Search for Fraud Analyst roles in Baltimore, MD, with experience in Medicare and Medicaid claims, strong oral and written communication skills, a full-time position, and requiring US Citizenship.

Okay, I've searched for Fraud Analyst roles in Baltimore, MD, specifically focusing on positions that require experience in Medicare and Medicaid claims, strong communication skills, are full-time, and require US Citizenship. I found 15 relevant positions for you.

Fraud Analyst

Baltimore, MD

Medicare and Medicaid claims

Full Time

Citizenship

Can you help me to analyze the job description and company culture?

Sure. Here's the analysis:

Job Analysis:

The Fraud Analyst role at Lensa entails a proactive approach to identifying and addressing potential fraudulent billing within the healthcare service sector, specifically involving federal government programs like Medicare and Medicaid. The primary objective is to meticulously analyze large datasets for unusual billing patterns that could indicate improper practices, thus ensuring compliance with regulations and safeguarding public funds. Key responsibilities include formulating data inquiries, drafting thorough reports for legal evaluation, and collaborating closely with attorneys and investigators to understand legal frameworks affecting investigations. Success in this role requires a keen analytical mindset, an understanding of complex healthcare regulations, and the ability to convey findings clearly to stakeholders. Candidates will face challenges such as navigating large volumes of data and varying regulatory environments, necessitating strong problem-solving skills and detailed-oriented thinking. Performance in the first 6–12 months will likely be measured by the accuracy and impact of the analyses provided, the speed of identifying significant fraud cases, and the effectiveness of collaboration with legal teams and external agencies.

Company Analysis:

Lensa operates at the forefront of career technology by leveraging machine learning to redefine how job seekers and employers connect. As a growing disruptor in the talent acquisition space since its inception in 2016, Lensa's innovative approach positions it as a forward-thinking leader focused on improving the job search experience. The company culture seems to prioritize a blend of technological advancement with a human-centric approach, aiming to streamline recruitment processes while maintaining a commitment to ethical practices. This environment implies that the Fraud Analyst will not only be tasked with ensuring compliance and investigating issues but will also contribute to a larger mission of integrity and trust in the hiring process. As this position directly supports legal efforts and involves interacting with various government officials, it is crucial for the analyst to align with Lensa's commitment to transparency and innovation. This role represents an intersection of legal compliance and data analysis within the organization, suggesting that successful candidates will thrive by embodying the company’s values and adapting to its dynamic environment.

Mock up some interview questions based on the job description.

Absolutely. Here are some mock interview questions that could come up:

What experience do you have with analyzing data from public healthcare databases, and how did that inform your conclusions?
Can you describe a challenging fraud case you worked on and the approach you took to resolve it?
How do you prioritize your tasks when faced with multiple investigations at different stages?
Tell me about a time when your written communication was essential to the success of a project or investigation.
How would you go about formulating a data run to identify trends in Medicare billing?
What tools or methodologies do you use for document analysis in fraud cases?
Can you explain how you ensure compliance with federal regulations while conducting your investigations?
Imagine you identify a potentially fraudulent billing pattern that is ambiguous. How would you proceed?
You discover discrepancies in testimony from different witnesses; how do you validate the information?
Why are you interested in the Fraud Analyst position at Lensa specifically?
How do you see the role of a Fraud Analyst contributing to Lensa's overall mission?
What questions do you have about our approach to fraud detection and prevention?

Job Details

Overview Company

Fraud Analyst

$29.01/h

Lensa

3 days ago

Highlight

OnsiteFull-time2+ yearsMid

Summary

Amentum is seeking a Fraud Analyst to join their team in Baltimore, MD. The role involves reviewing data to identify anomalies indicative of fraud in healthcare services paid by the federal government.

About the Role

As a Fraud Analyst, you will review data from healthcare vendors to identify improper billing or fraud. You will analyze large Medicare and Medicaid databases, draft conclusions and recommendations, and prepare reports for legal use. The role involves working with attorneys and investigators, understanding applicable laws, and gathering evidence. You will also create financial damage models and participate in negotiations.

About You

Required:

Experience in document analysis related to fraud cases.
Two years’ experience in online database and telephone research.
Working knowledge of public information repositories.
Excellent oral and written communication skills.
Ability to obtain and maintain MRPT facility credentials.
US Citizenship.

Preferred:

Undergraduate degree.
Familiarity with automated litigation support.
Familiarity with Medicare and Medicaid claims, student loan programs, DoD contracting.

Benefits

Competitive benefits package.
Hourly rate to be determined by education, experience, and skills.

Lensa

What if we could take the search out of job search? This is the question Lensa has been answering since launching in San Francisco, California in August 2016. Using machine learning, we instantly provide companies with candidates and match professionals with positions that fit their skills, goals, personalities, and needs. How does it work? Lensa applies complex algorithms that identify the skills needed to succeed on a given job. Candidates can play computer games that assess their work style, thus gaining insight into their strengths while unlocking career opportunities. The result: job search that puts people first while reducing the time and cost of talent acquisition.

Lensa passed 10 million job seeker registrations in 2019, making the com- pany one of the premier career platforms.

With teams in multiple U.S. locations and a 60-strong crew of developers and data scientists at its R & D headquarters in Europe, Lensa is working every day to share its transformative career technology with the world.

Baltimore, MD