All roles

Open role

Advisor Business Analyst – Fraud, Waste & Abuse

Remote · Italy Full-time

Job Description:

  • Translate business needs into detailed UI mock-ups and requirements/user stories that guide development efforts
  • Proactively identify opportunities for system enhancements or gaps that increase product value and operational efficiency
  • Define acceptance criteria and expected system behavior
  • Apply the test scenarios to execute User Acceptance Testing
  • Participate in post-deployment testing sessions that occur after normal business hours
  • Communicate effectively with both technical and non-technical audiences
  • Create and maintain organized product project plans to support product development
  • Lead requirement elicitation meetings with clients and stakeholders
  • Configure and tailor client system environments
  • Deliver product demos, walkthroughs, and training as needed

Requirements:

  • 5+ years of SME experience leading healthcare fraud and abuse detection and investigations
  • 2+ years of experience in requirement elicitation, analyzing and documenting business processes and system requirements that are leveraged by development teams
  • Certification: Professional certification as a Certified Fraud Examiner (CFE) or Accredited Health Care Fraud Investigator (AHFI) is desirable
  • Curiosity to solve complex problems and strong interpersonal skills to interact with and influence clients and team members
  • Ability to clearly and concisely translate technical requirements to a non-technical audience

Benefits:

  • generous, flexible vacation policy
  • educational assistance
  • comprehensive health benefits
  • 401(k) employer match

More open positions

Associate Fraud Risk Analyst

Work from home Full-time role

Risk Operations Investigator

Work from home Full-time role

Associate Counsel - NY

Work from home Full-time role

Paralegal Specialist – Insurance Defense - Atlanta, GA (Remote)

Work from home Full-time role

Veterinary Medical Law Attorney - Irvine

Work from home Full-time role

Senior PHP/Laravel Developer (+Shopify)

Work from home Full-time role

Data Entry Specialist – Remote Entry‑Level Computer Work – Specialty Pharmacy Analytics & Reporting – careerzynith Philippines

Work from home Full-time role

[Remote] Sales Development Representative

Work from home Full-time role

Experienced Customer Service Representative – Remote Opportunity in TX State

Work from home Full-time role

REFERRAL COORDINATOR- Flex/PRN (remote)

Work from home Full-time role

Administrative Assistant Clerk - Work From Home Remote Part-Time / Full-Time

Work from home Full-time role

Genetic Counseling Assistant (GCA) - Remote

Work from home Full-time role

Senior Sales Development Representative

Work from home Full-time role

Manager, Compensation

Work from home Full-time role

Remote Customer Service Project Management Principal – Lead Cross-Functional Initiatives and Drive Process Improvements

Work from home Full-time role

[Hiring] Research Scientist @University of Washington

Work from home Full-time role

Easy Work from Home Data Entry Jobs for Teens

Work from home Full-time role

Remote DevOps Engineer Jobs

Work from home Full-time role

Remote Customer Service Agent – Aviation Industry Professional Supporting Travelers Worldwide

Work from home Full-time role

Experienced Data Entry Assistant – Unlock Endless Opportunities with careerzynith

Work from home Full-time role

Entry Level Remote Junior CVS Data Entry Clerk – Full Training Provided, Immediate Hire at careerzynith

Work from home Full-time role