<p><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Attain Talent seeks a Part D Sr Investigator to support the integrity and effectiveness of federal healthcare programs through rigorous investigations, compliance oversight, and risk assessment. This role will support the review of pharmacies, dispensers, and manufacturers; develop investigative strategies and compliance processes; analyze data and evidence; and produce clear, actionable findings. The ideal candidate combines expertise in Medicare Part D, pharmaceutical pricing, and federal healthcare regulations with strong analytical, investigative, communication, and project management skills. This position will also collaborate with CMS, OIG, legal, audit, and other stakeholders while serving as a subject matter expert and mentor to support consistent, high-quality program integrity efforts.</span></p> <p><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><strong>Key Responsibilities</strong></span></p> <ul> <li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Support the Investigation Lead with functions of the task order, including the review of dispensers, pharmacies, and manufacturers’ practices to ensure adherence to Negotiation Program requirements.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Assist in the development of all necessary compliance requirements to inform compliance, investigations, reporting, and market surveillance activities.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Assist in developing necessary investigation processes to ensure implementation of timely, thorough, and unbiased investigations.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Assist in developing an investigation strategy and approach to ensure investigations are completed in accordance with program timelines and quality standards.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Identify and assess potential risks or violations through data analysis, stakeholder interviews, audits, and tips received through oversight channels.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Assist with intake, triage, and prioritization of investigative matters aligned with CMS compliance objectives.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Collaborate with data analysts, auditors, compliance officers, legal experts, and other stakeholders to collect and assess evidence.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Draft detailed investigation plans, memoranda, and final reports with actionable findings and recommendations.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Coordinate with CMS, OIG, and other federal oversight bodies on escalated matters requiring enforcement or corrective action.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Maintain a secure, documented chain of evidence throughout each case in compliance with federal guidelines.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Establish and refine investigation protocols, SOPs, and escalation procedures in coordination with the complaint/dispute and auditing teams.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Mentor junior staff and serve as subject matter expert (SME) related to investigative techniques and healthcare program integrity.</span></li> </ul> <p><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><strong>Qualifications</strong></span></p> <ul> <li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Bachelor’s degree plus 5 years of relevant professional experience, or</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Associates degree plus 8 years of relevant professional experience, or</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">High school diploma plus 9 years of relevant professional experience</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif