Healthcare Fraud Auditor (HCF)

Cameo Consulting Group • Oxford, MS

4d

About The Position

Based on cases or broad legal issues assigned to one or more Assistant United States Attorneys (AUSAs) and at the AUSA’s direction, the contractor independently plans and conducts investigations of civil or administrative matters specializing in Healthcare Fraud. Cases may concern sensitive matters, involve prominent individuals, organizations or corporations within a U.S. Attorney’s district; involve issues cutting across jurisdictional lines; and often are characterized by obscure leads, few visible records, uncooperative witnesses, and/or conflicting evidence. Investigations may be conducted solely by the USAO, or more typically, 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).

Requirements

• Independent planning and conducting of investigations in civil or administrative matters specializing in Healthcare Fraud.
• Ability to handle sensitive matters, prominent individuals, organizations, or corporations.
• Capacity to investigate issues cutting across jurisdictional lines.
• Skill in dealing with obscure leads, few visible records, uncooperative witnesses, and conflicting evidence.
• Experience in conducting investigations solely by the USAO or in conjunction with other federal and/or state or local agencies.
• Familiarity with agencies such as FBI, HHS, OPM, USPIS, DOL, and SEC.
• Ability to determine applicable administrative statutory and regulatory law.
• Skill in identifying possible violations or causes of action.
• Understanding of applicable federal, state, or local laws.
• Ability to determine proof required for litigation.
• Proficiency in devising methods for obtaining, preserving, and presenting evidence.
• Capability to decide on efficacious methods for planning, scheduling, and conducting investigations.
• Ability to identify required resources for investigations.
• Experience in referring evidence of criminal activities to appropriate investigators or law enforcement officers.

Responsibilities

• Working with the assigned AUSAs and/or supervisory attorneys determines applicable administrative statutory and regulatory law, and identifies possible violations or causes of action.
• Develops an understanding of all applicable federal, state, or local laws to the extent necessary to make sound decisions on direction and scope of investigations.
• Determines proof required to assist in affixing legal responsibility for litigation, and devises methods for obtaining, preserving, and presenting evidence to greatest effect.
• Decides upon most efficacious methods for planning, scheduling, and conducting investigations, and identifies any resources that may be required.
• Refers evidence of criminal activities to appropriate criminal investigators or sworn law enforcement officers.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed