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

Date Posted: 7/21/2018

Job Snapshot

Job Description

Job Number: R0031252

Healthcare Program Integrity Analyst

Key Role:

Collaborate with a team focused on supporting federal healthcare clients on the strategic implementation of health reform and 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. Define healthcare improvement and tactical strategies. Lead defined project work streams and apply knowledge of commonly used in healthcare concepts, practices, and procedures. 

Basic Qualifications:

-4+ years of experience with Health and Human Services (HHS) program integrity

-4+ years of identifying, investigating, and resolving instances of healthcare fraud, waste, and abuse

-Experience with Microsoft Office

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

-Ability to function independently and collaborate in a team environment

-BA or BS degree

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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