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Investigator

Key Facts

Remote From: 
Full time
English

Other Skills

  • Report Writing
  • Collaboration
  • Mentorship
  • Communication
  • Problem Solving

Requirements:

  • 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.

Job description

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’s experience through career development and educational opportunities.

We are seeking an Investigator to examine and assess healthcare providers’ compliance related to healthcare legislation. This position conducts research and analysis, pulls information, cites regulations using regulatory language, reviews provider documents, and generates complete written outcome reports of enforcement Investigations a provider’s compliance with the law. This opportunity is especially attractive to someone who likes to research legal and regulatory requirements and has an analytical mind.   

This position requires an in-person interview at our HQ.

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.

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