SIU Investigator

Summary

Aspirus Health Plan in Wausau, WI is seeking a Fraud Waste Abuse Analyst to protect the organization from improper billing and potential fraud. The analyst reviews medical claims, provider patterns, and member activity to identify anomalies and ensure regulatory compliance.A clinical background, particularly as an RN, with utilization management and claims experience, is strongly preferred to support accurate interpretation of documentation and coding.#J-18808-Ljbffr

Job Description

Aspirus Health Plan in Wausau, WI is seeking a Fraud Waste Abuse Analyst to protect the organization from improper billing and potential fraud. The analyst reviews medical claims, provider patterns, and member activity to identify anomalies and ensure regulatory compliance.A clinical background, particularly as an RN, with utilization management and claims experience, is strongly preferred to support accurate interpretation of documentation and coding.#J-18808-Ljbffr