Fraud Analyst
CACI International Inc
part-time
Posted on:
Location Type: Remote
Location: Maryland • United States
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Salary
💰 $57,500 - $117,900 per year
About the role
- Review data from vendors who provide health care services paid by the federal government to identify anomalies that might be indicative of improper billing or other types of fraud.
- Formulate data runs or inquiries from large Medicare and Medicaid databases to elicit particular billing patterns to analyze and research.
- Analyze data and draft written conclusions and recommendations regarding possible fraudulent billing patterns to be further investigated.
- Prepare interim and final reports on progress of findings for use by AUSAs and supervisory attorneys.
- Work with the assigned AUSAs, supervisory AUSAs and/or and investigators to determine applicable administrative statutory and regulatory law and identify possible violations or causes of action.
- Develop an understanding of all applicable federal, state, or local laws to the extent necessary to make sound decisions on direction and scope of investigation.
Requirements
- Experience in document analysis, particularly in relation to fraud cases.
- Two years’ experience in performing on-line database research and telephone research.
- Working knowledge of various public repositories of information.
- Excellent oral and written communication skills.
- Undergraduate degree preferred; familiarity with automated litigation support helpful.
- DOJ MBI must be obtainable (US citizenship required).
Benefits
- Comprehensive benefits such as healthcare, wellness, financial, retirement, family support, continuing education, and time off benefits.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
data analysisdocument analysisdatabase researchbilling pattern analysisfraud detectionreport writingstatutory law knowledgeregulatory law knowledgeinvestigative research
Soft Skills
oral communicationwritten communicationanalytical thinkingattention to detailcollaboration
Certifications
DOJ MBI