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)
$91.1k - $179.5k
...the project, you will: Support the client in its mission to reduce fraud, waste, and abuse within programs by developing data analyses that identify entities participating in fraud, waste, and abuse (FWA) using multiple data sources for investigationDevelop products...FraudWork at officeLocal area- ...in the stewardship of public resources. As an Investigative Analyst, you will: Serve as the leader of HUD's CFO Strike Force initiatives... ..., the incumbent focuses on identifying and mitigating fraud, waste, abuse, improper payments, financial irregularities, and program...FraudFull timeTemporary workPart timeWork experience placementWork at office
- 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
$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$77.45k - $123.92k
...during the hiring process.We are looking for a modeling-focused analyst to lead and support commercial lines predictive modeling initiatives... ...consumer behavior (loss costs, marketing response, conversion, fraud, etc.) or other relevant target variables. Create new solutions...FraudFull timeWork experience placementWork at officeRemote work- ...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- 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
- 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
$91k - $202.8k
...technology risk exposures, including:· Cybersecurity events· System failures and outages· Data loss and disclosure events· Privilege misuse· Fraud and technology-enabled scams· Third-party technology dependencies· AI and emerging technology risksOversees development of risk...FraudFull timeTemporary workPart timeWork experience placementWork at office$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- ...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
- Business Analyst Anywhere Type: Contract Category: Business Analysis Industry: Technology Workplace Type: Remote Standard Hours: Open... ...you have any indication of fraudulent activity, please contact fraud@eliassen.com . About Eliassen Group: Eliassen Group is a...FraudHourly payContract workLocal areaRemote work
- Senior Business Analyst Anywhere Type: Contract-to-Hire Category: Business Analysis Industry: Financial Services Workplace Type: Remote... ...you have any indication of fraudulent activity, please contact fraud@eliassen.com . About Eliassen Group: Eliassen Group is a...FraudHourly payContract workLocal areaRemote work
$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$45 - $52 per hour
Senior Business Systems Analyst Remote Role Contract Compensation: $45-52/hr ABOUT THE ROLE Our client is seeking a Senior Business... ...collaborating with cross-functional teams including Product, Architecture, Fraud, and AI vendors. The position splits responsibilities between...FraudContract workLocal areaRemote work- ...Ohio. The role focuses on reviewing Medicaid service utilization, detecting fraud, waste, and abuse, and recovering inappropriate payments to providers. You will supervise RNs, auditors, and analysts, coordinate with law enforcement, and lead process improvements in a...Fraud
- SIHO is seeking a Director of Payment Integrity to lead the Quality Assurance, Grievances & Appeals, and Fraud, Waste & Abuse teams, shaping strategy and supervising daily operations. You will translate federal and state regulations into practical processes, drive continuous...Fraud
$112.4k - $179.9k
...advisor for all functional levels to consult with senior leadership; work with partners on the assessment of operational risk, including fraud, legal, compliance, technology and financial risks. Create a proactive risk and control culture that leverages proven evaluation...FraudFull timeTemporary workWork experience placementWork at officeLocal areaImmediate startRemote workWork visaFlexible hours- ...seeking a Claims Examiner III LPN to protect MVH program integrity by identifying, investigating, and preventing potential fraud, waste, and abuse. This role blends clinical expertise with data analysis to evaluate medical necessity and detect unusual utilization patterns...FraudRemote job
- CES is seeking an Undercover Field Investigator to collect data for audits and investigations related to fraud, waste, and abuse. This role involves field visits, interviewing stakeholders, and compiling comprehensive reports for resolution and closure. The position requires...FraudWork at office
- ...OH0713 NW Bancshares HQJob DescriptionThe UDAAP Analyst supports the Responsible Banking group in identifying, monitoring, and assessing Unfair, Deceptive, or Abusive Acts or Practices (UDAAP) risk across the organization. This role is responsible for assisting with investigative...Full timeWork at office
- ...Genesis10 is currently seeking a Senior Business Systems Analyst / Testing Lead for a contract position with a Regional Financial Institution... ...prioritization Coordinate requirements across Contact Center Fraud Digital and Enterprise Technology teams Review and make...FraudHourly payPermanent employmentContract workTemporary work
- ...issues, suggestions and/or repairs Adhere to all company, local, state, and federal laws and guidelines, including HIPAA Fraud, Waste and Abuse, and DEA Procedures Work collaboratively with team members to promote teamwork and align the goals of the organization Promote...FraudFull timeWork at officeLocal areaAfternoon shift
- ...directions for implementing the Army, Air Force, and National Guard Inspection System, Complaints Resolution Program, and Fraud, Waste, and Abuse Program. Work involves managing the Commanders' Inspection Programs at the JFHQ-State, Army National Guard units, and Air National...FraudPermanent employmentContract workTemporary workWork at officeLocal areaImmediate startTrial period
- ...assurance for programs serving individuals with developmental disabilities. Qlarant is also a national leader in fighting fraud, waste and abuse for large organizations across the country. In addition, our Foundation provides grant opportunities to those with programs...FraudTemporary workLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to FWA (Fraud, Waste, and Abuse) Analyst. Be the first to apply!




