Prevention & Control Specialist

🔥 2 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟢 Junior

🎪 Events

🚫👨‍🎓 No degree required

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SafeRide Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🚗 Transport

Healthcare • Healthcare Insurance • Transport

SafeRide Health is a company that enhances non-emergency medical transportation (NEMT) through advanced technology and a digitized network, ensuring patients access the right care at the right time. They offer a tech-first, member-centric approach enabling seamless access to transportation services, customizable platforms to fit any health plan, and real-time visibility into rides for reliability and peace of mind. SafeRide Health partners with a broad network of transportation providers to offer nationwide coverage and flexible services, focusing on improving access to life-sustaining care and transforming patient transport experiences.

📋 Description

• Monitor ride activity to identify potential instances of fraud, waste, or abuse. • Analyze data to detect emerging patterns or trends. • Conduct proactive outreach and document findings with precision. • Collaborate with internal teams to strengthen safeguards. • Contact healthcare facilities to verify past and upcoming member rides or claims. • Identify and assess transportation provider fraud by utilizing SafeRide’s Jira fraud-tip system. • Perform detailed investigations, document findings, and escalate cases as appropriate. • Flag members or cancel rides confirmed as fraudulent. • Monitor for emerging fraud patterns and high-profile cases.

🎯 Requirements

• High school diploma or equivalent. • 1+ year in customer service or healthcare operations. • Strong written and verbal communication; confident on the phone with external partners. • Comfortable learning and using operational technical systems (i.e., QuickSight), dashboards, and spreadsheets. • Organized, detail-oriented, and calm under pressure; able to follow structured workflows and escalate appropriately. • Familiarity with Medicaid/Medicare or healthcare operations. • Open to travel 10% of the time.

🏖️ Benefits

• N/A