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

WTAxYndHN0hxSzllR1VFLzVxZTBSNzM3b3c9PQ==
  • Intelligence Federal
  • Cleveland, OH

Job Description

Intelligence Federal is a fast-growing federal contracting company seeking an experienced Healthcare 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

Methodist Hospital Metropolitan

Registered Nurse Clinical Decision Unit Specialist Job at Methodist Hospital Metropolitan

 ...Description Introduction Do you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for...  ...healthcare provider. We are seeking a Registered Nurse for our Clinical Decision Unit to join our healthcare family. Benefits Methodist... 

Moon Active

Remote Multimedia Artist Job at Moon Active

 ...across the universe. We are looking for a talented Social Media Artist to join our amazing CRM team. You will be responsible for...  ...ATTACH A PORTFOLIO OR PROVIDE A LINK TO AN ONLINE VERSION***#LI-Remote Advantages None Benefits None Jobicy JobID: 1... 

InterSources

PMP Certified Project Manager Job at InterSources

About Us: InterSources Inc , a Certified Diverse Supplier, was founded in 2007 and offers innovative solutions to help clients with Digital Transformations across various domains and industries. Our history spans over 16 years and today we are an Award-Winning Global...

Classic Settlements

Real Estate Settlement Attorney Job at Classic Settlements

 ...Classic Settlements, a well-established real estate title company, is seeking a detail-...  ...experience overseeing residential and/or commercial real estate closings, reviewing title abstracts...  ...preferred (will consider strong entry-level candidates with relevant internship or... 

Milton Hershey School

Program Assistant Project Market, Part-Time Job at Milton Hershey School

 ...Program Assistant Project Market, Part-Time - ( 25000238 ) Description Milton Hershey School (MHS) is one of the world's best pre-K through...  ...PA driver's license in good standing. Experience in safe food handling preferred. NSF ServSafe Certification or ability...