TOWER LEGAL SOLUTIONS is seeking temporary Fraud Analyst Paralegals to work ONSITE in Baltimore and Greenbelt, MD. This role reviews data from vendors who provide health care services to identify anomalies that might be indicative of improper billing or other types of fraud.
This is a part time (32 hours/week) contract position, and the anticipated start date is April 1, 2025, with an initial duration of 2 months. There is a distinct possibility that this assignment will be extended for up to 1-2 years after the initial 2-month period is completed successfully.
The payrate for this role is $30.00/hour.
Duties include but are not limited to:
Formulate data runs or inquiries from large 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 supervisory attorneys, including significant findings, conclusions, and recommendations for additional investigative actions
Work with the assigned attorneys 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 make sound decisions on direction and scope of investigation; determine proof required to assist in affixing legal responsibility for litigation
Initiate contacts with federal, state, and local officials, and other organizations related to the subject of the investigation for the purpose of 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 to 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 personnel to conduct interviews
Work with independent experts/consultants
Requirements:
3-5 years relevant experience as a paralegal performing fraud investigation and analysis
Background in healthcare industry preferred
Paralegal degree or certificate from an accredited institution
Availability to work 3-5 days/week onsite in either Baltimore or Greenbelt, MD
Ability to pass a Government background investigation at the Public Trust Clearance level
To be considered, please respond to this posting and include a copy of your resume in Word format only.