Hiring Specialized Healthcare Integrity Talent to Combat Fraud, Waste and Abuse

Billions of dollars are lost each year in the healthcare industry due to fraud, waste and abuse. Institutions are charged with combating these issues – which requires strong teams of specialized healthcare integrity experts for medical review and payment integrity.

So, what does it take to build a dream team of niche healthcare talent?

Integral roles in healthcare payment integrity

The ideal candidates for combating healthcare FWA are those familiar with the system from a clinical standpoint – because you can’t assess what you don’t know. A healthcare background provides critical knowledge that practitioners leverage to identify, flag and investigate FWA concerns.

Clinicians looking to shift from bedside care to administration possess specialized and diverse knowledge that is critical for medical review. Some niche roles that are ideal for transitioning practitioners include:

  • Nurse Reviewers
  • Medical Review Coders
  • Coding Auditors
  • Certified Legal Nurse Consultants
  • Fraud Investigators

Beyond the bedside – ideal traits for healthcare integrity candidates

Direct patient care requires many traits that are also ideal in healthcare payment integrity roles –empathy, quick-thinking, remaining calm under pressure, and a collaborative mindset, to name a few.

When assessing the specialized expertise needed to fill your niche healthcare integrity roles, soft skills are just as important as hard skills. Hiring managers will want to prioritize looking for the following traits in their candidates:

  • Detail-oriented
  • Knowledgeable
  • Problem-solver
  • Methodical
  • Well-rounded
  • Thorough
  • Relevant certifications/Credentials

Perhaps most importantly, a passion for healthcare and redirecting their expertise to protect patients and institutions from the devastating impacts of FWA.

Recruiting for niche healthcare integrity roles

Finding people with the specialized knowledge needed for niche healthcare talent roles is challenging. The ideal candidates – those with clinical healthcare backgrounds – often don’t know about these roles and what they entail.

To be successful, companies will need to proactively recruit these candidates. They will need to make clear that these roles offer the opportunity to continue utilizing their unique and hard-earned skills in the medical field with continued education and a mission to protect patients from FWA can help. But the question remains: how do HR departments find them?

That’s where Intara Talent comes in. We are an all-in-one hiring manager, subject matter expert, and recruitment coordinator with a niche pool of pre-screened professionals ready to get to work fighting FWA. Our deep understanding of healthcare integrity and years of successfully filling specialized roles help institutions hire quickly and effectively while saving valuable time and money.

Contact us today to learn how we can fill your niche healthcare integrity roles.