Perform complex reconciliations to support the balances as reflected on the monthly balance sheets Develop, write, edit and maintain financial worksheets and/or reports on the computer system using appropriate software Review monthly account status and transaction printouts for accuracy; work with departmental Administrator and Principal Investigator to resolve problems a

Consistently apply in depth knowledge of federal and state regulations and healthcare industry standards. Conduct independent data mining and data analysis techniques utilizing claims data to detect aberrancies and outliers in claims and develop trends and patterns for potential cases. Develop algorithms, queries, and reports to detect potential FWA activity. Analyze memb