Senior Investigator

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 a Senior 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 individuals who enjoy researching legal and regulatory requirements and possess strong analytical skills. Responsibilities Conduct and oversee comprehensive investigations into potential violations to determine provider compliance with contractual obligations and regulatory requirements. Draft and review detailed investigative reports, complaint summaries, and findings documents for internal and client use. Perform in-depth analyses of provider operations and documentation to identify trends, compliance gaps, and process inefficiencies. Lead the development, review, and maintenance of project artifacts, including User Guides, Standard Operating Procedures (SOPs), workflows, and templates, based on evolving project and client requirements. Mentor and support junior investigators by providing guidance on investigative techniques, documentation standards, and client communications. Identify and implement process improvements to enhance team efficiency, accuracy, and overall project performance. Facilitate and lead virtual meetings with providers and stakeholders to present findings, clarify documentation requests, and support compliance initiatives. Collaborate with cross-functional teams, project leadership, and external agencies to ensure the consistent application of compliance standards and regulatory interpretations. Maintain clear, organized, and comprehensive records of investigative activities, findings, and follow-up actions to ensure transparency and audit readiness. Qualifications Bachelor's degree in public policy, public health, health administration, business, or a related field from an accredited college or university. Minimum of four (4) years of post-education work experience in a corporate environment, including at least three (3) years performing investigations. A master's degree in business or a related technical field may substitute for two (2) years of experience. Working knowledge of compliance laws, regulations, and healthcare industry practices. Working knowledge of health insurance cost-sharing requirements for Medicare, Medicaid, and private insurance, and/or the ability to quickly learn complex information and apply it when conducting investigations. Strong attention to detail and excellent written communication skills. Self-directed with the ability to manage deadlines effectively. Flexible, proactive, and collaborative team player. Willingness to report to the Woodlawn, MD headquarters or another designated location to participate in project-related activities. Required attendance may occur at regular intervals and may span multiple days, typically up to two (2) days. Attention Candidates We're dedicated to ensuring a safe and transparent recruitment process for all candidates and have implemented robust measures to protect your personal information. Please be aware that all employment-related communications will originate from a secure portal (View email address on click.appcast.io) or a corporate email address (View email address on click.appcast.io). If you have any concerns, please don't hesitate to reach out to us at View email address on click.appcast.io. If you are selected for an interview, please be advised that Index Analytics LLC reserves the right to prohibit the use of artificial intelligence (AI) tools, including but not limited to AI-generated responses, real-time transcription, or automated assistance during the interview process. We value authentic interactions and the opportunity to engage directly with candidates. Any unauthorized use of AI may result in disqualification from consideration. The salary range provided represents the estimated compensation for new hires in this position, applicable across all locations. Actual offers may vary based on factors such as the candidate's skills, qualifications, experience, and market conditions. Index complements its base salary offering with a competitive package that includes health and retirement benefits, discretionary bonuses, and reimbursement for professional development opportunities. Index Analytics provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. #J-18808-Ljbffr Index Analytics LLC