Program Integrity Analyst II - NCI Information Systems (Everett, WA)
NCI:
As the Program Integrity Analyst ( Program Integrity Analyst II ), you will perform in-depth evaluation of potential fraud investigations and develops investigations that involve monetary losses, sensitive issues, meet criteria for referral to law enforcement, or the imposition of administrative actions.
You will also perform other duties and functions as assigned by the Area PI Manager, PI Manager and/or Program Director.
Highlights of
Responsibilities:
Conducts independent investigations resulting from the discovery of situations that potentially involve fraud or abuse.
Utilizes data analysis techniques to detect aberrancies in Medicare claims data, and proactively seeks out and develops leads received from a variety of sources (e.
g.
, CMS, OIG, fraud alerts).
Develops and prepares potential Fraud Alerts and Program Vulnerabilities for submission to CMS; shares information on current fraud investigations with other Medicare contractors, law enforcement, and other applicable stakeholders.
Participates in onsite audits in conjunction with investigation development.
Compiles and maintains various documentation and other reporting requirements.
Performs other duties as assigned by management that contribute to ZPIC goals and objectives.
Requirements:
At a minimum, a high school diploma.
Excellent oral, written and verbal skills.
Ability to work independently with minimal supervision.
Preferred Education and
Experience:
Knowledge of statistics, data analysis techniques, and ZPIC skills.
facebook Twitter LinkedIn At NCI, we're more than just a paycheck STOCK & WEALTH - NCI's 401(k) Profit Sharing Plan is eligible to all full-time and regular part-time employees.
Employees may elect to have contributions invested in any of the 15 different investment funds, target-date funds, or self-directed brokerage.
A per pay company matching contribution is equal to 50% of employee elected pre-tax or Roth contributions up to 6% of eligible pay, subject to the IRS maximum.
ADDITIONAL BENEFITS Flexible Spending Account (FSA) Programs Employee Assistance Program (EAP) for employees and their immediate family members Health Advocacy Benefit NCI's Wellness Program offering Health Club reimbursement options NCI Perks Employee Discount Program It is your turn Choose your career path and become part of the NCI team where you will be valued for your unique skills and capabilities and where you will be rewarded for key contributions to NCI and our customers.
Make the commitment and take the next step towards joining the NCI Team.
Our application process will take approximately 5-10 minutes to complete.
If you do not meet the minimum qualifications for this position, please review our current openings now and in the future.
Thank you for your interest in NCI! The information above has been designed to indicate the general nature and level of work performed by employees within the classification.
It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this position.
Source:
.
Estimated Salary: $20 to $28 per hour based on qualifications.
As the Program Integrity Analyst ( Program Integrity Analyst II ), you will perform in-depth evaluation of potential fraud investigations and develops investigations that involve monetary losses, sensitive issues, meet criteria for referral to law enforcement, or the imposition of administrative actions.
You will also perform other duties and functions as assigned by the Area PI Manager, PI Manager and/or Program Director.
Highlights of
Responsibilities:
Conducts independent investigations resulting from the discovery of situations that potentially involve fraud or abuse.
Utilizes data analysis techniques to detect aberrancies in Medicare claims data, and proactively seeks out and develops leads received from a variety of sources (e.
g.
, CMS, OIG, fraud alerts).
Develops and prepares potential Fraud Alerts and Program Vulnerabilities for submission to CMS; shares information on current fraud investigations with other Medicare contractors, law enforcement, and other applicable stakeholders.
Participates in onsite audits in conjunction with investigation development.
Compiles and maintains various documentation and other reporting requirements.
Performs other duties as assigned by management that contribute to ZPIC goals and objectives.
Requirements:
At a minimum, a high school diploma.
Excellent oral, written and verbal skills.
Ability to work independently with minimal supervision.
Preferred Education and
Experience:
Knowledge of statistics, data analysis techniques, and ZPIC skills.
facebook Twitter LinkedIn At NCI, we're more than just a paycheck STOCK & WEALTH - NCI's 401(k) Profit Sharing Plan is eligible to all full-time and regular part-time employees.
Employees may elect to have contributions invested in any of the 15 different investment funds, target-date funds, or self-directed brokerage.
A per pay company matching contribution is equal to 50% of employee elected pre-tax or Roth contributions up to 6% of eligible pay, subject to the IRS maximum.
ADDITIONAL BENEFITS Flexible Spending Account (FSA) Programs Employee Assistance Program (EAP) for employees and their immediate family members Health Advocacy Benefit NCI's Wellness Program offering Health Club reimbursement options NCI Perks Employee Discount Program It is your turn Choose your career path and become part of the NCI team where you will be valued for your unique skills and capabilities and where you will be rewarded for key contributions to NCI and our customers.
Make the commitment and take the next step towards joining the NCI Team.
Our application process will take approximately 5-10 minutes to complete.
If you do not meet the minimum qualifications for this position, please review our current openings now and in the future.
Thank you for your interest in NCI! The information above has been designed to indicate the general nature and level of work performed by employees within the classification.
It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this position.
Source:
.
Estimated Salary: $20 to $28 per hour based on qualifications.
|
|
 | |
