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Healthcare Fraud Analyst in Rockville, MD at Booz Allen Hamilton Inc.

Date Posted: 2/12/2019

Job Snapshot

Job Description

Job Number: R0044755

Healthcare Fraud Analyst

Key Role:

Collaborate with a team focused on supporting federal healthcare clients on program integrity initiatives. Research and analyze specific requirements and policies related to program integrity and fraud, waste, and abuse. Review and analyze federal and state regulations, evaluate the effects on existing operations, and provide recommendations to maintain operational compliance with governmental regulations and industry requirements. Identify opportunities and implement procedures to drive operational efficiencies, emphasizing cost containment, quality, compliance, and accuracy. Provide client-ready project documentation to supervisors and management.

Basic Qualifications:

-2+ years of experience with Health and Human Services (HHS) program integrity and identifying, investigating, and resolving instances of health care fraud, waste, and abuse

-2+ years of experience with Medicaid eligibility

-Experience with Microsoft Office

-Ability to analyze a variety of data sources to uncover issues and form recommendations

-Ability to function independently and collaborate in a team environment

-BA or BS degree in Healthcare Administration or Accounting

Additional Qualifications:

-Experience with general management consulting

-Experience with interviewing stakeholders and working with law enforcement a plus

-Possession of excellent oral and written communication skills

-MA or MS degree in Health Policy or Health Management a plus

-CFE, AHFI, or CHC Certifications a plus

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