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

FWA Analyst Intern

Job Description

Key Responsibilities

Skills, Knowledge and Expertise

Benefits