Fraud Waste Abuse (FWA) Specialist II (Defined Term)
Central California Alliance for Health(14 days ago)
About this role
A Fraud Waste Abuse (FWA) Specialist II (Program Integrity Specialist II) is a defined-term, fully benefited compliance position at Central California Alliance for Health. The role supports the organization’s mission to provide accessible, quality healthcare by contributing to program integrity, regulatory compliance, and privacy efforts within the Compliance Department.
Required Skills
- FWA Investigations
- Program Integrity
- Privacy Compliance
- HIPAA
- Microsoft Excel
- Reporting
- Data Analysis
- Audit Techniques
- Case Management
- Multitasking
Qualifications
- Bachelor’s Degree in Healthcare Administration, Public Health Administration, Criminal Justice, Finance, or related
- Master’s Degree (may substitute for two years of required experience)
About Central California Alliance for Health
thealliance.healthCentral 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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