Description

The Fraud, Waste, and Abuse (FWA) Analyst plays a critical role in safeguarding state Medicaid programs by identifying, analyzing, and preventing fraudulent activities within Medicaid claims. You will be working with a State Government Product and Data Mining team. Your primary responsibility will be to assist in the development and deployment of algorithms designed to support program integrity across various platforms and states plus support our fraud and abuse detection product and services.

Qualifications

Required Qualifications:

5+ years of experience writing advanced SQL queries

5+ years of fraud, waste and abuse data mining experience

4+ years of data analysis experience working with database structures

4+ years of healthcare claims experience

Preferred Qualifications: <...