[Remote] FWA Analyst Intern

Remote Full-time
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.ResponsibilitiesUse knowledge of Fraud, Waste and Abuse (FWA) to research, test and identify effective alerts and algorithms targeting FWA detection and prevention on claimsProactively analyzes and tests output of FWA schemes and enhancements to existing FWA schemesUnderstanding of pharmacy and medical claims data analysis and quality monitoringMaintain alert and policy knowledgebaseResearch supporting documentation for knowledgebases by clientExecute test cases and analyze resultsDemonstrated aptitude for problem solving and debuggingIdentify and troubleshoot issues discovered during testing and reported by customersWork with cross-functional teams to ensure quality throughout the software development lifecycleSatisfies all applicable requirements imposed by applicable Company customers, clients, or business partners, with respect to the relationship and roleUnderstands and complies with all company Privacy and Security standardsOther duties as assignedSkillsKnowledge of healthcare Fraud, Waste and Abuse (FWA)Knowledge of health care, insurance, medical terminology, CPT, HCPCS, DRG, Revenue, ICD-10Ability to document and troubleshoot errorsExcellent communication skills both verbally and writtenAttention to detailAnalytical mind and problem-solving aptitudeExcellent troubleshooting and problem solving skillsAbility to communicate instructions in a clear and concise mannerComfortable multitasking in fast paced environmentAble to work independently as well as part of a dynamic teamStrong communication and listening skillsStrong analytical skillsStrong computer skillsDetail orientedBenefitsBenefits packages are not available to part-time employees.Company OverviewHealthcare 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/.

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