Job Description

WE ARE HIRING!
Medical Fraud, Waste and Abuse Auditor
Responsibilities

• Audit medical claims performance to detect potential fraud, waste, and abuse.
  Analyze provider utilization and billing trends using data analytics tools.
  Investigate anomalies, coordinate with claims and network teams, and recommend corrective actions.
  Support recovery of overpayments and implementation of preventive controls.
  Prepare FWA audit reports and assist in developing fraud detection frameworks.
  Qualifications
  Bachelor’s degree in Medicine, Pharmacy, Nursing, or a related field.
  2-4 years of experience in claims audit, coding, or fraud detection within insurance or TPA.
  Certifications such as CPC, CPMA, or ClI are an advantage.
  Knowledge of DOH/DHA regulations, medical coding, and insurance operations.
  Skills
  Strong analytical mindset with attention to detail.
  Proficiency in Excel, Power BI, or data visualization tools.
• Excellent communication, documentation, and negotiation skills.
  Integrity, accountability, and ability to work under pressure.
  Send your CV to
  Careers@fidelityunited.ae