Accountabilities:

• Serve as the primary account manager and trusted advisor for client operational contacts, building strong relationships and understanding their business needs, priorities, and challenges.
• Manage the operational implementation and execution of FWA programs in partnership with health plan operations teams and internal stakeholders.
• Coordinate client-facing and internal meetings, including scheduling, agendas, presentations, facilitation, meeting minutes, action-item tracking, and follow-up.
• Manage cross-functional initiatives and joint projects, ensuring internal teams and clients remain aligned on objectives, milestones, deliverables, and timelines.
• Monitor program performance, analyze monthly results and trends, identify root causes of operational issues, and develop actionable improvement plans.
• Prepare client performance summaries that highlight key trends, business drivers, initiative status, risks, and opportunities.
• Act as a subject matter expert on FWA-related activities, investigations, operational processes, and program requirements.
• Identify client education needs and develop or deliver training programs for both new and existing clients.
• Manage client inquiries and requests through appropriate tracking systems, ensuring timely resolution and clear communication.
• Maintain accurate, current client documentation and project records while ensuring confidential information is handled appropriately.
• Work closely with FWA operational teams to monitor open action items, resolve issues, and maintain consistent service delivery.
• Identify and develop solutions to invoicing challenges and participate in strategic business initiatives that support client and organizational goals.

Requirements:

• Bachelor’s degree or higher preferred, with 5+ years of healthcare experience, particularly in healthcare operations or consulting environments.
• At least 5 years of industry knowledge and experience related to healthcare Fraud, Waste & Abuse programs and requirements.
• 2+ years of project or team management experience, including meeting facilitation, coordination, and follow-through on deliverables.
• 2+ years of client relationship management experience, with the ability to work effectively with stakeholders at different organizational levels, including executives.
• Strong understanding of healthcare FWA investigations, operational processes, and program requirements.
• Demonstrated project management, organizational, planning, and prioritization skills, with the ability to manage multiple initiatives and deadlines simultaneously.
• Strong analytical, root-cause analysis, problem-solving, and financial acumen skills, with a results-oriented approach to delivering accurate, high-quality work.
• Excellent written, verbal, presentation, and public-speaking skills, with the confidence to communicate recommendations to senior stakeholders.
• Proficiency with Microsoft Office, particularly Word, Excel, and PowerPoint.
• Ability to work effectively within a matrix organization and collaborate with distributed, cross-functional teams.
• Strong independent judgment, adaptability, and professionalism, including the ability to handle confidential information appropriately.
• Willingness to travel up to 10% and flexibility to occasionally participate in after-hours or weekend work when required for major deadlines or deliverables.
• Ability to work effectively with international teams and accommodate meetings across global time zones.
• Must be able to maintain a dedicated, secure remote workspace with reliable high-speed internet connectivity.

Benefits:

• Remote position available anywhere in the continental United States.
• Base compensation of $82,000–$111,000 USD per year, with offers determined by experience, education, skills, certifications, and business needs.
• Medical, dental, and vision insurance.
• Disability and life insurance coverage.
• 401(k) savings plan.
• Paid family leave.
• 9 paid holidays annually.
• 17–27 days of PTO per year, depending on level and length of service.
• Opportunity to work with healthcare clients on complex FWA and operational initiatives.
• Collaborative, cross-functional environment with opportunities to contribute to strategic business initiatives.
• Professional growth opportunities through exposure to healthcare operations, client management, FWA, and program optimization.