layiq
/la·yiq/adjective
worthy; deserving; fitting; suitable.
A role, opportunity, or path that merits attention, time, and pursuit.
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Job opportunity
Medical Program Auditor/ Analyst
UMass Chan Medical School
Westborough, Massachusetts
Source: UMass Chan Medical School careers · View original posting
Employer job description
From UMass Chan Medical School's posting. “We” and “our” refer to the employer.
Overview
Under the general direction of the Associate Director or designee, the Fraud, Waste, and Abuse (FWA) Auditor serves a crucial role in identifying, investigating, and preventing fraud, waste and abuse for Medicaid programs. A major function of this position is to conduct desk and onsite audits across various provider types to ensure compliance with federal and state regulations.
The Auditor performs investigative activities to develop leads and detect aberrant billing practices, including data mining, claims analysis, and medical record assessment.
Onsite requirement 1-2 times per month, all other aspects of the job are remote.