The Fraud Senior Analyst plays a critical role in protecting the organization’s International Health portfolio by leading Fraud, Waste and Abuse (FWA) investigations, driving measurable affordability outcomes, and strengthening prevention strategies across the claims lifecycle. The position combines investigative expertise, data-driven insight, and stakeholder influence to reduce financial leakage, improve claim governance and support sustainable savings delivery across the region. This role is responsible for detecting and recovering FWA payments, creating solutions to prevent claims overpayment and future spend monitoring within a dedicated region. He / She will work closely with other PI team members, Network, Medical Economics, Data Analytics, Claims Operations, Clinical partners, and Product.
Operating with a high degree of independence, the Fraud Senior Analyst owns end-to-end investigative activities within a dedicated region. The role extends beyond case handling to include proactive identification of systemic risks, development of preventive controls, and partnership with regional and global stakeholders to enhance Payment Integrity strategy. The incumbent acts as a subject matter expert, contributing to operational improvements, automation initiatives, and cross-market collaboration to strengthen FWA detection and mitigation capabilities.