Civil Healthcare Fraud Investigator

Contact Government Services, LLC • Cleveland, OH • 4h ago

Civil Healthcare Fraud Investigator

Employment Type: Full-Time, Mid-Level

Department: Litigation Support

CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Agency in Cleveland, OH. The candidate must take the initiative to ask questions to successfully complete tasks, perform detailed work consistently, accurately, and under pressure, and be enthusiastic about learning and applying knowledge to provide excellent litigation support to the client.

CGS brings motivated, highly skilled, and creative people together to solve the government’s most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities.

Responsibilities will Include:

- Provides analytical advice and assistance with compiling documents and physical evidence, and creating charts, graphs, videotapes, and other audio-visual materials for use by AUSAs in motions and at trial.

-Provides advice to AUSA on selection of witnesses and ensures their attendance through

subpoena or otherwise.

- Supports the planning and conduction of investigations

- Assists Assistant United States Attorneys (AUSAs) in the investigation of matters in conjunction with federal agents, to determine whether there have been violations of Federal Statutes, e.g., False Claims Act, Stark Law, Anti-Kickback Act, and Controlled Substances Act.

-Decides upon the most effective methods for planning, scheduling, and conducting investigations, and identifies required resources. Recommends methods for conducting investigations, including interviews, subpoenas, and depositions. Secures participation of appropriate law enforcement agents in execution of these investigative methods.

- Assists AUSAs with the identification, locating, and interviewing of witnesses. Conducts surveillance of suspects with appropriate law enforcement agencies. Communicates with counsel of subjects and witnesses.

- Examines, analyzes, presents, and secures evidence such as documents, emails, policies, text messages, payrolls, financial statements, billing statements, invoices, correspondence, computer data, and other records pertaining to the transactions, events, or allegations under investigation.

-Regularly updates AUSAs on status of case. Prepares interim and final reports on progress of investigations for use by AUSAs and supervisory attorneys. Includes significant findings and conclusions, recommendations for additional investigative actions, and candid assessments of strengths and weaknesses of witnesses, documentary evidence, and other aspects of case.

-Assists AUSAs with preparation for litigation and trial.

Qualifications:

-Four-year bachelor’s degree in law enforcement, criminal justice, accounting, finance or related field. CPA certification preferred

- Minimum 5 years of federal law enforcement experience, with demonstrated experience in health care fraud investigations

- Experience testifying in court matters

- Understands the rules of evidence and civil/criminal procedure, the admissibility and inadmissibility of evidence, the elements of the violation(s) under investigation, and other applicable policies

- Communication skills: Ability to interact professionally and effectively with all levels of staff including AUSAs, support staff, client agencies, debtors, debtor attorneys and their staff, court personnel, business executives, witnesses, and the public. Communication requires tact and diplomacy.

- U.S. Citizenship and ability to obtain adjudication for the requisite background investigation.

- Must be able to obtain a favorably adjudicated Public Trust Clearance.

Our commitment:

Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client’s specific needs. We are committed to solving the most challenging and dynamic problems.

For the past seven years, we’ve been growing our government contracting portfolio, and along the way, we’ve created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work.

Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come.

We care about our employees. Therefore, we offer a comprehensive benefits package.

- Health, Dental, and Vision

- Life Insurance

- 401k

- Flexible Spending Account (Health, Dependent Care, and Commuter)

- Paid Time Off and Observance of State/Federal Holidays

Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Join our team and become part of meaningful government innovation!

Explore additional job opportunities with CGS on our Job Board:

https://cgsfederal.com/join-our-team/

For more information about CGS please visit: https://www.cgsfederal.com or contact:

Email: info@cgsfederal.com

$85,000 - $105,000 a year

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