Healthcare Fraud Policy Research Analyst

Healthcare Fraud Policy Research Analyst, Lead

Key Role:

Grow with our compliance and anti-fraud team with the responsibility to perform advanced analyses to ensure the integrity of health insurance programs. Assist with developing and implementing the program integrity focused engagement and growth strategy. Leverage client-specific knowledge and networks to lead, plan, grow, and manage progressively larger and more complex programs. Generate innovative ideas for creative solutions and collaborate with other subject matter experts to ensure specialized topics are appropriately addressed. Assist the client in efforts to identify and assess exposure or vulnerability to fraud, waste, and abuse in programs, and provide support and assistance to state program integrity functions. Assess and monitor the impact of policy and payment changes on access to care, beneficiary health outcomes, and program payments, while applying healthcare payer expertise to address payer strategic and operational priorities. Due to the nature of work performed within this facility, U.S. citizenship is required.

Basic Qualifications:

• Experience analyzing, interpreting, and writing reports of dat...