Health Care Fraud Investigator / Civil Investigator supporting the US Attorney's Office Job Listing at FSA in Pensacola, FL (Job ID 5001156108206)

Description

Be a part of the nationwide law enforcement initiative that removes the tools of crime from criminal organizations, depriving wrongdoers of proceeds from their crime and impacting the infrastructure of criminal enterprises.

FSA Federal (FSA) is focused on delivering unsurpassed services in support of law enforcement and homeland security. We currently have a vacancy for a Civil Investigator. In this role, you will be supporting the overall mission of the Unit of the U.S. Attorney's Office (USAO) including investigation and prosecution of health care fraud matters and an aggressive stance against illegal opioid distribution through imposition of penalties and the use of available civil injunctive remedies. If you are looking for a meaningful, mission driven career, join FSA!

Responsibilities

• Plan and conduct complex investigations, perform quantitative and qualitative analysis of relevant facts, and prepare the results to support the mission of the USAO. Investigations may be conducted solely by the USAO or in conjunction with federal and state agencies responsible for programs supported by federal funding including HHS, FBI, DCIS, and DEA.
• Research background information, identify subjects to investigate and develop leads, conduct interviews, collect and process evidence, prepare reports, charts, and exhibits, and help build financial investigations regarding the subjects and their conduct. Utilize analytical skills to identify and obtain financial records, identify and obtain health care provider data, analyze health care, business, and financial records, conduct interviews of witnesses and prepare reports of interviews.
• Develop an understanding of all applicable federal, state, or local law to the extent necessary to make sound decisions on the direction and scope of investigations. Determine proof required to affix responsibility for violations, and develop methods for obtaining, preserving, and presenting evidence effectively.
• Work with the assigned Assistant United States Attorneys (AUSAs), Paralegal Specialists and supervisory attorneys to determine applicable statutory and regulatory law and identify possible violations.
• Perform a variety of ancillary services in direct support of assigned cases and matters. 
• Use electronic databases to identify assets, documents, and other physical evidence.
• Prepare interim and final reports on progress of investigations for use by AUSAs and supervisory attorneys. Reports shall include significant findings and conclusions, recommendations for additional investigative actions, and candid assessments of strengths and weaknesses of witnesses, documentary evidence, and other aspects of case.
• Arrange for secure storage, preservation, organization, and indexing of voluminous documentary evidence.
• Assist in compilation and analysis of documents and physical evidence, and creation of charts, graphs, videotapes, and other audio-visual materials for use in hearings and at trial. Assist in developing the most efficient method for conducting investigations and identify any resources that may be needed.
• Initiate contacts with federal, state, and local officials, and other organizations and individuals related to subject of investigation for the purpose of gathering facts, obtaining statements, learning sequences of events, obtaining explanations, and otherwise advancing investigative objectives. Examine books, ledgers, payroll records, cost reports, billing statements, invoices, correspondence, computer data and other records pertaining to the transactions, events, or allegations under investigation. Establish and verify relationships among all facts and evidence obtained or presented to confirm authenticity of documents, corroborate witness statements, and otherwise build proof necessary to successful case resolution.

Requirements

Requirements

• A four-year undergraduate degree is preferred.
• Minimum of four years' experience in planning and conducting civil or criminal complex investigations concerning misuse of public, private, or insurance funds. Law enforcement experience is preferred.
• Knowledge, skills, and abilities to perform the duties as specified herein.
• Knowledge of legal and law enforcement terms and procedures.
• Working knowledge of current investigative techniques including the use of commercial databases and other sources of information.
• Experience in reviewing and understanding medical records and knowledge of medical billing procedures is preferred.
• Experience in interviewing potential witnesses is preferred.
• Experience in analyzing, organizing, and presenting a large volume of data through the use of common software programs is preferred (e.g. Excel).
• Skill in using word processing, spreadsheet software, and Microsoft Office software programs.
• Excellent written and oral communication skills.
• Valid driver's license.

This position requires U.S. Citizenship and a 7 (or 10) year minimum background investigation.   Agency Overview The mission of the USAO is to enforce federal law in the Northern District of Florida (NDFL) and to prosecute and defend criminal and civil cases in the district to which the United States is a party.
The NDFL encompasses the panhandle of Florida from Pensacola to Tallahassee, and then curves down the I-75 corridor to Gainesville. The NDFL is comprised of three divisions located in Tallahassee, Pensacola, and Gainesville. Two major cities (Tallahassee and Pensacola) and an abundance of small cities and rural areas are located in the NDFL. The state's capital is located within the NDFL, as well as multiple major universities and approximately six military installations in the western portion of the district. One of the largest VA medical centers in the country is also located in the NDFL, along with several VA clinics. Additionally, the headquarters for Florida Medicaid and the Florida Department of Health are located in the NDFL.   Benefit Overview

At FSA Federal, we recognize the diverse needs of our employees and strive to provide an excellent package to help meet those needs. Comprehensive benefits are offered with greater choice and flexibility to support your health, work-life balance, and professional growth. A package providing employee only coverage can be built around our basic plans at $0 employee cost for: Medical, Dental, Vision, Term Life Insurance, Accidental Death & Dismemberment Insurance, Short-Term Disability, and Employee Assistance Program. For more information, click here.

EEO Statement

Consistent with our goal of empowering people, FSA is committed to providing all employees and employment candidates the right to equal employment opportunities and a harassment-free work environment free from retaliation. FSA's employment practices are based on an individual's capabilities and qualifications without regard to race, color, religion, sex (including transgender status, sexual orientation, and pregnancy), national origin, age (40 or older), disability, genetic information, veteran status, or any other category protected by federal, state, or local law. Equal employment opportunity applies to all policies and procedures including recruitment and hiring, promotions, transfers, and terminations, as well as compensation, benefits, and other terms and conditions of employment. Our long-term success depends upon our ability to attract, retain, and develop a workforce with the knowledge and skills needed to support the vital missions of our customers. FSA is proud to maintain a drug-free workplace. Satisfactory completion of a post-offer drug screening is a condition of employment. As a supplier of services to federal government agencies, such as DEA, FBI, USCIS, USPIS, etc., we also adhere to agency standards with respect to prior drug usage.

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