Tamara C.

About Tamara C.

Analytical & detail-oriented compliance professional with extensive knowledge of…

Experience

1. Fraud Investigator, Lead Associate

   Peraton

   Sep 2024 — Present · Herndon, VA, US

   Provides research, interpret laws and regulations, performs data analysis and draws conclusions for projects;Conducts compliance audits of varied Medicaid case-types, audits claim submissions and performs ad-hoc focused audits;Handle several assignments concurrently; organizes and analyzes billing patterns; conducts interviews and obtains statements from beneficiaries/recipients and others;Develops an understanding of the function to be audited and uses business knowledge, analytical skills, and experience in identifying findings and making recommendations for improvements;Identifies compliance exceptions, conflicts of interest, improper payments;Organizes a case file, accurately and thoroughly documents all steps taken;Works independently or at times as part of a team, provide ongoing progress reports and updates on audit status;Presenting issues of concern, verified through data, citing regulatory violations, proving schemes or scams to defraud the Government;Composing correspondence, reports, and referral summary letters;Works under general supervision and as a member of a team to deliver high quality work;Ensures that projects are timely, complete and accurate; and,Actively participants at meetings and attends training to further his business acumen.