounting services in support of fraud investigations involving potentially complex financial transactions and complex...FraudFull timeWork experience placementInterim roleWork at officeLocal areaFlexible hours
- ...using Fresh Service. Provide corporate, sales and... ...IT Support Specialist II that affect user uptime... ...Microsoft Azure AD Joined and Hybrid Joined. Basic... ...Disclaimer: Recruitment Fraud – Any communication... ...details, or any form of payment (e.g., application fee)...FraudFor contractorsLocal areaRemote work
$100k
...NEIS, each a powerhouse in their own right, providing specialized expertise in debt management... ...since 1945 is seeking a Premium Auditor to grow our team. Premium Auditors examine... ...responsibilities will be looking for evidence of fraud and checking that insured businesses...FraudHourly payWeekly payLocal areaWork from homeFlexible hoursARMStrong Insurance Services
Tampa, FL4 days ago$70 - $80 per hour
...Wells, we are searching for an internal auditor for one of our clients. This is an excellent... ...: big data analytics / analysis fraud investigation company acquisitions and... ...business optimization. Our professionals provide specialized industry and technical experience...FraudPermanent employmentInterim roleRemote workWorldwideManpower Group Inc.
Tampa, FL2 days ago$101.6k - $169.3k
...IQVIA is hiring Senior Clinical Research Associate 1 with experience in either oncology, cardiovascular... ...therapeutic and protocol knowledge as provided in company training. The potential base... ...a zero tolerance policy for candidate fraud. All information and credentials...FraudFull timePart timeLocal areaImmediate startIQVIA
Tampa, FL3 days ago- ...to make an impact in the world of digital payments? Join our team where your analytical... ...understand and apply cybersecurity controls, anti‑fraud strategies, and data analysis techniques... ...total compensation and benefits will be provided during the hiring process. We recognize...FraudTemporary work
Koitecc Solutions
Tampa, FL4 days ago - ...Job Title Under limited supervision, provide sales, service and loan support to Relationship Managers, Commercial Credit... ...documentation, account opening, pulling & working reports, processing payments, assisting in fraud resolution, general research, wire processing, general...FraudWork at office
$67.98k - $106.21k
...Clinical Nurse Educator (CNE) It's inspiring to work with a company where people truly... ...job. It's a mission. We're committed to providing outstanding patient care and a high level... ..., maintaining a strong position against fraud and abuse. Comply with company policies...FraudLocal area- Fund Servicing Associate II - Overview Join JPMorganChase as a Fund Servicing Associate... ...fund accounting and administration, you will provide advice and support to ensure progress... ...focus on enhancing cybersecurity and anti‑fraud measures. Advanced emotional intelligence...Fraud
$101.6k - $169.3k
IQVIA is hiring Senior Clinical Research Associate 1 with experience in either oncology, cardiovascular... ...therapeutic and protocol knowledge as provided in company training. The potential base... ...a zero tolerance policy for candidate fraud. All information and credentials...FraudFull timePart timeLocal areaImmediate start
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Hybrid Clinical Provider Auditor II - Fraud & Payment. Be the first to apply!
