Note: The job is a remote job and is open to candidates in USA. Healthcare Fraud Shield is seeking a part-time Fraud, Waste and Abuse (FWA) Analyst Intern for their healthcare software platform. The intern will work with the Special Investigations Unit and IT teams to research FWA schemes, execute test cases, and ensure quality throughout the software development lifecycle.
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 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
- Benefits packages are not available to part-time employees.
Company Overview
Healthcare Fraud Shield is a provider of dynamic fraud, waste and abuse detection software solution. It was founded in 2011, and is headquartered in Chesterfield, Missouri, USA, with a workforce of 51-200 employees. Its website is http://www.hcfraudshield.com/.