Project Coordinator – Fraud, Waste & Abuse

locationsRemote USAtime typeFull timeposted onPosted 12 Days Agojob requisition idR2425

What are important things that YOU need to know about this role?

  • Seeking organized go-getter with a strong attention to detail to help define and refine this newly created position.
  • Familiarity within dental industry will be key so you can act as a hybrid investigator partnering closely with our dental consultants.
  • Work location can be remote in the U.S. or in person in our Menomonee Falls, WI location (near Milwaukee).

What will YOU be doing for us? Support Fraud, Waste & Abuse (FWA) department and adjacent operational teams in efficiently and effectively managing FWA investigation projects.  Coordinate projects by documenting status and updates, utilizing available tools to create information related to project status and metrics, and communicating updates to staff and clients.  Communicate with internal staff to assess progress and answer questions from clients regarding project status and/or metrics.

What will YOU be working on?   

  • Facilitate communication and solutions through various mediums of communication.
  • Coordinate all necessary project update meetings for both internal staff and clients.
  • Attend all project related meetings to provide necessary updates and document meeting minutes.
  • Utilize tools (Oracle Project Management Tool/Excel, and Visio) to track all project deliverables and status.
  • Maintain e-mail box requests by monitoring status, filtering and reporting, and responding and/or routing as required.
  • Develop and publish project status reports and metrics to internal and external parties.
  • Proactively communicate with internal staff members regarding status of deliverables.
  • Communicate any potential roadblocks to department management for assessment and contingency planning.
  • Organize and maintain all project communication and documentation.
  • Communicate with client management staff regarding questions on project reports and status metrics.
  • Assist implementation and operational teams with project tasks to assure timely, accurate and efficient delivery of project requirements.
  • Assist in development of project management related tools including project reports, status metrics, and tools utilized to track project deliverables, etc.
  • Recognize and suggest potential system and process enhancements that could be made to increase effectiveness or efficiency.

What qualifications do YOU need to have to be GOOD candidate? 

  • Bachelor’s degree in business or other related field or equivalent experience in a general administrative role.
  • Familiarity with medical/dental charts.
  • Familiarity with healthcare procedure codes and modifiers.
  • Familiarity with the healthcare claim submission process.
  • Ability to prioritize multiple projects effectively.
  • Strong attention to detail.
  • Ability to effectively convey and receive ideas, information, and directions.
  • Ability to build and maintain work relationships and contacts needed to effectively address issues and obstacles.
  • Ability to display strong written and verbal communication skills.
  • Ability to remain organized despite multiple interruptions.

What qualifications do YOU need to have to be GREAT candidate? 

  • Experience in healthcare, dental and vision highly preferred.
  • Knowledge of commonly used project management tools (OneNote, Microsoft Project and Excel).
  • Experienced with Visio to flow out processes/procedures as necessary.
  • Experienced with remote meeting setup and facilitation.
  • Prior dental experience a strong plus.
  • Prior FWA experience a strong plus.

The salary range and midpoint is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range.

Compensation Range:$57,544.00 – $86,316.00

Compensation Midpoint:$71,930.00