Healthcare Fraud Investigator

Healthcare Fraud Investigator Employment Type: Full-Time, Experienced Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Oxford, MS. The candidate must take the initiative to ask questions to successfully complete tasks, perform detailed work consistently, accurately, and under pressure, and be enthusiastic about learning and applying knowledge to provide excellent litigation support to the client. CGS brings motivated, highly skilled, and creative people together to solve the government’s most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success: Working with the assigned AUSAs 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. 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 AUSAs 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 o