Heath Care Fraud Investigator - Government Contractor Job at Intelligence Federal, Cleveland, OH

SlhYZC9MUTh4OHYyaVJBMnB3S25ORFFPRFE9PQ==
  • Intelligence Federal
  • Cleveland, OH

Job Description

Job Description

Job Description

Intelligence Federal is a fast-growing federal contracting company seeking an experienced Health Care Fraud Investigator to support a federal government agency.

This is a full-time position and eligible for benefits through Intelligence Federal. Our company was recently voted one of the 2024 Best Places to Work in Washington, DC by the Washington Business Journal!

JOB DUTIES, INCLUDING BUT NOT LIMITED TO:

  • Supports the planning and conduction of investigations.
  • Identify possible violations or causes of action, determines proof required to assist in affixing legal responsibility, and devises motioned for obtaining, preserving, and presenting such evidence.
  • Assists with the identification, locating, and interviewing of witnesses. Conducts surveillance of suspects with appropriate law enforcement agencies.
  • Researches and reviews laws, rules, regulations, and policies to determine whether healthcare billings were improper.
  • Traces funds derived from fraud and identified assets of subjects.
  • Prepared interim and final reports on progress of investigations.
  • Assists in preparation for litigation and trial.

SECURITY CLEARANCE LEVEL

  • Must be able to obtain and maintain Public Trust clearance.
  • Must be a US citizen.

QUALIFICATIONS, REQUIREMENTS, & SELECTION CRITERIA

  • Bachelor’s degree in law enforcement/criminal justice, accounting, finance or related field required.
  • CPA certification preferred.
  • A minimum of 5 years of federal law enforcement experience, with demonstrated experience in healthcare fraud investigations.
  • Experience in testifying in court matters.
  • Understands the rules of evidence and civil/criminal procedure, the admissibility and inadmissibility of evidence, the elements of the violations(d) under investigation.
  • Demonstrated judgment and discretion to work with highly confidential information.
  • Proficient in Microsoft applications.
  • Ability to meet established deadlines and to work as a team player in a professional environment.
  • Excellent written and oral communication skills.

John J. Yim & Associates, LLC DBA Intelligence Federal is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.

Job Tags

Full time, For contractors, Interim role,

Similar Jobs

Royal Caribbean Group

Security Staff Job at Royal Caribbean Group

Youll conduct safety rounds, maintain gangway security, and act as the first response whenever necessary to preserve the safety of guests, the crew, and the ship. You must always be alert and prepared to respond to unusual incidents according to proper procedures, reporting...

The Estee Lauder Companies

Estee Lauder - Freelance - Raleigh, Durham, NC Job at The Estee Lauder Companies

**The Este Lauder Companies Inc.** is one of the world's leading manufacturers, marketers, and sellers of quality skin care, makeup, fragrance, and hair care products, and is a steward of luxury and prestige brands globally. The company's products are sold in approximately...

Iron Mountain

CDL B LOCAL ROUTE DRIVER Job at Iron Mountain

 ...your unique contributions? If so, let's start the conversation.**COME DRIVE (AND GROW) WITH US!**We're looking for **CDL B Local Route Driver** to help move Iron Mountain into the future and become our next generation of managers and leaders. If you want a career beyond... 

Advanced Micro Devices

Numerical Architectural Engineer Job at Advanced Micro Devices

 ..., collaborative, and inclusive of diverse perspectives.AMD together we advance_THE ROLE:AMD is looking for a Numerical Architectural Engineer passionate about driving the cutting-edge numerical modelling & algorithm design for AMDs next generation graphics IP design... 

Johnson Controls

HVAC Chiller Journeyman Mechanic (un) Job at Johnson Controls

 ...thinking talent to join our organization to support the fast-growing HVAC business in North America. During these unprecedented times,...  ...business. Must be a member or willing to join a local Union. Minimum of Three (3) years Commercial and/or industrial, mechanical...