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

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  • Intelligence Federal
  • Cleveland, OH

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,

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