Fraud Analyst–Miramar, FL

Job Description

Health Care Fraud Data Analyst

• Works with civil and criminal healthcare fraud investigations at the direction of the U.S. Attorney’s Office providing litigation support for the US Attorney and Federal law enforcement agents.
• Drafts requests to obtain electronic claims data from Project Integrity Contractors, government fiscal intermediaries and carriers.
• Utilizes experience in complex Health Care Fraud data analysis, Medicare and Medicaid billing, compliance rules and regulations, and litigation support to drill down potentially millions of records of electronic claims in to detect fraud patterns that further investigations.
• Load, update and maintain databases. Perform information analysis and database design. Set up and implement databases. Extract and convert data and data files. Analyze and reports from a wide variety of data and formats received as a result of production from government and non-government sources. Perform searches and produce reports. Maintain databases
• Communicates the results of the data analysis to the investigative team in a comprehensible presentation.

Duties and Responsibilities:

Under the direction of a Fraud Examiner, assists in obtaining documents and other information related to cases. Performs research to locate potential witnesses. Conducts in-house, telephone and database research; manages case file. Reports to Fraud Examiner on progress. Assists in the preparation of interim and final reports and recommendations.

Qualifications:

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. Familiarity with specific subject matter helpful – Medicare and Medicaid claims, student loan programs, DoD contracting, etc. Excellent oral and written communication skills. Undergraduate degree preferred; familiarity with automated litigation support helpful.

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Job Location

US-Miami-FL-MIAMI-FT. LAUDERDALE

CACI employs a diverse range of talent to create an environment that fuels innovation and fosters continuous improvement and success. At CACI, you will have the opportunity to make an immediate impact by providing information solutions and services in support of national security missions and government transformation for Intelligence, Defense, and Federal Civilian customers. CACI is proud to provide dynamic careers for employees worldwide. CACI is an Equal Opportunity Employer – Females/Minorities/Protected Veterans/Individuals with Disabilities.