Program Integrity Analyst Investigator

Every day at Perspecta, we enable hundreds of thousands of people to take on our nation?s most important work. We?re a company founded on a diverse set of capabilities and skills, bound together by a single promise: we never stop solving our nation?s most complex challenges. Our team of engineers, analysts, developers, investigators, integrators and architects work tirelessly to create innovative solutions. We continually push ourselves?to respond, to adapt, to go further. To look ahead to the changing landscape and develop new and innovative ways to serve our customers.
Perspecta works with U.S. government customers in defense, intelligence, civilian, health care, and state and local markets. Our high-caliber employees are rewarded in many ways?not only through competitive salaries and benefits packages, but the opportunity to create a meaningful impact in jobs and on projects that matter.
Perspecta?s talented and robust workforce?14,000 strong?stands ready to welcome you to the team. Let?s make an impact together.
Perspecta has a need for a Senior Program Integrity Analyst in either Camp Hill, PA; Liverpool, NY or Hingham, MA.
SafeGuard Services (SGS), a subsidiary of Perspecta, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse.
Since 1999, SGS has prevented more than $7.9 billion in inappropriate payments, consisting of over $5.2 billion in proactively Prevented Dollars and $2.7 billion in Recovered Dollars. Our experience with fraud and abuse analytics has resulted in the referral of hundreds of cases to law enforcement and resulted in successful criminal and civil prosecution and civil monetary penalties.
Position Overview:
The position requires the individual to use a variety of tools to initiate investigations, identify subjects and develop cases for future action, including referral to law enforcement, education, over payment recovery and other administrative actions. Will work with internal resources and external agencies to develop cases and corrective actions as well as respond to requests for data and support.
Essential Functions:
This position may require the incumbent to appear in court to testify about work findings.
Ability to perform research and draw conclusions
Ability to present issues of concern, citing regulatory violations, alleging schemes or scams to defraud the Government
Ability to organize a case file, accurately and thoroughly document all steps taken
Ability to compose correspondence, reports and referral summary letters
Ability to educate providers, provider associations, law enforcement, other contractors and beneficiary advocacy groups on program safeguard matters
Ability to communicate effectively, internally and externally
Ability to interpret laws and regulations
Ability to handle confidential material.
Ability to report work activity on a timely basis.
Ability to work independently and as a member of a team to deliver high quality work
Ability to attend meetings, training, and conferences, overnight travel required
Education and Experience:
Must be a US Citizen or Green Card holder who has lived in the US 3 out of the past 5 years.
Bachelor degree preferred and three to five years of investigative experience
Strong investigative skills
Strong communication and organization skills
Experience in reviewing claims for technical requirements, performing medical review, and/or developing fraud cases
Strong PC knowledge and skills
Job: Services
Primary Location: United States-Pennsylvania-Camp Hill
Other Locations: United States-New York, United States-Massachusetts-Hingham, United States-New York-Liverpool
Schedule Full-time
Shift Day Job
Travel Yes, 25 % of the Time
EEO Tagline Perspecta is an AA/EEO Employer - Minorities/Women/Veterans/Disabled and other protected categories
Req ID: 1683581

Don't Be Fooled

The fraudster will send a check to the victim who has accepted a job. The check can be for multiple reasons such as signing bonus, supplies, etc. The victim will be instructed to deposit the check and use the money for any of these reasons and then instructed to send the remaining funds to the fraudster. The check will bounce and the victim is left responsible.

More Jobs

Background Investigation Analyst
Boston, MA Kforce
Background Investigator
Boston, MA KeyPoint Government Solutions
Background Investigator Level I - Worcester, MA
Worcester, MA CACI International
Reachback Senior Counterintelligence (CI) Anal...
Ayer, MA CACI International
Background Investigator Level II (FT) - Bosto...
Jamaica Plain, MA CACI International