FWA Analyst Intern

📋 Description

• Leverage expertise in Fraud, Waste and Abuse (FWA) to investigate, test, and develop effective alerts and algorithms aimed at FWA detection and prevention in claims.

• Proactively analyze and assess the output of FWA schemes, alongside enhancements to current FWA initiatives.

• Possess a solid understanding of pharmacy and medical claims data analysis and quality oversight.

• Maintain an up-to-date knowledgebase of alerts and policies.

• Conduct research to gather supporting documentation for knowledgebases specific to clients.

• Execute test cases and evaluate results.

• Exhibit a proven ability in problem solving and debugging.

• Identify and resolve issues that arise during testing and are reported by customers.

• Collaborate with cross-functional teams to uphold quality throughout the software development lifecycle.

• Meet all relevant requirements set by Company customers, clients, or business partners concerning the role and relationship.

• Understand and adhere to all company Privacy and Security standards.

• Additional responsibilities as assigned.

⛳️ Requirements

• Familiarity with healthcare Fraud, Waste and Abuse (FWA).

• Knowledge of healthcare, insurance, medical terminology, CPT, HCPCS, DRG, Revenue, and ICD-10.

• Capability to document and troubleshoot errors effectively.

• Exceptional verbal and written communication skills.

• Strong attention to detail.

• Possess an analytical mindset and problem-solving skills.

• Excellent troubleshooting and problem resolution abilities.

• Ability to convey instructions clearly and succinctly.

• Comfort with multitasking in a fast-paced environment.

• Capable of working independently as well as collaboratively within a dynamic team.

• Strong communication and listening capabilities.

• Robust analytical skills.

• Proficient computer skills.

• Detail-oriented approach.

🏝️ Benefits

• Medical, Dental & Vision insurance.

• 401(k) retirement savings with employer match.

• Paid vacation and sick time off.

• 8 paid holidays.

• Paid maternity/paternity leave.

• Disability & Life insurance.

• Flexible Spending Account (FSA).

• Employee Assistance Program (EAP).

• Initiatives for professional and career development.

• Eligibility for remote work.