Create and manage various analytics including models, algorithms, outlier analysis, and reports to detect fraud, waste, and abuse of healthcare claims.
April 23, 2020
Actively collaborate with cross-functional business partners and analytics teams to design and generate advanced analytics and machine learning solutions.
May 09, 2020
Documents and participates in fraud investigations conference calls with legal counsel and external investigators.
May 12, 2020
Monitors/ reports on POSA Alerts for reseller activity, reviewing promotions for sold but not activated devices, to detect at risk transactions.
July 03, 2020
Manage projects including the management of analytic design, data preparation, development, documentation, implementation, monitoring, and refinement.
August 01, 2020
Performs controls of Company assets to ensure compliance with policy for usage and custody, while monitoring those who are not in compliance.
August 17, 2020
Assist in and track all activities related to recovery of inappropriate payments discovered as a result of fraud, waste and abuse analysis, audit, or investigation.
August 19, 2020
Develop comprehensive and detailed analyses on erroneous or fraudulent Medicaid billing activities in order to support the revenue collection and reconciliation process.
August 31, 2020
Provide expertise to manage, manipulate, and analyze data and report results.
September 14, 2020