Conduct research and analyses to support investigations of fraud, waste, and abuse
Analyze and validate claims data for trends and patterns that may indicate fraud
Coordinate data from various sources and develop reports for clients regarding fraud and abuse analysis
Required Qualifications
Bachelor's Degree or equivalent education and experience; Pharmacy Technician certification is preferred
2-4 years of experience in data analytics within healthcare or pharmacy benefits management
Familiarity with state and federal privacy laws and compliance program objectives
Willingness to pursue professional designations related to fraud analysis and investigation
Ability to interact cooperatively and respectfully with colleagues
Average salary estimate
$70000
/ YEARLY (est.)
min
max
$60000K
$80000K
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