Jobs · OTHR · Maryland

Fraud Analyst

CACI International Inc · Baltimore, MD · 4 wk ago
OTHR$63k–$130k/yrFull-time
We need to output HTML fragment with sections: About the role? The posting includes "The Opportunity" paragraph. That could be "About the role". Then "Responsibilities". Then "Qualifications". Then "What You Can Expect" maybe as Benefits? Actually "What You Can Expect" describes culture, not benefits. There's also "Pay Range" with salary range. So we need sections: About the role (from The Opportunity), Responsibilities, Qualifications, Benefits? The "What You Can Expect" could be considered Benefits or maybe "Culture". But we only include sections when posting has real specific content. "What You Can Expect" includes culture description; could be considered "Benefits"? Not exactly. There's also "Pay Range" with salary range. So we need Pay section. Benefits: The posting mentions "comprehensive benefits such as; healthcare, wellness, financial, retirement, family support, continuing education, and time off benefits." That's specific enough for Benefits section. Also "What You Can Expect" includes culture, flexible time off benefit, learning resources. Could be part of Benefits or separate "About the company". But we can combine into Benefits section. We must not repeat job title as heading. Use

for section headings. Use
  • for any list of duties/requirements/benefits. Use

    for prose. We need to preserve all substantive information. Remove boilerplate: EEO, etc. Also remove "Job ID/requisition numbers". Not present. We need to include sections only when posting has real specific content. So we will have:

    About the role

    with paragraph(s) from The Opportunity.

    Responsibilities

    with list of duties (the long bullet-like sentences). We need to convert each sentence into
  • . The responsibilities paragraph is a long sentence with many clauses separated by periods? Actually it's a run-on sentence with many actions separated by periods? Let's parse: "Review data from vendors who provide health care services paid by the federal government to identify anomalies that might be indicative of improper billing or other types of fraud. Formulate data runs or inquiries from large Medicare and Medicaid databases to elicit particular billing patterns to analyze and research.Analyze data and draft written conclusions and recommendations regarding possible fraudulent billing patterns to be further investigated.Prepare interim and final reports on progress of findings for use by AUSAs and supervisory attorneys. Reports shall include significant findings, conclusions, and recommendations for additional investigative actions, and candid assessments of strengths and weaknesses of witnesses, documentary evidence, and other aspects of the case.Work with the assigned AUSAs, supervisory AUSAs and/or and investigators to determine applicable administrative statutory and regulatory law and identify possible violations or causes of action. Develop an understanding of all applicable federal, state, or local laws to the extent necessary to make sound decisions on direction and scope of investigation. Determine proof required to assist in affixing legal responsibility for litigation, and devise methods for obtaining, preserving, and presenting evidence to greatest effect.Initiate contacts with federal, state, and local officials, and other organizations, including Medicare and Medicaid contractors, related to the subject of the investigation for the purpose of gathering facts, obtaining records, learning sequences of events, obtaining explanations, and otherwise advancing investigative objectives.Examine records, correspondence, audits, or reviews pertaining to the transactions, events, or allegations under investigation. Establish and verify relationships among all facts and evidence obtained and presented to confirm authenticity of documents, corroborate witness statements, and otherwise build proof necessary to successful case resolution. Assist in the compilation and analysis of documents and physical evidence, and creation of charts and graphs for use in hearings, presentations, or trial. Review defense presentations, expert reports, and arguments.Create financial damage models for use in litigation.Participate in negotiations as requested.Travel with USAO MD personnel to conduct interviews.Work with independent experts/consultants." We can split by periods (.) but some have no space after period? Eg "...research.Analyze". We'll need to handle. Simpler: we can treat each sentence as separate
  • . We'll manually split based on clear breaks. Let's list responsibilities items: - Review data from vendors who provide health care services paid by the federal government to identify anomalies that might be indicative of improper billing or other types of fraud. - Formulate data runs or inquiries from large Medicare and Medicaid databases to elicit particular billing patterns to analyze and research. - Analyze data and draft written conclusions and recommendations regarding possible fraudulent billing patterns to be further investigated. - Prepare interim and final reports on progress of findings for use by AUSAs and supervisory attorneys. Reports shall include significant findings, conclusions, and recommendations for additional investigative actions, and candid assessments of strengths and weaknesses of witnesses, documentary evidence, and other aspects of the case. - Work with the assigned AUSAs, supervisory AUSAs and/or investigators to determine applicable administrative statutory and regulatory law and identify possible violations or causes of action. - Develop an understanding of all applicable federal, state, or local laws to the extent necessary to make sound decisions on direction and scope of investigation. - Determine proof required to assist in affixing legal responsibility for litigation, and devise methods for obtaining, preserving, and presenting evidence to greatest effect. - Initiate contacts with federal, state, and local officials, and other organizations, including Medicare and Medicaid contractors, related to the subject of the investigation for the purpose of gathering facts, obtaining records, learning sequences of events, obtaining explanations, and otherwise advancing investigative objectives. - Examine records, correspondence, audits, or reviews pertaining to the transactions, events, or allegations under investigation. - Establish and verify relationships among all facts and evidence obtained and presented to confirm authenticity of documents, corroborate witness statements, and otherwise build proof necessary to successful case resolution. - Assist in the compilation and analysis of documents and physical evidence, and creation of charts and graphs for use in hearings, presentations, or trial. - Review defense presentations, expert reports, and arguments. - Create financial damage models for use in litigation. - Participate in negotiations as requested. - Travel with USAO MD personnel to conduct interviews. - Work with independent experts/consultants. That seems fine. Now Qualifications: The posting has "Qualifications Required:" then list. Also "Desired Experience..." We'll combine required and desired into a list? Probably we can have a Qualifications section with list items. Let's extract: Required: - Experience in document analysis, particularly in relation to fraud cases. - Two years’ experience in performing on-line database research and telephone research. - Working knowledge of various public repositories of information. - Excellent oral and written communication skills. - Undergraduate degree preferred; familiarity with automated litigation support helpful. - DOJ MBI must be obtainable (US citizenship required) Desired: - Experience in a litigation support environment preferred. - Undergraduate degree preferred but not required. - Certification or training courses completed related to fraud analysis. - Familiarity with automated litigation support helpful. - Excellent attention to detail and ability to perform tasks accurately and quickly. We can combine into a single list, maybe separate Required and Desired subheadings? But we only have h3 headings; we could embed inside
  • but not required. Simpler: just list all items. Now Benefits: The posting includes "What You Can Expect" paragraph describing culture, flexible time off benefit, learning resources. Also later: "Our broad and competitive mix of benefits options is designed to support and protect employees and their families. At CACI, you will receive comprehensive benefits such as; healthcare, wellness, financial, retirement, family support, continuing education, and time off benefits." We can create Benefits section with list items: healthcare, wellness, financial, retirement, family support, continuing education, time off benefits. Also mention flexible time off benefit and learning resources. Pay: The posting includes "The Proposed Salary Range For This Position Is $63,300 - 129,700 USD". Also earlier: "Pay Range There are a host of factors..." We'll include Pay section with that range. Schedule: The posting mentions "Part Time (32 hours)" under Responsibilities heading? Actually it's in Responsibilities: "This position is Part Time (32 hours)". That's schedule info. So we could include Schedule section with that detail. But we already have Responsibilities section includes that sentence? Actually the Responsibilities section started with "This position is Part Time (32 hours)" then the list. We could extract schedule info into Schedule section. However the instruction: "include a section ONLY when the posting has real, specific content for it". The posting does specify part-time 32 hours. So we should have a Schedule section with that detail. But we must not duplicate content. We can move that sentence to Schedule section and remove from Responsibilities? But we need to preserve all substantive information; we can keep it in both? Better to place it in Schedule section and remove from Responsibilities to avoid duplication. However the Responsibilities section originally started with that sentence; we can keep it as part of Responsibilities but also have Schedule section? That would duplicate. Better to extract schedule info to Schedule section and adjust Responsibilities to start after that sentence. Thus Responsibilities list will start from "Review data from vendors..." etc. Now About the role: The Opportunity paragraph: "The Fraud Analyst position is a great opportunity for analysts to further their career path supporting the Department of Justice on large and complex fraud investigations. You will gain invaluable experience working with federal agents, investigators, attorneys and other experts in the detection of fraud in the Civil Division. You will sharpen your data analysis and consolidation skills by accessing, collecting, examining and analyzing data, evidence and other information from a variety of sources including public access and law enforcement databases. CACI is committed to growing our eDiscovery workforce and has included tuition reimbursement for Relativity certifications, the ACEDS certification and Paralegal Certificates! This is a great opportunity for someone to grow their careers. Please apply if you are interested to hear more!" We need to remove application instructions: "Please apply if you are interested to hear more!" That's application instruction, should be removed. Also maybe remove exclamation? Keep content but remove that sentence. So we keep the rest. Now Benefits: We'll list items. Now Pay: Provide range. Now Schedule: Part Time (32 hours). Now we need to output only HTML fragment, no html/body tags, no markdown. Let's craft:

    About the role

    The Fraud Analyst position is a great opportunity for analysts to further their career path supporting the Department of Justice on large and complex fraud investigations. You will gain invaluable experience working with federal agents, investigators, attorneys and other experts in the detection of fraud in the Civil Division. You will sharpen your data analysis and consolidation skills by accessing, collecting, examining and analyzing data, evidence and other information from a variety of sources including public access and law enforcement databases. CACI is committed to growing our eDiscovery workforce and has included tuition reimbursement for Relativity certifications, the ACEDS certification and Paralegal Certificates! This is a great opportunity for someone to grow their careers.

    Responsibilities

    • Review data from vendors who provide health care services paid by the federal government to identify anomalies that might be indicative of improper billing or other types of fraud.
    • Formulate data runs or inquiries from large Medicare and Medicaid databases to elicit particular billing patterns to analyze and research.
    • Analyze data and draft written conclusions and recommendations regarding possible fraudulent billing patterns to be further investigated.
    • Prepare interim and final reports on progress of findings for use by AUSAs and supervisory attorneys. Reports shall include significant findings, conclusions, and recommendations for additional investigative actions, and candid assessments of strengths and weaknesses of witnesses, documentary evidence, and other aspects of the case.
    • Work with the assigned AUSAs, supervisory AUSAs and/or investigators to determine applicable administrative statutory and regulatory law and identify possible violations or causes of action.
    • Develop an understanding of all applicable federal, state, or local laws to the extent necessary to make sound decisions on direction and scope of investigation.
    • Determine proof required to assist in affixing legal responsibility for litigation, and devise methods for obtaining, preserving, and presenting evidence to greatest effect.
    • Initiate contacts with federal, state, and local

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