FWA Analyst Intern

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

• 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

• Must have high speed Internet (satellite is not allowed for this role) with a minimum speed of 25mbs download and 5mbs upload.