Senior CHCF Investigator
ROLE
We need an experienced Senior Civil Health Care Fraud Investigator at USAO MDPA. The United States Attorney's Office for the Middle District of Pennsylvania regularly investigates and litigates matters involving fraud committed on public health care benefits programs including Medicare, Medicaid, TRICARE, and the Federal Employees Health Benefits Program. In this role, you will support the planning and conduction of investigations, assist AUSAs in determining violations of Federal statutes, examine and analyze financial and documentary evidence, trace funds derived from fraud, and assist with preparation for litigation and trial including the creation of exhibits and audio-visual materials. This is a full-time opportunity. We can offer a competitive salary, and a comprehensive benefits package.
Apply today! RESPONSIBILITIES
- Supports the planning and conduction of investigations in conjunction with federal agents to determine whether there have been violations of Federal statutes, e.g., False Claims Act, Stark Law, and Anti-Kickback Act.
- Works with AUSAs to identify possible violations or causes of action, determine proof required to affix legal responsibility, and devise methods for obtaining, preserving, and presenting evidence.
- Determines the most effective methods for planning, scheduling, and conducting investigations, including interviews, subpoenas, and depositions. Secures participation of appropriate law enforcement agents.
- Contacts federal, state, and local officials and business representatives to gather information, documents, and statements on current or potential investigations.
- Assists AUSAs with identifying, locating, and interviewing witnesses. Conducts surveillance of suspects. Communicates with counsel of subjects and witnesses.
- Examines, analyzes, and secures evidence including documents, financial statements, billing records, emails, correspondence, and computer data pertaining to the allegations under investigation.
- Reviews laws, rules, regulations, and policies to determine whether health care billings were improper. Traces funds derived from fraud and identifies assets of subjects.
- Confirms authenticity of documents, corroborates witness statements, and arranges for the secure storage, preservation, and indexing of physical and electronic evidence.
- Prepares interim and final reports on investigation progress for AUSAs and supervisory attorneys, including findings, recommendations for additional investigative actions, and candid assessments of evidence and witnesses.
- Assists AUSAs with preparation for litigation and trial, including compiling evidence and creating charts, graphs, and other audio-visual materials for use in motions and at trial.
- Other related duties as assigned and within scope
- Minimum ten (10) years of experience in any combination of law enforcement, criminal justice experience, and health care fraud investigation.
- Experience testifying in court matters
- Proficient in Microsoft Office software programs (i.e., Word, Excel, Outlook, etc.)
- Experience and expertise in performing the responsibilities above
- CPA Certification
- Experience working with a federal or state law enforcement entity
- Bachelor's degree in law enforcement, criminal justice, accounting, finance or related field.
- U.S. Attorney's Office, Harrisburg, Pennsylvania 17102
- Must be able to pass a Department of Justice background investigation
- Must be a US Citizen
- U.S. Attorney’s Office for the Middle District of Pennsylvania
- 40 hours per week
- 8 hours per day
- Employment Classification Eligibility – W2
- Not eligible for relocation benefits
- Salary Range: $80,000 - $105,000
- Benefits: Benefits package includes options for health, dental and vision insurance coverage
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