Central California Alliance for Health

Fraud Waste Abuse (FWA) Specialist II (Defined Term)

Central California Alliance for Health(14 days ago)

HybridFull TimeMedior$63,645 - $111,904Compliance
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About this role

The Fraud Waste Abuse (FWA) Specialist II (Program Integrity Specialist II) is a defined-term, fully benefited position within the Compliance Department at Central California Alliance for Health. The role supports the organization’s program integrity, privacy, and compliance efforts related to Medi-Cal and Medicare Advantage and is expected to run through December 31, 2026.

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Required Skills

  • Fraud Investigation
  • HIPAA
  • Microsoft Excel
  • Data Analysis
  • Privacy Compliance
  • Multitasking
  • Remote Work
  • Medi-Cal
  • Medicare Advantage

Qualifications

  • Bachelor’s Degree
  • Master’s Degree
Central California Alliance for Health

About Central California Alliance for Health

thealliance.health

Central California Alliance for Health is a state‑funded Medi‑Cal managed care plan that provides health coverage to residents of Mariposa, Merced, Monterey, San Benito, and Santa Cruz counties. The Alliance coordinates and finances medical, behavioral health, and preventive services through a network of local providers to improve access and health outcomes for its members. It also partners with community organizations and programs to support enrollment, member education, and efforts addressing social determinants of health.

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