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Medicare Investigator

Buffalo, NY 14201

Posted: 09/13/2018 Employment Type: Permanent Industry: Job Number: 3597 Pay Rate: DOE
A government agency is looking for a Medicare Investigator for their downtown Buffalo office on a long-term contract basis to provide expert data analysis of complex health care fraud cases.

Duties include:
  • Analyzing Medicare databases, and databases from private insurers
  • Developing data techniques for fraud detection
  • Performing quantitative, qualitative, statistical and other analysis of data to support the investigation
  • Conducting financial accounting examinations of individuals, entities, government contractors
  • Recommending further courses of action such as closing of the case, further investigation, and institution of civil proceedings
  • Presenting oral briefings and testimony, and preparing written material to be used as evidence in court proceedings
  • Preparing accurate audit reports
Applicants must be extremely knowledgeable in accounting and auditing practices with the ability to analyze financial accounting records. A strong understanding of medical terminology and reimbursement procedures is also required.

Submit your resume today to be considered for this opportunity.
  • Combination of experience in forensic accounting, health care fraud, nursing, legal and law enforcement
  • Strong computer skills - Ability to use electronic resources to collect, review, and organize data
  • Working knowledge of current research and investigative techniques
  • Self-motivated and ability to work independently


Key Resource Group, LLC considers applicants for all positions without regard to gender, race, color, religion, national origin, ancestry, age, marital status, sexual orientation, pregnancy, physical or mental disability, citizenship, veteran status, gender expression and/or identity, or any other class protected by federal, state, or local laws. Key Resource Group, LLC is an equal opportunity employer.

Peggy Koch
President

As President, Peggy brings over 15 years of experience in recruiting to the KRG team, where she specializes in legal placements.
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