Health Care Frauds Investigator

Winooski, VT, United States

Job Description


As a Health Care Frauds Investigator, you will play a key role in supporting various aspects of the Department of Justice District of Vermont by providing investigative support, financial analysis findings, and guidance to law enforcement personnel. CGS is seeking an experienced Health Care Frauds Investigator to join a fast-paced and extremely active federal legal team.

CGS brings motivated, highly skilled, and creative people together to solve the government\xe2\x80\x99s most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates that 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.

Job functions may include:

Based on cases or broad legal issues assigned to one or more Assistant United States Attorneys (AUSAs) and at the AUSA\'s direction, the HCF Investigator/Analyst shall assist in the planning and execution of investigations of civil or administrative matters specializing in health care fraud. Investigations may be conducted solely by the USAO, or in conjunction with other federal and/or state or local agencies responsible for programs supported by federal funding. These federal agencies include, but are not limited to, the Federal Bureau of Investigation (FBI), the Department of Health and Human Services (HHS), the Office of Personnel Management (OPM), the U.S. Postal Inspection Service (USPIS), the Department of Labor (DOL), and/or the Security and Exchange Commission (SEC).

The HCF Investigator/Analyst will:

  • Develop an understanding of applicable federal, state, or local laws to the extent necessary to make sound decisions on direction
  • and scope of investigations.
  • Decide upon most efficacious methods for planning, scheduling, and conducting investigations, and identify any resources that
  • may be required.
  • Initiate contacts with federal, state, and local officials, and other organizations and individuals related to the subject of
  • investigation, for the purpose of gathering facts, obtaining statements, learning sequences of events, obtaining explanations, and
  • otherwise advancing investigative objectives.
  • Conduct necessary document review and research and produce necessary summaries to further ongoing investigations.
  • Examine books, ledgers, payrolls, cost reports, billing statements, invoices, correspondence, computer data, and other records
  • pertaining to the transactions, events, or allegations under investigation. Establish and/or verify relationships among all facts and
  • evidence obtained or presented to confirm authenticity of documents, corroborate witness statements, and otherwise build proof
  • necessary for successful litigation.
  • Conduct in-person and/or telephone interviews of witnesses. Identify the need for service of warrants and subpoenas, and secure
  • participation of appropriate law enforcement agents in executions of same. Type hand-scribed notes from interview discussions.
  • Prepare interim and final reports on progress of investigations for use by AUSAs and supervisory attorneys.
  • Review internal and public sources of information to identify possible violations of administrative, statutory, and regulatory law.
  • Assist in compilation of documents and physical evidence, and creation of charts, graphs, videotapes, and other audio-visual
  • materials for use by AUSAs in motions and at trial. Testify in court regarding investigations, as required.
  • Performs other related duties as assigned.
  • The Government expects work will be performed at 98% accuracy and performance of duties is completed according to agreed upon due dates.
Skills, Attributes, and Qualities for success:
  • Minimum of four years\' experience in planning and conducting civil or criminal complex investigations concerning misuse of
public, private, or insurance funds. * Working knowledge of current investigative techniques including the use of commercial databases and other sources of

information. * Must have a valid driver\'s license.
  • U.S. Citizenship and ability to obtain adjudication for the requisite background investigation.
Ideally, you will also have:
  • Experience in law enforcement.
  • Experience in analyzing, organizing, and presenting a large volume of data using common software programs.
  • Experience in reviewing and understanding financial records.
  • Experience in interviewing potential witnesses.
About CGS:

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\xe2\x80\x99s specific needs. We are committed to solving the most challenging and dynamic problems.

For the past seven years, we\xe2\x80\x99ve been growing our government-contracting portfolio, and along the way, we\xe2\x80\x99ve 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 delivering 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
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:

Phone: +1 (888) 680-5916
Email:

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Job Detail

  • Job Id
    JD4308714
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Winooski, VT, United States
  • Education
    Not mentioned