Seeking a full-time, remote, Program Integrity Analyst to assist with investigations and administrative actions relating to Medicare/Medicaid claims.Essential Duties and Responsibilities· Perform evaluation and development of leads, complaints, and/or investigations to determine if further investigation and administrative actions are warranted· Conduct independent reviews resulting from the discovery of situations that potentially involve fraud o...
Seeking a full-time, remote, Program Integrity Analyst to assist with investigations and administrative actions relating to Medicare/Medicaid claims.Essential Duties and Responsibilities· Perform evaluation and development of leads, complaints, and/or investigations to determine if further investigation and administrative actions are warranted· Conduct independent reviews resulting from the discovery of situations that potentially involve fraud o...
'Company Overview'. 'WCC, Inc. is a distinguished industry leader based in Irvine, California, with a proud history spanning over 34 years. We are committed to excellence and innovation in our field, fostering a dynamic environment for our team and clients.'. 'Summary'. 'We are seeking a highly organized and proactive Executive Assistant to support our CEO at WCC, Inc. This pivotal role is based in Irvine and offers an exciting opportunity to con...
Job SummaryWCC is seeking SNAP SMEs for participation in a new working group being formed to design improved processes and procedures to strengthen the SNAP program’s effectiveness in face of new legislative challenges threatening the program’s funding. Selected working group members will operate in a strategic advisory role.Essential Duties and Responsibilities· Work under management’s direction to provide innovative and improved processes, proc...
Job SummaryWCC is seeking SNAP SMEs for participation in a new working group being formed to design improved processes and procedures to strengthen the SNAP program’s effectiveness in face of new legislative challenges threatening the program’s funding. Selected working group members will operate in a strategic advisory role.Essential Duties and Responsibilities· Work under management’s direction to provide innovative and improved processes, proc...
Job SummaryPerform in-depth evaluation and analysis of potential fraud cases and requests for information using claims information and other sources of data. Support the development of complex cases that involve high dollar amounts, sensitive issues, or that otherwise meet criteria for referral to law enforcement, recoupment of overpayment, and/or administrative action based on reactive and proactive data analysis.Essential Duties and Responsibil...
At WCC, we build high-impact, mission-critical HR tech solutions used by governments and public institutions across the globe to help millions of people find suitable jobs today and prepare for the labor market of tomorrow. We are looking for a pragmatic. Data Scientist / AI Engineer. who blends strong analytical skills with solid engineering and architectural capabilities. You will help shape and deliver scalable AI solutions, ranging from class...
Job Summary. Perform in-depth evaluation and analysis of potential fraud cases and requests for information using claims information and other sources of data. Support the development of complex cases that involve high dollar amounts, sensitive issues, or that otherwise meet criteria for referral to law enforcement, recoupment of overpayment, and/or administrative action based on reactive and proactive data analysis. Essential Duties and Responsi...
Job Summary. Perform in-depth evaluation and analysis of potential fraud cases and requests for information using claims information and other sources of data. Support the development of complex cases that involve high dollar amounts, sensitive issues, or that otherwise meet criteria for referral to law enforcement, recoupment of overpayment, and/or administrative action based on reactive and proactive data analysis. Essential Duties and Responsi...
Job Summary. As a Data Analyst II, you will conduct thorough evaluations and advanced analyses of potential fraud cases and data inquiries by leveraging claims information and multiple data sources. Provide critical support in developing complex, high-value, or sensitive cases that warrant referral to law enforcement, recovery of overpayments, or administrative action—driven by both proactive and reactive data analysis strategies. . Essential Dut...
