**Hybrid Work Environment - Must reside in Hawaii**
Pay Range: $53,000 - $99,000
Note: Individuals typically begin between the minimum to middle of the pay range
Responsible for the intake, review and documentation of Fraud, Waste and Abuse (FWA) allegations referred to the Special Investigations Unit (SIU). Initiate and drive pro-active FWA cases through to resolution. Provides recommendations to close inquiries or open investigative cases for FWA referrals. Resolve complex FWA investigative cases via in-depth research and analysis, interviews, onsite audits and other investigative techniques through the recovery of healthcare dollars and allocation back to applicable entities. Manages regulatory notices, case summaries and collaborates with external entities, including but not limited to federal, state and law enforcement. Collaborate with vendors on FWA allegations and cases impacting HMSA. Lead on-site provider audits for the purposes of FWA investigations and internal audits as applicable.