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Senior Healthcare Fraud, Waste and Abuse (FWA) Analyst

Date:  Sep 12, 2022
Location: 

Any city, TX, US, 99999

Req ID:  10780

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 

Summary

As a Senior Healthcare Fraud, Waste and Abuse (FWA) Analyst  at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

Your role in our mission

  

  • Responsible for planning and conducting statistical and epidemiological analysis of health care data in support of the Gainwell Technologies LLC Mission, Vision, Key Quality Strategies, and Values.
  • Design and conduct analysis of health care databases using SQL, PowerBI, Python, R or other statistical analysis software and other relevant tools for multiple health care projects.
  • Serve as an analytic resource within multi disciplinary project teams.  
  • Provide statistical and analytical input to payment integrity model design, sampling methodology, analysis, and reporting to assure desired outcome.  
  • Work may focus on more complex projects.  
  • Develop data formatting and cleaning criteria for data from various sources and evaluates relevant data.  
  • Coordinate across data platforms and teams to ensure data accuracy and proper data analysis results
  • Prepare reports and presentations documenting analytic methods and results.  
  • Conduct ad hoc analyses of data as requested by hospitals, clinicians, and internal customers.
  • Mentor more junior team members

What we’re looking for

  • Apply statistical and analytical methods to identify potential FWA activity using healthcare claims data (4+ years)
  • Prepare reports and presentations documenting analytic methods and results for internal and external customers (4+ years)
  • Work on complex projects to identify and validate new FWA detection models and methods including the analysis of data inputs and outputs (4+ years)

What you should expect in this role

  • Fully remote opportunity with the option to work anywhere within the United States

 

 

 

The pay range for this position is $77,200.00 - $96,500.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

 

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

 

Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

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