Investigative Auditor

Crossroads Talent Solutions•Albany, NY

4d•Remote

About The Position

The Investigative Auditor will provide specialized financial, auditing, statistical, healthcare claims, and forensic accounting support to the U.S. Attorney’s Office for the Northern District of New York. The position supports the Affirmative Civil Enforcement Unit in developing, investigating, and litigating civil fraud matters involving the False Claims Act and other civil violations. The Investigative Auditor will work on matters involving healthcare fraud, government procurement fraud, grant fraud, COVID-relief fraud, opioid/diversion matters, and other fraud, waste, and abuse affecting federal funds and programs. The position requires the ability to analyze complex and voluminous financial and healthcare data, identify potential irregularities, trace funds and assets, calculate damages and financial exposure, and translate analytical findings into clear reports, spreadsheets, charts, visualizations, and other materials that can support investigations and litigation.

Requirements

Bachelor’s degree or higher in Accounting, Finance, Economics, Statistics, Data Analytics, Healthcare Administration, or a related field.
Minimum of three (3) years of professional experience involving one or more of the following: Accounting, Auditing, Healthcare claims analysis, Forensic accounting, Financial investigations, Statistical analysis, Related analytical work
Demonstrated professional experience relevant to complex financial, healthcare, forensic accounting, statistical, and investigative analysis.
Proficiency with Microsoft Office applications, including: Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Access
Experience using financial, auditing, analytical, statistical, and/or data visualization software.
Strong quantitative, analytical, investigative, and problem-solving skills.
Ability to analyze large and complex datasets and accurately communicate findings.
Ability to prepare professional reports, spreadsheets, schedules, charts, timelines, and other analytical products.
Ability to work collaboratively with attorneys, investigators, federal agency personnel, and support staff.
Strong written and verbal communication skills.
Ability to handle sensitive and confidential investigative information appropriately.
U.S. Citizenship.
Capable of successfully completing the requisite DOJ background investigation/security adjudication.
Complete required DOJ security, privacy, ethics, cybersecurity, records-management, confidentiality, and other contract-specific training.

Nice To Haves

Certified Public Accountant (CPA)
Certified Fraud Examiner (CFE)
False Claims Act investigations.
Healthcare fraud investigations.
Medicare, Medicaid, TRICARE, or VA claims analysis.
Government procurement or grant fraud.
Forensic accounting and financial tracing.
Statistical sampling and RAT-STATS or comparable tools.
Damages calculations and financial exposure analyses.
Asset tracing and ability-to-pay assessments.
Federal investigations or litigation support.

Responsibilities

Assist Assistant U.S. Attorneys (AUSAs) and investigative agencies with complex financial, statistical, healthcare, and forensic accounting analyses supporting civil fraud investigations and litigation.
Analyze and audit financial transactions, accounting systems, healthcare claims, reimbursement data, procurement records, grant expenditures, and related financial information.
Conduct healthcare claims analyses involving Medicare, Medicaid, TRICARE, VA, and other federally funded healthcare programs.
Assist with statistical sampling analyses and methodologies, including the use of RAT-STATS or comparable statistical sampling tools.
Conduct False Claims Act damages analyses, including calculations involving damages, penalties, restitution-related figures, and other financial exposure.
Conduct asset-tracing and ability-to-pay analyses to support evaluation of settlement positions, financial recoverability, and collection considerations.
Analyze large financial and healthcare datasets and organize financial and documentary evidence using industry-standard analytical and visualization tools.
Trace financial activity involving individuals, corporate entities, healthcare providers, contractors, grant recipients, and other organizations.
Perform forensic accounting analyses involving incomplete, inconsistent, electronically stored, or voluminous financial records.
Review and analyze bank records, tax records, healthcare billing records, claims submissions, contracts, invoices, procurement materials, grant documentation, correspondence, and other documentary evidence.
Prepare accurate and concise audit reports, schedules, spreadsheets, charts, summaries, timelines, visualizations, and other analytical products.
Develop analytical materials for investigations, settlement negotiations, motions practice, depositions, hearings, and trials.
Assist with interviews of witnesses, relators/whistleblowers, subjects, healthcare providers, business representatives, law enforcement personnel, and other individuals relevant to investigations.
Support AUSAs, USAO personnel, and investigative agencies with deposition preparation, trial preparation, exhibits, and related litigation-support activities.
Attend meetings, interviews, depositions, hearings, and trials when requested.
Assist with preparing declarations, affidavits, summaries, and other evidentiary materials.
Use electronic databases and publicly available information to identify assets, financial information, and other relevant evidence.
Assist with organizing, indexing, securing, and managing documentary and electronic evidence.
Prepare interim and final analytical and investigative reports.
Help develop technical guidance and analytical approaches involving auditing, healthcare claims analysis, statistical sampling, forensic accounting, and financial investigations.
Collaborate with AUSAs, federal agents, agency personnel, and support staff to identify potential statutory and regulatory violations.
Perform other related duties within the scope of the assignment.