Healthcare Fraud Analyst

A company is looking for a Healthcare Fraud Analyst (Operations Operational Analyst IV). Key Responsibilities Identify efficient ways to save money using the Healthcare Fraud Shield tool - Pre-Shield Collaborate with teams across technology, security, compliance, and health services to enhance efficiency and security in member data Assist with the coordination of investigations related to suspected fraudulent or inflated billing Required Qualifications Bachelor's degree or equivalent experience in a related field 7 years of work experience beyond the degree Prior experience managing a vendor relationship with a product like Pre-shield Demonstrated ability to compile reports, conduct analysis, and prepare leadership presentations