Investigator
Investigator
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$ 53550 - 83950
1 Vacancy
Job Description
Job Details
Investigator
Index Analytics LLC is a rapidly growing Baltimore-based small business providing health-related consulting services to the federal government. At the center of our company culture is a commitment to instilling a dynamic and employee-friendly place to work. We place a priority on promoting a supportive and collegial team environment and enhancing staff experience through career development and educational opportunities.
Position Overview
We are seeking an Investigator to examine and assess providers compliance related to healthcare legislation. This position conducts research and analysis pulls information cites regulations using regulatory language reviews provider documents and provides complete written reports of enforcement Investigations of a provider to determine compliance. This opportunity is especially attractive to someone who likes to research legal and regulatory requirements and has an analytical mind.
Responsibilities
- Requests and reviews providers documents to determine compliance with the relevant requirements.
- Conducts investigations into potential violations by healthcare providers insurers or other relevant parties to assess providers compliance.
- Drafts and reviews detailed substantive investigative reports complaint summaries and findings analyses for internal and client review.
- Collaborates with other departments or agencies involved in healthcare regulation and enforcement of a provider to determine compliance.
- Prepares reports and provides recommendations based on investigative findings.
- Assists in the development review and ongoing maintenance of project documentation including User Guides Standard Operating Procedures (SOPs) and related artifacts based on evolving project or client needs.
- Provides mentorship and guidance to junior investigators supporting evidence collection stakeholder interviews and data analysis.
- Facilitates and leads virtual meetings with providers and relevant parties to discuss investigative findings address documentation requests and support the resolution process.
- Conducts regular follow-up and oversight of assigned accounts ensuring timely resolution of issues and appropriate escalation as needed.
- Maintains meticulous documentation of investigative activities case developments and final outcomes in accordance with organizational standards.
Qualifications
- US citizen or Authorized to Work and lived in the US for 3 of the last 5 years. Must be able to obtain a U.S. Federal government client badge and pass a government Public Trust.
- Must be willing to travel to Washington D.C. for training as needed
- Minimum of two (2) years post-education work experience in a corporate environment;Masters degree in a business or technical field to substitute for 2 years experience
- Bachelors degree in public policy public health health administration business or a related field from an accredited college/university
- Possess a working knowledge of compliance laws regulations and healthcare industry practices
- Possess a working knowledge of health insurance cost sharing requirements for Medicare Medicaid and private insurance and/or the ability to quickly learn complex information and apply the information to conducting investigations
- Detail-oriented and Strong writing skills
- Self-directed and deadline-driven
- Flexible and proactive team player
Attention Candidates
Were dedicated to ensuring a safe and transparent recruitment process for all candidates and have implemented robust measures to protect your personal information. Please be aware that all employment-related communications will originate from a secure portal () or a corporate email address (). If you have any concerns please dont hesitate to reach out to us at.
If you are selected for an interview please be advised that Index Analytics LLC reserves the right to prohibit the use of artificial intelligence (AI) tools including but not limited to AI-generated responses real-time transcription or automated assistance during the interview process. We value authentic interactions and the opportunity to engage directly with candidates. Any unauthorized use of AI may result in disqualification from consideration.
The salary range provided represents the estimated compensation for new hires in this position applicable across all locations. Actual offers may vary based on factors such as the candidates skills qualifications experience and market conditions. Index complements its base salary offering with a competitive package that includes health and retirement benefits discretionary bonuses and reimbursement for professional development opportunities.
Index Analytics provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race color religion age sex national origin disability status genetics protected veteran status sexual orientation gender identity or expression or any other characteristic protected by federal state or local policy applies to all terms and conditions of employment including recruiting hiring placement promotion termination layoff recall transfer leaves of absence compensation and training.
Required Experience:
Senior IC
Employment Type
Unclear
