Join VillageMD as a Fraud, Waste, and Abuse (FWA) Clinical Review Registered Nurse supporting ACO Operations. This role involves performing comprehensive clinical reviews to identify, prevent, and address potential fraud, waste, and abuse across value-based care arrangements. Conduct detailed clinical record reviews (inpatient and outpatient based) to identify potential fraud, waste, and abuse in accordance with CMS, payer, and organizational regulations and guidelines Assess medical necessity, appropriateness of services, coding accuracy, and documentation integrity Collaborate with Clinical Care Team Members, Compliance, Coding, Quality, and Market teams to resolve identified issues and corrective actions Serve as a clinical liaison and facilitate interdisciplinary meetings between corporate ACO Operations and market stakeholders Provide clinical insight and education related to documentation standards, utilization patterns, value-based care, and best practice principles Prepare clear, concise summaries and reports of review findings for leadership and regulatory purposes Support audits, investigations, and monitoring activities as needed Maintain up-to-date knowledge of all FWA regulations including CMS guidance and compliance requirements Work independently in a fully remote environment while meeting productivity and quality standards