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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.
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Initiate contacts with federal, state, and local officials, and other organizations, including Medicare and Medicaid contractors, related to the subject of the investigation for the purpose of gathering facts, obtaining records, learning sequences of events, obtaining explanations, and otherwise advancing investigative objectives.
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Examine records, correspondence, audits, or reviews pertaining to the transactions, events, or allegations under investigation.
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Establish and verify relationships among all facts and evidence obtained and presented to confirm authenticity of documents, corroborate witness statements, and otherwise build proof necessary to successful case resolution.
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Travel with USAO MD personnel to conduct interviews.
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Work with independent experts/consultants.
Required Qualifications
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Must be able to obtain and maintain MRPT facility credentials/authorization. Note: US Citizenship is required for MRPT facility credentials/authorization at this work location.
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Experience in document analysis, particularly in relation to fraud cases.
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Two years' experience in performing on-line database research and telephone research.
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Working knowledge of various public repositories of information.
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Familiarity with specific subject matter helpful.
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Medicare and Medicaid claims, student loan programs, DoD contracting, etc.
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Excellent oral and written communication skills.
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Undergraduate degree preferred; familiarity with automated litigation support helpful.
Location: Baltimore, MD
Compensation & Benefits
HIRING HOURLY RANGE: $29.01 (Hourly rate to be determined by the education, experience, knowledge, skills, and abilities of the applicant internal equity, and alignment with market data.)
This position includes a competitive benefits package. For more detailed information on our Benefits and what it is like to work for Amentum: please visit our careers site: www.amentumcareers.com
Amentum is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, sex, sexual orientation, pregnancy (including pregnancy, childbirth, breastfeeding, or medical conditions related to pregnancy, childbirth, or breastfeeding), age, ancestry, United States military or veteran status, color, religion, creed, marital or domestic partner status, medical condition, genetic information, national origin, citizenship status, low-income status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any other protected category under federal, state, or local law. Learn more about your rights under Federal laws and supplemental language at Labor Laws Posters (https://postings.govdocs.com/#/vxSkbztPuAwwxfs) .
If you have questions about this posting, please contact support@lensa.com