Job Summary

A staffing agency is seeking a Remote Healthcare Fraud Case Development Analyst in Sacramento.

Candidates will be responsible for the following:

• Datamining for possible fraudulent, waste or abuse provider patterns within the Medi-Cal program
• Providing support for existing A&I fraud and abuse cases such as data analysis
• Reviewing case summaries and report developed and presented by team members

Qualifications Include:

• Client has started working on site (2 weeks on site, 2 weeks remote)
• The ideal candidate will have Healthcare Fraud and Abuse experience to include data mining (3 yrs)
• Should have excellent written and verbal communications skills
• Program integrity experience in Medicare or private insurance will be considered
• Business Objects, Excel and Word