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Prevention & Control Specialist
SafeRide HealthPrevention and Control Specialist at SafeRide Health analyzing transportation data to identify fraud patterns. Conducting outreach and collaborating with teams to uphold program integrity.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in fraud detection and analysis within healthcare operations, utilizing data analysis and communication skills to collaborate effectively with internal teams and external partners. Proficient in operational technical systems and maintaining organized documentation while adhering to structured workflows.
Highest-signal resume keywords
Fraud DetectionData AnalysisHealthcare OperationsCommunication SkillsOperational Technical Systems
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data AnalysisFraud DetectionDocumentationInvestigative TechniquesStructured Workflows
Soft Skills
Strong CommunicationDetail-OrientedCalm Under PressureOrganizational Skills
Tools & Technologies
QuickSightDashboardsSpreadsheetsJira
Industry Keywords
MedicaidMedicareHealthcare OperationsFraud PreventionCustomer Service
About the role
Key responsibilities & impact- Monitor ride activity to identify potential instances of fraud, waste, or abuse.
- Analyze data to detect emerging patterns or trends.
- Conduct proactive outreach and document findings with precision.
- Collaborate with internal teams to strengthen safeguards.
- Contact healthcare facilities to verify past and upcoming member rides or claims.
- Identify and assess transportation provider fraud by utilizing SafeRide’s Jira fraud-tip system.
- Perform detailed investigations, document findings, and escalate cases as appropriate.
- Flag members or cancel rides confirmed as fraudulent.
- Monitor for emerging fraud patterns and high-profile cases.
Requirements
What you’ll need- High school diploma or equivalent.
- 1+ year in customer service or healthcare operations.
- Strong written and verbal communication; confident on the phone with external partners.
- Comfortable learning and using operational technical systems (i.e., QuickSight), dashboards, and spreadsheets.
- Organized, detail-oriented, and calm under pressure; able to follow structured workflows and escalate appropriately.
- Familiarity with Medicaid/Medicare or healthcare operations.
- Open to travel 10% of the time.
Benefits
Comp & perks- N/A 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score