Senior Fraud, Waste and Abuse Specialist
Job not on LinkedIn
🔥 56 minutes ago
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📋 Description
• Support the development and maintenance of the Payment Integrity and FWA program framework • Develop, implement, and maintain program policies, workflows, procedures, and controls • Maintain centralized tracking and reporting systems for investigations, recoveries, referrals, and regulatory activities • Serve as primary liaison with CMS, MEDIC, OHA, Medicaid Fraud Units, and other oversight agencies
🎯 Requirements
• Minimum of 5 years of experience in fraud, waste, and abuse (FWA) • Experience analyzing healthcare claims data • Knowledge of payment integrity practices • Bachelor's degree in business or related field required
🏖️ Benefits
• Health insurance • Flexible work arrangements
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