Healthcare Fraud Shield is seeking a part-time Fraud, Waste and Abuse (FWA) Analyst Intern for our health care Fraud, Waste and Abuse software platform. You will work with our Special Investigations Unit and IT teams on researching FWA schemes, testing, FWA validation and more. In this role, you should have a keen eye for detail and excellent communication skills. If you are also competent in executing test cases and are passionate about quality then this is the job for you.
Healthcare Fraud Shield provides a competitive salary. Benefits packages are not available to part-time employees.
Key Responsibilities
- Use knowledge of Fraud, Waste and Abuse (FWA) to research, test and identify effective alerts and algorithms targeting FWA detection and prevention on claims
- Proactively analyzes and tests output of FWA schemes and enhancements to existing FWA schemes
- Understanding of pharmacy and medical claims data analysis and quality monitoring
- Maintain alert and policy knowledgebase
- Research supporting documentation for knowledgebases by client
- Execute test cases and analyze results
- Demonstrated aptitude for problem solving and debugging
- Identify and troubleshoot issues discovered during testing and reported by customers
- Work with cross-functional teams to ensure quality throughout the software development lifecycle
- Satisfies all applicable requirements imposed by applicable Company customers, clients, or business partners, with respect to the relationship and role
- Understands and complies with all company Privacy and Security standards
- Other duties as assigned
Skills, Knowledge and Expertise
- Knowledge of healthcare Fraud, Waste and Abuse (FWA)
- Knowledge of health care, insurance, medical terminology, CPT, HCPCS, DRG, Revenue, ICD-10
- Ability to document and troubleshoot errors
- Excellent communication skills both verbally and written
- Attention to detail
- Analytical mind and problem-solving aptitude
- Excellent troubleshooting and problem solving skills
- Ability to communicate instructions in a clear and concise manner
- Comfortable multitasking in fast paced environment
- Able to work independently as well as part of a dynamic team
Preferred Skills:
- Strong communication and listening skills
- Strong analytical skills
- Strong computer skills
- Detail oriented
Benefits
- Medical, Dental & Vision insurance
- 401(k) retirement savings with employer match
- Vacation and sick paid time off
- 8 paid holidays
- Paid maternity/paternity leave
- Disability & Life insurance
- Flexible Spending Account (FSA)
- Employee Assistance Program (EAP)
- Professional and career development initiatives
- Remote work eligible
REMOTE WORK REQUIREMENTS
- Must have high speed Internet (satellite is not allowed for this role) with a minimum speed of 25mbs download and 5mbs upload.
Healthcare Fraud Shield is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Originally posted on Himalayas
