Part D Senior Investigator

5 hours, 47 minutes ago
Full-time
Senior
Operations
Attain Talent

Attain Talent

Attain Talent connects top-tier talent with purpose-driven organizations in nonprofit, education, technology, and government sectors. We specialize in recruiting for mission-driven organizations across the nonprofit, education, and technology sectors. Our team combines corporate and executive search expertise with a flexible, high-touch approach that meets each client's unique hiring goals. Backed by deep industry networks and a strategic, full-cycle search process, we deliver qualified candidates quickly—while maintaining an exceptional experience for both client and candidate. From sourcing to final selection, we make it easier to hire the right people, faster.

staffing & recruiting
1-10

Description

  • Review dispenser, pharmacy, and manufacturer practices for compliance with Negotiation Program requirements.
  • Develop compliance requirements, investigative processes, strategies, protocols, SOPs, and escalation procedures.
  • Identify and assess potential risks and violations through data analysis, interviews, audits, and oversight tips.
  • Support intake, triage, and prioritization of investigative matters aligned with CMS objectives.
  • Collaborate with analysts, auditors, compliance officers, legal experts, CMS, OIG, and other stakeholders to collect and evaluate evidence.
  • Draft investigation plans, memoranda, and final reports with actionable findings and recommendations.
  • Maintain a secure, documented chain of evidence in accordance with federal guidelines.
  • Mentor junior staff and serve as a subject matter expert in investigative techniques and healthcare program integrity.

Requirements

  • Bachelor’s degree plus 5 years of relevant experience, or associate degree plus 8 years, or high school diploma plus 9 years.
  • Knowledge of Medicare Part D, drug pricing, manufacturer rebate structures, or government pricing programs.
  • Knowledge of federal healthcare regulations, particularly pharmaceutical pricing and government program compliance.
  • Strong analytical and investigative skills.
  • Exceptional written and verbal communication skills, including presenting complex findings to technical and non-technical audiences.
  • Strong project management skills and ability to manage multiple investigations simultaneously.
  • Experience with case management systems, e-discovery tools, and data analytics platforms.

Benefits

  • Base salary of $90,000–$110,000, commensurate with experience, education, and skills.
  • Medical, dental, and vision coverage with telehealth and a confidential Employee Assistance Program.
  • Paid time off starting at 3.5 weeks annually, increasing with tenure, plus 11 paid holidays.
  • 401(k) plan with employer match of up to 4% after six months.
  • Company-paid life, accidental death and dismemberment, and short- and long-term disability insurance.
  • Professional development and tuition reimbursement of up to $1,500 annually each after six months.

Interested in this position?

Apply directly on the company website

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