Senior Civil Health Care Fraud Investigator (Healthcare)

TL;DR

Senior Civil Health Care Fraud Investigator (Healthcare): Conducting complex fraud investigations to determine violations of Federal Statutes such as the False Claims Act and Stark Law with an accent on evidence gathering and legal support for Assistant United States Attorneys. Focus on analyzing financial records, interviewing witnesses, and preparing comprehensive reports for federal litigation.

Location: On-site in Harrisburg, PA

Salary: $100,000 - $200,000 a year

Company

hirify.global provides customized solutions to federal agencies, optimizing human and technical resources to solve dynamic government problems.

What you will do

• Plan and conduct investigations into violations of Federal Statutes, including the False Claims Act, Stark Law, and Anti-Kickback Act.
• Collaborate with Assistant United States Attorneys (AUSAs) to identify causes of action and determine required proof for legal responsibility.
• Gather and analyze evidence from documents, emails, financial statements, and computer data to build cases for litigation.
• Conduct surveillance and interview witnesses, suspects, and government or business representatives.
• Prepare detailed memos, interim reports, and final findings regarding investigative progress and witness assessments.
• Provide analytical support by creating audio-visual materials, charts, and graphs for use in motions and trials.

Requirements

• Bachelor’s degree in law enforcement, criminal justice, accounting, finance, or a related field.
• Minimum 10 years of experience in law enforcement, criminal justice, and healthcare fraud investigation.
• Experience testifying in court matters.
• U.S. Citizenship and ability to obtain adjudication for the requisite background investigation.
• Proficiency in Microsoft Office software (Word, Excel, Outlook).

Nice to have

• CPA Certification.
• Experience working with a federal or state law enforcement entity.

Culture & Benefits

• Comprehensive health, dental, and vision insurance.
• 401k and Flexible Spending Accounts (Health, Dependent Care, and Commuter).
• Paid Time Off and observance of State/Federal Holidays.
• Professional growth support through various learning opportunities.