Job Description

Overview About Us: At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. Job Details Location: Windsor Mill, MD Remote Type: Fully Remote Position Type: Full Time Education Level: High School Salary Range (as listed): $30,000.00 - $56,000.00 Salary Note: The annual salary range for this position is $36,000.00 to $56,000.00. Actual compensation will depend on a range of factors, including but not limited to the individual's skills, experience, qualifications, certifications, location, other business and organizational needs, and applicable employment laws. Responsibilities 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 with intake, triage, and prioritization of investigative matters Conduct investigations based on complaints received through the CMS contractor Review documentation and data submitted with the complaint and conduct data analysis, identifying and assessing potential risks or violations Conduct background research from various sources including CMS systems and online resources Conduct interviews with complainants, stakeholders, witnesses, and any other affected parties Collaborate with data analysts, auditors, subject matter experts (SMEs), and other stakeholders to collect and assess evidence Prepare and maintain accurate case documentation, logs, and investigation summaries throughout each case in compliance with federal guidelines Prepare written investigative and closure reports articulating facts from the investigation and any recommended actions Maintain confidentiality and adhere to HIPAA and CMS data protection requirements Perform other duties as assigned Qualifications Bachelor's degree plus 3 years of relevant professional experience, or Associate's degree plus 6 years of relevant professional experience, or High school diploma plus 7 years of relevant professional experience Experience conducting investigations within a federal healthcare, regulatory, or compliance setting Strong analytical and investigative skills Knowledge of investigative techniques, interview protocols, federal healthcare regulations and compliance with government programs Effective communication and writing skills, with ability to present findings to technical and non-technical audiences High attention to detail with the ability to manage multiple investigations simultaneously Proficiency with Microsoft Office Experience using case management systems, e-discovery tools, and data analytics platforms EEO Employer: RELI Group is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation. HUBZone: We encourage all candidates who live in a HUBZone to apply. You can check to see if your address is located in a HUBZone by accessing the SBA HUBZone Map. The description above is a summary of the role as described by the employer and may not include every duty or requirement of the position. #J-18808-Ljbffr RELI Group, Inc.

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