Program Integrity Analyst

Ascellon Corporation, provider of management solutions and program management to Federal, state and local governments, as well as Fortune 500 corporations. Ascellon is a dynamic fast-growing company that is recognized for excellence within our industry. We take pride in our superior service to customers and highly dedicated staff of professionals.

Location: San Juan, Puerto Rico, PR

Base Pay:

Employment Type: Full-time

Required Education: None

Responsibility

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.
    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


To apply, click here: https://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=faf129fd-025f-4483-830e-9e6d6166e342&jobId=227711&lang=en_US&source=CC4



Qualifications

  • Bachelor degree preferred and a minimum of three years investigative experience.
  • Strong investigative skills.
  • Strong communication and organization skills.
  • Experience in reviewing claims for technical requirements and developing fraud cases.
  • Strong computer knowledge and skills