Behavioral Health Investigations Analyst
VirtualVocationsDes Moines, Iowa, United Statesjob_description.job_card.1_day_ago
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- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Behavioral Health FWAE Investigations Analyst - Remote.
Key Responsibilities
Investigate and review claims for trends related to Fraud, Waste, Abuse, and Errors
Interpret state and federal mandates, billing practices, and medical policies to make recommendations
Collaborate with business partners to resolve complex claims issues and participate in client meetings
Required Qualifications
2+ years of investigative experience
1+ years of experience working with healthcare claims data
Demonstrated advanced proficiency with MS Excel, including v-lookups and pivot tables
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Behavioral Behavioral • Des Moines, Iowa, United States
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