Thursday, October 23, 2014

Fraud Consultant-Specialty Pharmaceutical/Specialty Pharmacy/Medical Sales Job Opening


National Health Care Analysis Group - Overland Park, KS
Please send a short paragraph with your resume outlining why you are qualified for this position. Do not send your resume without the short paragraph. If you do not send the short paragraph, your resume will not be considered.
NHCA is a nationwide healthcare fraud consulting company located just outside of Philadelphia, PA. We are experts in finding and reducing healthcare fraud, waste and abuse. We perform due diligence and forensic work for healthcare mergers and acquisitions. We also work with whistleblowers and provide investigative and support services to help them bring Medicare fraud whistleblower claims. We find fraud … and in doing so help save healthcare dollars.
This week, the Office of Inspector General of the Department of Health and Human Services posted an advisory opinion regarding a specialty pharmacy's request to pay local retail pharmacies a fee for support services in connection with patient referrals. (So-called "per-fill fees"). In short, the opinion concluded that the proposed arrangement could potentially generate prohibited remuneration under the anti-kickback statute.
Further, there have been some questionable billing practices in Medicare Part B clinical laboratory services. From 2005 to 2010, Part B Medicare enrollment increased by 10 percent, while spending for lab services increased by 29 percent. Some labs have shown an unusually high percentage of claims with ineligible and/or invalid ordering-physician numbers, or an unusually high allowed amount per ordering physician. Almost half of the labs that exceeded the thresholds for five or more measures of questionable billing—compared to 13 percent of all labs—were located in California and Florida, areas known to be vulnerable to Medicare fraud. Some labs that exceeded the thresholds for fewer than five measures also exhibited billing that may warrant further review.
If you have training, education and experience in identifying potential questionable billing in in Medicare reimbursed medical sales (e.g., pharmaceutical, specialty pharmaceutical, device, oncology, etc.) would you like to join us to help companies and whistleblowers stop Medicare fraud.
We seek to a knowledgeable per diem/per project Fraud Consultants to help us identify any and all fraudulent trends and/or practices in Overland Park, KS area. You will work in your local area. You will be semi-autonomous, set your schedule, meetings and your time to maximize your success. You will have weekly telephone/email reporting requirements (which should take less than an hour). Despite your reporting requirements, your job and mission will be develop strong relationships, ask the right questions, use analytic sense, connect the dots and help us find fraudulent trends and practices. Compensation is dependent upon experience and skill set. However, there is a potential for a performance bonus for outstanding results.
Only qualified applicants with experience in this field need apply; all others will not be considered.
If you’d like to learn more about this Fraud Consultant opportunity, please respond. There will be an initial phone screen and, if successful, there will be in person interviews starting in September. All information will be kept confidential.
Also, if you know of fraud and are willing to work with us to help us prove it, then you can also earn a significant reward (potentially millions of dollars). Our group's analysis and the expertise will cost you nothing. If there is a recovery, you and our group will equally share in the reward. This is a very unique opportunity to earn a substantial reward and clean up the health care industry. We also work with you to provide anonymity & protect your license if you are being put in a compromising situation with your employer and being asked to commit fraud. If you are tired of seeing health care dollars being wasted or being used to help cheat the system, this is your chance to do something about it. Send a confidential email of interest and we can arrange for a discussion about how we can work together. Or you can call our office at 888-933-1086 and speak with Chris from the NHCAgroup. We can arrange for a confidential interview.

No comments: