FWA (Fraud, Waste, and Abuse) Analyst
$55.6k - $79.4kGainwell Technologies LLC
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. The Senior Client Services Analyst, Customer Support, is responsible for delivering comprehensive support to our FraudCapture® client users. Responsibilities include conducting user training sessions, developing, and maintaining help documentation and training materials—including articles and videos—and promoting strong customer engagement. Ensures client retention through delivery of exceptional service and support Assists the customer in resolving complex technical problems on a primary account by providing guidance regarding software and hardware problems. Understand, identify, and communicate project progress, details, and dependencies to Manager 3+ years of experience detecting and investigating healthcare fraud
- 2+ years providing excellent customer service and capable of handling conflict resolution scenarios in person, over the phone, and through email.
- Excellent written and verbal communication skills with the ability to tailor explanations to different technical levels and creating training materials (e.g., written documents, videos, presentations)
- Certified Fraud Examiner (CFE)
$69.4k - $99.2k
...comprehensive leadership and technical development academies to help build your skills and capabilities. Medicaid Fraud, Waste & Abuse (FWA) Senior Analyst plays a critical, client-facing role supporting state Medicaid agencies by applying existing fraud, waste, and...FraudFull timeWork at officeRemote workFlexible hours- Optum, a division of UnitedHealth Group, seeks an experienced investigator to support Fraud, Waste and Abuse (FWA) investigations in the Ohio region. The role requires analyzing data, coordinating with clinical coding, and presenting investigation findings to clients and...FraudRemote job
- ...position is for a FINANCIAL MANAGEMENT ANALYST, Position Description Number D2513P01... ...and that funds are safeguarded against waste, loss, and misappropriation. Reviews... ...control procedures to protect against fraud, waste, and abuse. 7. Performs other duties as assigned...FraudPermanent employmentFull timeContract workTemporary workPart timeWork at officeImmediate startTrial period
$43.89k - $93.57k
...Assist with investigative research related to coding questions, state and federal policies. Identify potential billing errors, abuse, and fraud. Identify opportunities for savings related to potential cases which may warrant a prepayment review. Maintain appropriate...FraudHourly payFull timeTemporary workLocal area$65k - $88.6k
...Become a part of our caring community The Fraud and Waste Professional is responsible for conducting comprehensive investigations of reported... ...of reported, alleged, or suspected fraud, waste, and abuse involving the Medicaid program. Coordinate investigations with...FraudFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- ...Accounts Payable Analyst Are you an analytical, detail-oriented AP professional who enjoys solving problems and keeping payments on... ...information and maintain accurate records to help prevent payment fraud. Identify recurring issues and recommend process improvements...Fraud
$32.03 - $45.7 per hour
...available Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) Remote! Status... ...referrals; Assist in the investigation of potential fraud, waste, and abuse. - Conduct research in support of an investigation...FraudRemote jobHourly payPermanent employmentFull timeTemporary workLive inCurrently hiringShift work$60k - $80k
...AML Transaction Monitoring Analyst TCS is seeking a detail-oriented and analytical AML Transaction Monitoring Analyst to join our Financial... ...Monitoring, KYC, Compliance Operations, Financial Crimes, Fraud Investigations, or related fields. ~ Working knowledge of Bank...Fraud- ...driven to make healthcare more accessible for all Americans. Data Analyst to join our Provider Network Analytics team. As a Data Analyst,... ...displayed on websites other than questanalytics.RECRUITMENT FRAUD ALERT We urge you not to disclose any personal or financial information...FraudWork at officeRemote workRelocationFlexible hours
- Sentara Health Plans is hiring for an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) in a remote role. The position offers full-time status with 40 hours weekly, primarily 8am-5pm EST, Monday-Friday. Remote work is available for multiple states...FraudRemote jobFull timeMonday to Friday
$52.9k - $108k
...Job Number: R0250497 Maintenance Analyst The Opportunity As a maintenance analyst, you know the importance of delivering strategic, data... ...intelligence to ensure authenticity and protect against identity fraud. You are expected to be on camera during interviews and...FraudFull timeContract workPart timeLocal areaRemote work$90.9k - $129.9k
...development. Summary As a PBM / Healthcare Manager at Gainwell, you will lead quality assurance efforts for a complex Fraud, Waste, and Abuse (FWA) solution, ensuring testing strategy, execution, and delivery readiness support successful project outcomes. You will...FraudFull timeRemote workFlexible hours$87.7k - $98.22k
...labor and supply chain efficiency, reduce waste and mitigate loss, advance sustainability... ...Job Description The Risk Analyst is an integral part of the Risk Management... ...and protect our candidates from identity fraud, we require video and/or in-person interviews...FraudLocal areaWorldwide$61.9k - $141k
...Nuclear AnalystThe Opportunity:As a nuclear analyst, you’re passionate about the safe, efficient, and compliant operation of nuclear facilities... ...to ensure authenticity and protect against identity fraud. You are expected to be on camera during interviews and assessments...FraudFull timeContract workPart timeWork at officeLocal areaRemote work$61.9k - $141k
...Job Number: R0243235 Radar Modeling and Simulation Analyst The Opportunity: Your engineering skills and determination are needed... ...intelligence to ensure authenticity and protect against identity fraud. You are expected to be on camera during interviews and...FraudFull timeContract workPart timeLocal areaRemote work$103.8k - $139.2k
...the Twin Cities to build a career. The Lead Business Systems Analyst serves as a senior liaison between Information Technology and business... ...recruitment experience for our applicants. Recruitment fraud is a growing concern for job seekers, so please be aware that throughout...FraudRemote workWork visa$109k - $155.7k
...ideal for someone who combines healthcare fraud, waste, and abuse expertise with a passion for user... ...engagement activities that help investigators, analysts, and supervisors maximize the value of... ...understanding of how healthcare FWA detection analytics and case...FraudFull timeWork at officeRemote workFlexible hours$46.99k - $112.2k
...Dental Fraud InvestigatorWe're building a world of health around every individual — shaping... ...investigation and prosecution of Fraud, Waste and Abuse.Collaboration with Dental Network,... ...relevant electronic documentation.Clinical or FWA Dental experienceEducationBachelor's...FraudHourly payFull timeTemporary workLocal area- Centra Credit Union in Columbus, Indiana, is seeking a full-time Loss Prevention Specialist to protect member assets and prevent fraud. You will investigate fraud scenarios, manage disputes, file reports, and communicate with Members and Team Members about fraud or disputes...FraudFull time
$59.2k - $98.6k
...About the Role We are seeking a detail-oriented Sales Operations Analyst to join our team, supporting multiple business segments across... ...results for their clients; businesses and governments prevent fraud; consumers access financial services and get fair prices on insurance...FraudFull timeContract workLocal area- ...records to determine risk exposure related to money laundering, fraud, sanctions, and other compliance issues. • Escalate... ...regulatory or operational concerns. • Coach less experienced analysts by sharing investigative guidance, offering feedback, and promoting...FraudPermanent employmentWork at office
- ...responsible for the Quality Assurance, Grievances & Appeals, and Fraud, Waste & Abuse teams. This role functions as both the director setting... ...lead efforts to proactively identify and investigate potential FWA • Review results across all three departments and identify process...FraudWork experience placementWork at office
$140k - $150k
Position Title: Audit Analyst Location: Remote Salary: $140,000.00 - $150,000.00 Position Summary: Command Cyber Solutions is seeking an... ...key role in identifying risks, detecting anomalies or potential fraud, and providing actionable recommendations to improve operations...FraudContract workTemporary workWork experience placementWork at officeRemote workFlexible hours- ...strong foundation in Data & AI. ABOUT THE PROGRAM As a Summer Analyst in the Data & AI Program at JPMorganChase, you will help drive transformation... ...Our capabilities support critical functions including trading, fraud prevention, wealth management, and cybersecurity, delivering...FraudWork experience placementSummer workSummer internshipWorldwideVisa sponsorship
$45 - $52 per hour
Senior Business Systems Analyst Remote Role Contract Compensation: $45-52/hr ABOUT THE ROLE Our client is seeking a Senior... ...with cross-functional teams including Product, Architecture, Fraud, and AI vendors. The position splits responsibilities between business...FraudContract workLocal areaRemote work- ...vulnerabilities. Monitors industry trends and emerging risk issues to identify and proactively mitigate Sutton Bank's potential AML and fraud vulnerabilities related to program manager oversight.Assists with implementation procedures that comply with the Bank's policies and...Fraud
$92.82k - $124.8k
...Samsara seeks a high-performing, creative, and proactive Senior Legal Analyst & Litigation Project Manager to join our Legal team. The role... .... Our Commitment to Authenticity We use Tofu, a fraud detection tool, to validate the authenticity of applications and...FraudFull timeRemote workFlexible hours$50 - $60 per hour
...$60.00 USD Hourly Position Summary The Senior Business Systems Analyst (BSA) / Testing Lead will serve as a key delivery resource supporting... ..., including virtual agents, voice AI, customer authentication, fraud servicing, and API-enabled customer interactions. This...FraudHourly pay- ..., heard, and empowered to make an impact.The Senior Procurement Analyst is responsible for transforming complex data into actionable business... ..., spouses, and children), and voluntary identity theft and fraud protection.*100% paid by ADS.Why Join ADS?Growth Opportunities &...FraudTemporary workWork at officeLocal areaFlexible hours
$55.2k - $126k
Technical Business Analyst Remote Work: Yes Job Number: R0246110 Location: Beavercreek,OH,US The Opportunity To transform in today's... ...intelligence to ensure authenticity and protect against identity fraud. You are expected to be on camera during interviews and assessments...FraudFull timeContract workPart timeWork at officeLocal areaRemote work
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