FWA Analyst – Fraud, Waste, and Abuse

🕒 September 20

🇺🇸 United States – Remote

💵 $55.6k - $79.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 2%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

💼 Consulting

📦 Logistics

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Consulting • Logistics • Healthcare Insurance

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

📋 Description

• Deliver comprehensive support to FraudCapture® client users • Gain a deep understanding of each client’s business needs and interaction with the solution • Conduct user training sessions • Develop and maintain help documentation and training materials, including articles and videos • Promote strong customer engagement • Act as the client’s first point of contact for issues and escalations • Perform initial troubleshooting to determine whether reported issues are system-related, user error, or knowledge gaps • Ensure client retention through exceptional service and support • Maintain technical understanding and competency in solution features • Assist customers in resolving complex technical problems by providing guidance regarding software and hardware problems • Resolve or refer highly complex technical problems as appropriate • Work with clients and product teams to collect requirements • Maintain routine communication with assigned clients • Communicate workload prioritization and progress to interested parties • Participate in client discussions and represent subject expertise • Understand, identify, and communicate project progress, details, and dependencies to the Manager

🎯 Requirements

• 3+ years of experience detecting and investigating healthcare fraud • 2+ years providing excellent customer service and handling conflict resolution scenarios in person, over the phone, and through email • Excellent understanding of how investigative teams use systems • Comfortable troubleshooting and resolving technical issues • Excellent written and verbal communication skills • Ability to tailor explanations to different technical levels • Ability to create training materials, including written documents, videos, and presentations • Ability to work independently and manage multiple priorities simultaneously • Ability to thrive in a demanding environment • Strong work ethic and high level of professionalism • Certified Fraud Examiner (CFE) is a desired qualification • Experience with Medicaid Management Information Systems (MMIS) is a desired qualification • Ability to communicate and exchange information • Ability to comprehend and interpret complex documents and data • May be required to travel at least 10% of the time based on business needs

🏖️ Benefits

• Work flexibility • Learning and career development • Technical credentials and certifications • Generous, flexible vacation policy • Educational assistance • Leadership and technical development academies • 401(k) employer match • Comprehensive health benefits • Travel expense reimbursement may be included among benefits