What are the responsibilities and job description for the Medicare and Medicaid claims Fraud Analyst position at netPolarity?

Job Description

Location : Greenbelt, MD or Baltimore, MD

4 to 5 Months contract W2 – potential 2 year extension. No C2C / Corp to Corp

Public Trust clearance will be required
PLEASE NOTE : LOE expected as part time (32 hrs. / week)

Education : Undergraduate degree preferred

Required Skills :

Experience in document analysis, particularly in relation to Medicare and Medicaid claims fraud cases.

Two years’ experience in performing on-line database research and telephone research.

Working knowledge of various public repositories of information, Litigation / Legal support

Familiarity with specific subject matter helpful - Medicare and Medicaid claims, student loan programs, DoD contracting, etc.

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.

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. Examine records, correspondence, audits, or reviews pertaining to the transactions, events, or allegations under investigation. 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.

Excellent oral and written communication skills.

Undergraduate degree preferred; familiarity with automated litigation support helpful.

Company Description

Our vision is building a brand based on integrity, reliability, quality and professionalism; and to be the first supplier that clients think of when the best talent is needed as well as the employer of choice for contingent workers. Our name is synonymous with the best service offerings in the industry.

What We Stand For

netPolarity is built on a set of everlasting concrete values. We pride ourselves on exceeding both our clients’ and our contingent workers’ expectations, without ever compromising our core beliefs. Here are the values and commitments that we proudly stand by.

Integrity

We deliver what we promise. There is nothing more important to us than our word. Our reputation speaks for itself.

Ethics

We commit to maintaining the highest ethical standard in a

Company Description

The mission of netPolarity is to be a leading full-service global supplier of workforce procurement solutions. We empower and enrich the lives of everyone we touch by “bridging the gap” between world class organizations and contingent workers. Our vision is building a brand based on integrity, reliability, quality and professionalism; and to be the first supplier that clients think of when the best talent is needed as well as the employer of choice for contingent workers. Our name is synonymous with the best service offerings in the industry. What We Stand For netPolarity is built on a set of everlasting concrete values. We pride ourselves on exceeding both our clients’ and our contingent workers’ expectations, without ever compromising our core beliefs. Here are the values and commitments that we proudly stand by. Integrity We deliver what we promise. There is nothing more important to us than our word. Our reputation speaks for itself. Ethics We commit to maintaining the highest ethical standard in a

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Medicare and Medicaid claims Fraud Analyst

What are the responsibilities and job description for the Medicare and Medicaid claims Fraud Analyst position at netPolarity?

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