We are looking to place a Health Care Fraud Investigator on a 5-year project at a Federal Agency in Pensacola, FL. McNeal Professional Services, Inc. is a 25-year national Wireless Engineering and Staffing Services firm. We offer a comprehensive benefits package that includes medical, dental, vision, STD, LTD, and Life Insurance. Join our great team today!
If interested and available, please reply with an updated Word version of your resume and salary requirements.
Job Description:
Based on cases or broad legal issues assigned to one or more Attorneys) and at the direction of the ATTORNEY, the contractor independently plans and conducts investigations of civil or administrative matters specializing in Healthcare Fraud. Cases may concern sensitive matters, involve prominent individuals, organizations or corporations within a U.S. Attorney’s district; involve issues cutting across jurisdictional lines; and often are characterized by obscure leads, few visible records, uncooperative witnesses, and/or conflicting evidence.
Investigations may be conducted solely by the ATTORNEY’S OFFICE, or more typically, in conjunction with other federal and/or state or local agencies responsible for programs supported by federal funding. These federal agencies include, but are not limited to, the Federal Bureau of Investigation (FBI), the Department of Health and Human Services (HHS), the Office of Personnel Management (OPM), the U.S. Postal Inspection Service (USPIS), the Department of Labor (DOL), and/or the Security and Exchange Commission (SEC).
The investigator:
- Working with the assigned ATTORNEYs and/or supervisory attorneys determines applicable administrative statutory and regulatory law, and identifies possible violations or causes of action.
- Develops an understanding of all applicable federal, state, or local laws to the extent necessary to make sound decisions on direction and scope of investigations. Determines proof required to assist in affixing legal responsibility for litigation, and devises methods for obtaining, preserving, and presenting evidence to greatest effect.
- Decides upon most efficacious methods for planning, scheduling, and conducting investigations, and identifies any resources that may be required.
- Refers evidence of criminal activities to appropriate criminal investigators or sworn law enforcement officers.
- Performs a variety of ancillary investigation-related services in direct support of litigation. Support activities include one or more of the following:
- Initiates contacts with federal, state, and local officials, and other organizations and individuals related to the subject of investigation, for the purpose of gathering facts, obtaining statements, learning sequences of events, obtaining explanations and otherwise advancing investigative objectives. Examines books, ledgers, payrolls, cost reports, billing statements, invoices, correspondence, computer data, and other records pertaining to the transactions, events, or allegations under investigation. Establishes and/or verifies relationships among all facts and evidence obtained or presented to confirm authenticity of documents, corroborate witness statements, and otherwise build proof necessary for successful litigation.
- Utilizes laboratories and other forensic services to identify handwriting, fingerprints, questioned documents and substances, sound and video recordings, and other physical evidence. Arranges for secure storage, preservation, organization, and indexing of voluminous documentary evidence.
- Conducts in-person and/or telephonic interviews of witnesses. Identifies the need for service of warrants and subpoenas and secures participation of appropriate law enforcement agents in executions of same. Types hand scribed notes from interview discussions.
- Coordinates surveillance of suspects with appropriate law enforcement/investigative agencies. Occasional surveillance activities personally performed occur in locations that are open and accessible to the public where there is little or no risk of physical harm to the contractor or others. The contractor does not have arrest authority nor is authorized the use of deadly force. “Undercover” work characteristically does not involve physical interaction with the subject or target of a criminal investigation.
- Prepares interim and final reports on progress of investigations for use by ATTORNEYs and supervisory attorneys. Includes significant findings and conclusions, recommendations for additional investigative actions, and candid assessments of strengths and weaknesses of witnesses, documentary evidence, or other aspects of case.
- Assists in compilation of documents and physical evidence, and creation of charts, graphs, videotapes, and other audio-visual materials for use by ATTORNEYs in motions and at trial. Provides advice to ATTORNEY on selection of witnesses and ensures their attendance through subpoena or otherwise. Testifies in court regarding investigations, as required.
- Provides specialized investigative analysis relevant to health care fraud, procurement fraud, agriculture fraud and fraud related to other federal programs.
- Conduct asset investigations, verify employment, and conduct financial analysis to ensure the target has the ability to pay monetary penalties.
- Work with Paralegal Specialists, attorneys and senior team members to determine applicable statutory and regulatory law and identify possible violations.
- Testifies in court as required.
- Performs other related duties as assigned.
BASIC QUALIFICATIONS
The HCF Investigator must have:
- Bachelor Degree or higher.
- At least five years of demonstrated ability in a similar position.
- U.S. Citizenship.
Ability to pass a detailed, extensive background check and credit check from the Department of Justice!
Job Type: Full-time
Pay: $70,000.00 - $100,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible schedule
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
Education:
Experience:
- Law enforcement: 5 years (Preferred)
- Healthcare fraud: 5 years (Required)
- Testifying in court matters: 2 years (Required)
- medicare and healthcare fraud schemes: 2 years (Required)
- False Claims Act and qui tam complaint: 2 years (Preferred)
Ability to Commute:
- Pensacola, FL 32502 (Required)
Work Location: In person
