Paralegal Specialist (Health Care Fraud)

Executive Office for U.S. Attorneys and the Office of the U.S. Attorneys•Denver, CO

About The Position

The Paralegal Specialist joins a United States Attorney’s Office team supporting the civil litigation needs of Health Care Fraud (HCF) investigations and trials. The role provides technical and analytical litigation support to help teams make litigation decisions, prepare for trial, and present cases. It involves managing and analyzing case-specific discovery, applying relevant procedural and evidence rules and court practices, developing ways to organize and present complex evidence, and preparing visual exhibits. The position also reviews health insurance data and conducts specialized legal research and writing for civil HCF cases. Responsibilities increase in complexity as training and experience progress.

Requirements

Be a U.S. Citizen or National.
Receive a satisfactory pre-employment adjudication, including fingerprint, credit, and tax checks, and drug testing; continued employment is subject to a favorable background investigation adjudication.
Be registered for Selective Service, if applicable.
Meet all qualification requirements by the announcement closing date.
At the GS-11 level, qualify through at least one of the specified routes: specialized experience, qualifying education, or a combination of education and experience.
For the specialized-experience route, have at least one year of specialized experience at or equivalent to GS-9 in Federal service. Examples include litigation-team technical assistance on case management and discovery; reviewing, analyzing, and summarizing voluminous documents; organizing case-specific discovery; using automated litigation support technology such as Eclipse, Relativity, Case Map, or related programs; and legal research and writing.
For the education route, have a related Ph.D. or equivalent doctoral degree, three full years of progressively higher-level graduate education leading to such a degree, or a related LL.M.; graduate education must be from an accredited college or university and demonstrate the knowledge, skills, and abilities needed for the position.
For the combined education-and-experience route, have graduate education in excess of two full years combined with experience to meet the total qualification requirements.
Complete a one-year probationary period if required.
For education to qualify, academic degrees and coursework must meet the stated accreditation requirements; foreign education must be shown to be comparable to U.S. accredited education, and documentation must be in English or accompanied by an English translation.

Nice To Haves

Experience providing technical litigation support related to Health Care Fraud to facilitate litigation decisions.
Experience reviewing, analyzing, and synthesizing Medicare, Medicaid, or other insurance data for suspicious billing patterns and loss calculations.
Experience preparing computerized trial presentations, such as with Trial Director.
Experience using data analytical tools for healthcare and prescription data to manipulate, analyze, and present data.

Responsibilities

Provide technical litigation support to Health Care Fraud civil trial teams to facilitate litigation decisions, trial preparation, and trial presentation.
Apply knowledge of the Federal Rules of Civil Procedure and Evidence, court requirements, and district practices to organize and manage case-specific discovery.
Determine what discovery evidence should be presented and how it should be presented to prove a case.
Recommend and identify suitable software, including databases, spreadsheets, and word-processing applications, to present complex evidence, produce graphic demonstrative evidence, and meet user needs.
Prepare exhibits for legal proceedings, including charts, graphs, and diagrams.
Review, analyze, and synthesize Medicare, Medicaid, and other insurance data for suspicious billing patterns and loss calculations.
Perform specialized legal research and writing for civil Health Care Fraud cases, including research and analysis of statutes, legislative intent, judicial precedents, agency rules and regulations, and law review articles.