Sr. Civil Healthcare Fraud Investigator

Pay: $40.97 - $46.06 per hourJob description:Job OverviewArdelle Associates, a veteran-owned company providing Consulting and Support Services to government agencies is seeking a Senior Civil Health Care Fraud investigator to join their team in support of the DC Department of Justice (DOJ), U.S. Attorney's Office (USAO) in Harrisburg, PAWe are seeking a highly skilled and detail-oriented Fraud Investigator to join our team. The ideal candidate should possess expertise in document analysis related to fraud cases and health care, exhibit proficiency in Microsoft Office applications, maintain U.S. Citizenship, and demonstrate the ability to make responsible decisions on short notice while adapting to unexpected developmentsDutiesSupports the planning and conduction of investigationsAssists 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, and Anti-Kickback 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.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.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.Experience & RequirementsBachelor’s degree in law enforcement, criminal justice, accounting, finance or related field. –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.) –U.S. Citizenship and ability to obtain adjudication for the requisite background investigation –: CPA Certification - Experience working with a federal or state law enforcement entityJob Type: Full-timeBenefits:401(k)401(k) matchingDental insuranceHealth insurancePaid time offEducation:Bachelor's (Required)Experience:Civil Fraud Investigation: 5 years (Required)Security clearance:Confidential (Preferred)Work Location: In person