USAO – NJ Senior Civil Investigator (Health Care Fraud)

Grey Street Consulting LLC • Newark, NJ

just now • Onsite

About The Position

Grey Street Consulting, LLC (Grey Street), a leading small business provider of operational support services to Federal civilian and defense agencies, is seeking to hire a Senior Civil Investigator (Health Care Fraud) to support our prospective client within the United States Attorney’s Office, District of New Jersey (USAO-NJ). This position is to report on-site full-time in Newark, NJ. This position is contingent upon award.

Essential Duties and Responsibilities
Applicant must possess extensive knowledge of generally accepted investigative principles, techniques, and procedures. Must be knowledgeable about rules of evidence, and the constitutional rights of individuals. Must be able to recognize, develop, and present evidence that reconstructs events, sequences, and time elements and establishes relationships, responsibilities, and liability in a manner that meets the requirements of law.
Applicant must have the ability to (1) make contacts, maintain effective work relationships, and gain the confidence and cooperation of others; (2) plan and conduct complex investigations; (3) devise and improvise methods of meeting investigative goals in an expeditious manner; (4) obtain information and develop evidence by observation, interviewing individuals, examining and analyzing records; (5) understand and analyze financial, billing, and other reporting information and materials relevant to health care fraud enforcement cases; (6) report facts clearly, accurately, and logically both orally and in writing; and (7) cope with unusual demands or situations, make responsible decisions on short notice and adapt to unexpected development.
Plan and conduct investigations to develop and/or verify facts of health care fraud cases and complaints, both independently and in consultation with Assistant U.S. Attorneys who handle health care fraud matters.
Identifying witnesses and conducting interviews.
Reviewing documents, reports, bank records, interview files, computer data, and other produced materials, including patient records and health care billing records.
Assisting attorneys in formulating investigative plans to identify facts and issues involved in a case, the applicable theories of law, and the scope of the investigation.
Establishing and maintaining an effective system of compiling, indexing, and organizing information and its sources.
Preparing reports and presenting findings orally and writing to attorneys and other staff.
Participate and assist in preparation for settlement negotiations and trial. Duties include: Compiling, organizing, and indexing evidence; Managing the presentation of exhibits at settlement negotiations and trial, including preparing narrative summaries, charts, tables, graphs, or other visual aids.
Computer Skills: Applicant must have the ability to use MS Excel, MS Outlook, MS Access, Relativity, Everlaw or other data bases. Applicant must have a working knowledge of research methods involved in the collection and analysis of data.
Communication and interpersonal skills are extremely important. Applicant must be able to work and interact professionally and effectively with all levels of staff and public. Applicant must have the ability to meet established deadlines and work as a team player in a professional office.

Requirements

• Extensive knowledge of generally accepted investigative principles, techniques, and procedures.
• Knowledgeable about rules of evidence, and the constitutional rights of individuals.
• Ability to recognize, develop, and present evidence that reconstructs events, sequences, and time elements and establishes relationships, responsibilities, and liability in a manner that meets the requirements of law.
• Ability to make contacts, maintain effective work relationships, and gain the confidence and cooperation of others.
• Ability to plan and conduct complex investigations.
• Ability to devise and improvise methods of meeting investigative goals in an expeditious manner.
• Ability to obtain information and develop evidence by observation, interviewing individuals, examining and analyzing records.
• Ability to understand and analyze financial, billing, and other reporting information and materials relevant to health care fraud enforcement cases.
• Ability to report facts clearly, accurately, and logically both orally and in writing.
• Ability to cope with unusual demands or situations, make responsible decisions on short notice and adapt to unexpected development.
• Ability to use MS Excel, MS Outlook, MS Access, Relativity, Everlaw or other data bases.
• Working knowledge of research methods involved in the collection and analysis of data.
• Ability to work and interact professionally and effectively with all levels of staff and public.
• Ability to meet established deadlines and work as a team player in a professional office.
• U.S. Citizenship and ability to obtain adjudication for the requisite background investigation.
• Must have valid State driver’s license.
• Proficient in Microsoft Office software programs (i.e., Word, PowerPoint, Excel and Outlook).
• Bachelor’s degree required.
• 5-7 years of related experience.
• Operate a PC and phone in an office environment.
• Work in a primarily sedentary position.
• Perform some bending, light lifting, and carrying of equipment may be required.
• Any additional office equipment that is required by the position.

Nice To Haves

• Master’s degree preferred.

Responsibilities

• Plan and conduct investigations to develop and/or verify facts of health care fraud cases and complaints, both independently and in consultation with Assistant U.S. Attorneys who handle health care fraud matters.
• Identifying witnesses and conducting interviews.
• Reviewing documents, reports, bank records, interview files, computer data, and other produced materials, including patient records and health care billing records.
• Assisting attorneys in formulating investigative plans to identify facts and issues involved in a case, the applicable theories of law, and the scope of the investigation.
• Establishing and maintaining an effective system of compiling, indexing, and organizing information and its sources.
• Preparing reports and presenting findings orally and writing to attorneys and other staff.
• Participate and assist in preparation for settlement negotiations and trial. Duties include: Compiling, organizing, and indexing evidence; Managing the presentation of exhibits at settlement negotiations and trial, including preparing narrative summaries, charts, tables, graphs, or other visual aids.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior