Jobs › Clinical Provider Auditor Senior
Clinical Provider Auditor Senior
Role at a glance
- Category
- Audit
- Work arrangement
- Hybrid
- Location
- Atlanta, GA
- Posted
- Jul 20, 2026
Carelon / Elevance Health is hiring a Clinical Provider Auditor Senior in Atlanta, GA. This is a Audit role in the governance, risk, and compliance field. Review the full details below and apply directly with Carelon / Elevance Health.
Performs complex clinical claims auditing and investigation support to detect and prevent healthcare fraud, waste, and abuse. Evaluates medical records and billing patterns against statutory guidelines and payment integrity standards. Recommends risk mitigation interventions and collaborates with Special Investigation Units on fraud
Full responsibilities and requirements are on Carelon / Elevance Health's application page.
Apply for this role →Location and market context
This role is based in Atlanta, GA on a hybrid schedule. Local candidates benefit from being close to Carelon / Elevance Health's teams and regional hiring market, while the hybrid arrangement offers some flexibility. Confirm the exact in-office expectation and any relocation support with the employer.
About internal audit roles
Internal audit gives independent assurance over controls and risk. Technology, data, and AI audit skills are in rising demand as programs modernize. Roles like this one are typically evaluated against frameworks such as IIA standards, COSO, NIST AI RMF, and IT and data audit practices.
How to position yourself for this internal audit role
Strong candidates emphasize risk-based audit planning, control testing and evidence, clear findings and remediation tracking, and technology, data, or AI audit depth. In your resume and outreach, tie your experience to how Carelon / Elevance Health would apply IIA standards, COSO, NIST AI RMF, and IT and data audit practices, and lead with concrete outcomes rather than duties.
Similar GRC roles
More GRC jobs: All GRC roles · Browse by category & location