Senior Investigator

Job not on LinkedIn

🔥 18 minutes ago

🇺🇸 United States – Remote

💵 $90k - $110k / year

⏰ Full Time

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Attain Talent

WebsiteLinkedInAll Job Openings

1 - 10 employees

🎯 Recruiter

🤝 Non-profit

📚 Education

Recruitment • Non-profit • Education

Attain Talent is a recruiting firm that connects top-tier talent with mission-driven organizations across the nonprofit, education, technology, and government (GovCon) sectors. They offer full-cycle recruiting services including direct-hire, contract recruiting, executive search, and advisory services, emphasizing a high-touch, strategic approach that delivers qualified candidates quickly while ensuring a strong candidate and client experience. With decades of combined recruiting experience and sector expertise (EdTech, ERP/CRM, finance, GovCon), they focus on aligning talent to organizational mission and inclusive hiring practices.

📋 Description

• Support the Investigation Lead with functions of the task order, including the review of dispensers, pharmacies, and manufacturers’ practices to ensure adherence to Negotiation Program requirements. • Assist in developing compliance requirements for compliance, investigations, reporting, and market surveillance activities. • Assist in developing investigation processes and strategies to ensure timely, thorough, unbiased investigations meeting program timelines and quality standards. • Identify and assess potential risks or violations through data analysis, stakeholder interviews, audits, and oversight-channel tips. • Assist with intake, triage, and prioritization of investigative matters aligned with CMS compliance objectives. • Collaborate with data analysts, auditors, compliance officers, legal experts, and other stakeholders to collect and assess evidence. • Draft investigation plans, memoranda, and final reports with actionable findings and recommendations. • Coordinate with CMS, OIG, and other federal oversight bodies on escalated matters requiring enforcement or corrective action. • Maintain a secure, documented chain of evidence throughout each case in compliance with federal guidelines. • Establish and refine investigation protocols, SOPs, and escalation procedures with complaint/dispute and auditing teams. • Mentor junior staff and serve as a subject matter expert in investigative techniques and healthcare program integrity.

🎯 Requirements

• Bachelor’s degree plus 5 years of relevant professional experience, or • Associates degree plus 8 years of relevant professional experience, or • High school diploma plus 9 years of relevant professional experience • Demonstrated knowledge of Medicare Part D, drug pricing, manufacturer rebate structures, or government pricing programs. • Strong analytical and investigative skills. • Knowledge of federal healthcare regulations, especially those related to pharmaceutical pricing and compliance with government programs. • Exceptional communication and writing skills, with ability to present complex findings to technical and non-technical audiences. • Strong project management skills with the ability to manage multiple investigations simultaneously. • Experience using case management systems, e-discovery tools, and data analytics platforms.

🏖️ Benefits

• Comprehensive medical, dental, and vision coverage, plus telehealth services and a confidential Employee Assistance Program. • Paid time off starting at 3.5 weeks annually, increasing with tenure, plus 11 paid holidays. • 401(k) retirement plan with an employer match of up to 4% of eligible compensation after six months of employment. • Company-paid basic life, accidental death and dismemberment, and short- and long-term disability insurance. • Professional development and tuition reimbursement programs, each offering up to $1,500 annually for eligible employees after six months of service, subject to approval.