Manager/Senior Manager - Fraud Waste & Abuse Mitigation - Payment Adjudication - Healthcare

We are looking for US Healthcare Professionals with any project experience in Fraud Waste and Abuse Mitigation.

Should have strong understanding in payment ecosystem in US Healthcare, Medical Benefit ratio, cost ratio, outsource able landscape, Medical fraud, waste and abuse.

1. Lead and manage identification and successful outcomes of Transformation Programs / Projects in the area of Payment adjudication in US Healthcare

2. Connect with clients to understand overall business landscape and drive opportunities for strategic value adds

3. Audit the current processes based on the payment irregularities and correct the course of action for future payments.