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Fraud, Waste, and Abuse (FWA) Auditor/InvestigatorNew

Hawaii Dental Service · Wake Island, Honolulu, United States

Partial summary via job aggregator — the complete description is on the employer's site.

POSITION SUMMARY The Dental Fraud, Waste, and Abuse (FWA) Investigator/Auditor is responsible for conducting retrospective and prospective reviews, investigations, and audits of dental providers to identify potential fraud, waste, abuse, overpayments, and non-compliant billing practices. This position analyzes provider claims and clinical documentation, conducts audits, develops investigative findings, supports recovery efforts, and collaborates with internal and external stakeholders to ensure…

Salary Range: $78,250 to $89,000 Annually