FWA Analyst Intern

This is a fully remote position, open to applicants in United States.

📋 Description

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

• Proactively analyze and evaluate the outputs of FWA schemes, along with enhancements to existing FWA strategies.

• Possess a strong understanding of pharmacy and medical claims data analysis and quality assessment.

• Maintain a comprehensive knowledge base for alerts and policies.

• Conduct research for supporting documentation relevant to knowledge bases for clients.

• Implement test cases and assess the results.

• Exhibit a proven ability for problem-solving and debugging processes.

• Identify and resolve issues discovered during testing and reported by clients.

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

• Meet all applicable requirements set forth by relevant company customers, clients, or business partners regarding the relationship and role.

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

• Perform additional duties as assigned.

⛳️ Requirements

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

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

• Ability to document and troubleshoot errors effectively.

• Exceptional communication skills, both verbal and written.

• Strong attention to detail.

• Analytical mindset with a knack for problem-solving.

• Excellent troubleshooting and problem-solving capabilities.

• Ability to convey instructions clearly and concisely.

• Comfortable managing multiple tasks in a fast-paced environment.

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

• Strong listening and communication abilities.

• Strong analytical skills.

• Proficient computer skills.

• Detail-oriented.

🏝️ Benefits

• Medical, Dental & Vision insurance.

• 401(k) retirement savings plan with employer match.

• Paid vacation and sick leave.

• Eight paid holidays.

• Paid maternity/paternity leave.

• Disability & Life insurance.

• Flexible Spending Account (FSA).

• Employee Assistance Program (EAP).

• Professional and career development opportunities.

• Eligibility for remote work.