Civil Health Care Fraud Investigator to support the US Attorney's Office Job Listing at FSA in Cleveland, OH (Job ID 5001143496406)

Description

FSA Federal (FSA) is focused on delivering unsurpassed services in support of law enforcement and homeland security. We currently have a potential vacancy for a Civil Health Care Fraud Investigator. In this role, you will be supporting the overall mission of the US Attorney's Office (USAO). If you are looking for a meaningful, mission driven career, Join FSA!

A Civil Health Care Fraud Investigator performs, but is not limited to the following duties:

• Supports the planning and conduction of investigations
• Assists Assistant United States Attorneys (AUSAs) in the investigation of matters in conjunction with federal agents, to determine whether there have been violations of Federal Statutes, e.g., False Claims Act, Stark Law, Anti-Kickback Act, and Controlled Substances Act.
• Works and regularly communicates with AUSAs to identify possible violations or causes of action, determines proof required to assist in affixing legal responsibility, and devises methods for obtaining, preserving, and presenting such evidence.
• Decides upon the most effective methods for planning, scheduling, and conducting investigations, and identifies required resources. Recommends methods for conducting investigations, including interviews, subpoenas, and depositions. Secures participation of appropriate law enforcement agents in execution of these investigative methods.
• Identifies and presents AUSAs with potential investigations through review of the news, databases, and regular communications with representatives of Government agencies and private industry.
• Contacts federal, state, and local officials, as well as business representatives, to gather information, documents, and statements on current or potential investigations, as well as coordinate investigative activities.
• Assists AUSAs with the identification, locating, and interviewing of witnesses. Conducts surveillance of suspects with appropriate law enforcement agencies. Communicates with counsel of subjects and witnesses.
• Prepares appropriate memos and reports on contacts, interviews, and surveillance.
• Examines, analyzes, presents, and secures evidence such as documents, emails, policies, text messages, payrolls, financial statements, billing statements, invoices, correspondence, computer data, and other records pertaining to the transactions, events, or allegations under investigation.
• Research and reviews laws, rules, regulations, and policies to determine whether health care billings were improper. Identifies and interviews any relevant Governmental or business representative pertaining to the propriety of the billings.
• Traces funds derived from fraud and identifies assets of subjects.
• Confirms authenticity of documents, corroborates witness statements, and otherwise builds proof necessary for successful litigation.
• Arranges for the integrity of evidence through secure storage, preservation, organization, and indexing of voluminous physical and electronic evidence.
• Regularly updates AUSAs on status of case. Prepares interim and final reports on progress of investigations for use by AUSAs and supervisory attorneys. Includes significant findings and conclusions, recommendations for additional investigative actions, and candid assessments of strengths and weaknesses of witnesses, documentary evidence, and other aspects of case.
• Assists AUSAs with preparation for litigation and trial.
• Provides analytical advice and assistance with compiling documents and physical evidence, and creating charts, graphs, videotapes, and other audio-visual materials for use by AUSAs in motions and at trial.
• Provides advice to AUSA on selection of witnesses and ensures their attendance through subpoena or otherwise.
• Prepares summary evidence for litigation and trial; testifies in litigation proceedings and at trial regarding summary evidence.
• Other related duties as assigned and within scope

Requirements

A Civil Health Care Fraud Investigator must meet the minimum qualifications:

• Four-year bachelor's degree in law enforcement, criminal justice, accounting, finance or related field. CPA certification preferred
• Minimum 5 years of federal law enforcement experience, with demonstrated experience in health care fraud investigations
• Excellent written and oral communication skills
• Understands the rules of evidence and civil/criminal procedure, the admissibility and inadmissibility of evidence, the elements of the violation(s) under investigation, and other applicable policies
• Experience testifying in court matters
• Proficient in Microsoft Office software programs (i.e., Word, Excel, Outlook, etc.)
• Valid U.S. driver's license
• Ability to travel in support of investigations
• Experience and expertise necessary to perform the tasks and duties of the position listed 

This position requires U.S. Citizenship and a 7 (or 10) year minimum background investigation.   Benefit Overview

At FSA Federal, we recognize the diverse needs of our employees and strive to provide an excellent package to help meet those needs. Comprehensive benefits are offered with greater choice and flexibility to support your health, work-life balance, and professional growth. A package providing employee only coverage can be built around our basic plans at $0 employee cost for: Medical, Dental, Vision, Term Life Insurance, Accidental Death & Dismemberment Insurance, Short-Term Disability, and Employee Assistance Program. For more information, click here.

EEO Statement

Consistent with our goal of empowering people, FSA is committed to providing all employees and employment candidates the right to equal employment opportunities and a harassment-free work environment free from retaliation. FSA's employment practices are based on an individual's capabilities and qualifications without regard to race, color, religion, sex (including transgender status, sexual orientation, and pregnancy), national origin, age (40 or older), disability, genetic information, veteran status, or any other category protected by federal, state, or local law. Equal employment opportunity applies to all policies and procedures including recruitment and hiring, promotions, transfers, and terminations, as well as compensation, benefits, and other terms and conditions of employment. Our long-term success depends upon our ability to attract, retain, and develop a workforce with the knowledge and skills needed to support the vital missions of our customers. FSA is proud to maintain a drug-free workplace. Satisfactory completion of a post-offer drug screening is a condition of employment. As a supplier of services to federal government agencies, such as DEA, FBI, USCIS, USPIS, etc., we also adhere to agency standards with respect to prior drug usage.

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