2024-12-02
Delta Dental of Washington
Other
/yr
employee
contract
Seattle
Washington
98109
United States
Healthcare Fraud, Waste, and Abuse Specialist
CATEGORY: Clinical Review
REQUISITION NUMBER: PROGR001299
LOCATION: Seattle, WA 98109, USA
We are looking for a Program Integrity Analyst to play a big role in safeguarding DDWA purchasers and programs from fraud, abuse, overbilling, misrepresentation, waste and/or violation of contract or law to minimize exposure to financial loss.
This position will also support our Providers by building trust through professional, timely and transparent correspondence, informative outreach and audit follow up, and continual assessment of program thresholds and benchmarks to further improve the provider experience.
At Delta Dental of Washington our vision is that all people can enjoy good oral and overall health, with no one left behind. We succeed because of a shared commitment to a set of values that guide everything we do – for our customers, for our communities, and for each other. We are Accountable. We lean in with Courage. We stay Curious. We are Inclusive. We act with Integrity.
We offer a highly competitive medical, dental and vision plans as well offering a generous 401k match and all employees start accruing vacation and sick time from their very first day. We empower employee development through our tuition reimbursement plan, professional development plans, and employee-led communities.
The pay range for this position In Western Washington varies between $60,435.00 – $84,533.00, and for Eastern Washington varies between $53,720.00 - $75,140.00. Washington Dental Service and its affiliates, including Delta Dental of Washington and Arcora Foundation intends to offer the selected candidate a base pay within this range, dependent on job-related, non-discriminatory factors such as experience. Base pay will also be adjusted based on the candidate's geographic location.
Essential Responsibilities include the following: The list of responsibilities listed is not intended to be comprehensive. Washington Dental Service and its affiliates, including Arcora Foundation, Delta Dental of Washington, and TriForza reserve the right to change the responsibilities at any time with or without notice.
Experience, skills, and education do you need to have to succeed in the position: The requirements listed below are representative of the knowledge, skill, and/or ability required to successfully perform the essential functions of the position.
Washington Dental Service and its affiliates, including Arcora Foundation, Delta Dental of Washington, and TriForza is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
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