Clinical Provider Auditor Lead – Behavioral Health

Elevance Health

Clinical Provider Auditor Lead responsible for leading audit programs at Elevance Health. Managing vendor relationships and conducting complex audit evaluations within Maryland.

Posted 6/11/2026full-timeHanover • Maryland • 🇺🇸 United StatesSenior💰 $76,608 - $95,760 per yearWebsite

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Applicant Tracking System Keywords

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Hard Skills

medical codingproject managementclaims payment methodologiesauditingreport analysisvendor managementsettlement negotiationresource allocationprovider meetingsbehavioral health coding

Soft Skills

leadershipcommunicationorganizational skillsnegotiationanalytical skills

Certifications & Qualifications

coding certification

Industry Keywords

provider auditreimbursementaudit teamvendor relationshipsrecoveries

About the role

Key responsibilities & impact

leads day-to-day activities of the audit team
provides allocation of resources
establishes priorities
manages vendor relationships
periodically audits work of vendors
conducts provider meetings to discuss audit findings
negotiates settlements
researches claims payment methodologies
prepares and analyzes reports on recoveries

Requirements

What you’ll need

Requires a BA/BS
minimum of 5 years experience in a related field
experience in provider audit or reimbursement
coding certification preferred
experience with medical coding and project management strongly preferred
Behavioral Health coding and auditing experience preferred
must be fluent in English

Benefits

Comp & perks

comprehensive benefits package
incentive and recognition programs
equity stock purchase
401k contribution
paid holidays
Paid Time Off
medical benefits
dental benefits
vision benefits
short and long term disability benefits