Fraud, Waste and Abuse (FWA) Expert
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Key skills for this role
About the Role
FWA Expert responsible for identifying, analyzing, and preventing fraud, waste, and abuse in healthcare programs. The role includes investigation of suspicious claims, developme.
Key Skills for This Role
Responsibilities
- Identify, analyze, and prevent fraud, waste, and abuse in healthcare programs
- Investigate suspicious claims
- Develop detection rules and controls
- Collaborate with compliance and legal teams
- Prepare investigation reports in line with regulatory requirements
Requirements
- Experience in healthcare fraud investigation
- Knowledge of fraud detection rules and controls
- Ability to collaborate with compliance and legal teams
- Strong analytical and report writing skills
Full Job Posting
Role Overview
- FWA Expert responsible for identifying, analyzing, and preventing fraud, waste, and abuse in healthcare programs.
Key Responsibilities
- Investigation of suspicious claims
- Development of detection rules and controls
- Collaboration with compliance and legal teams
- Preparation of investigation reports in line with regulatory requirements
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