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    1 month ago

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    1 month ago

    Greensboro, United States SKA Consulting Engineers, Inc Full time

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Civil Investigator

2 months ago

Greensboro, United States The Ladders Full time

Responsibilities:

Investigate financial activities involving highly successful professionals, recognized community business leaders, or financial entities with substantial operations outside the immediate locality. Manage complex audits involving numerous activities, operations, and transactions with intricate interrelationships. Examine the books, records, computer and electronic data, data processing materials, and activities of government contractors or other individuals. In the absence of records, obtain detailed financial information from alternative sources, including interviews with business associates, firm employees, and competitors. Reconstruct partial or inadequate records as necessary for investigations. Obtain evidence through the interrogation of numerous employees, businesspeople, and other individuals with knowledge of operations. Prepare concise and accurate audit reports, including assembling, correlating, and analyzing the obtained facts. Discuss cases with supervisors and recommend further actions, such as case closure, additional investigation, or initiation of administrative or criminal proceedings. Perform quantitative, qualitative, statistical, or other analysis of relevant facts to support the USAO's litigative mission. Analyze Medicare and Medicaid databases. Design data techniques for fraud detection within Medicare/Medicaid databases and develop methods to demonstrate and prove fraud in healthcare fraud cases. Conduct conferences and interviews with financial institution members, healthcare providers, state and city government law enforcement agents, federal agents, CPAs, attorneys, witnesses, and subject matter experts. Develop, coordinate, and issue technical audit guidelines and instructions for the inspection of operational and support programs at the direct level. Audit technical support services for validity, response times, costs, and effective use of services. Identify the need for changes through the review of installation-level audit reports, billing statements, invoices, correspondence, computer data, and other pertinent records. Assist in analyzing and compiling documents and physical evidence. Create charts, graphs, videos, and other audio-visual materials for use in litigation. Perform other related duties as assigned. Education and Experience:

Undergraduate degree is preferred Able to analyze, organize and present large volumes of data through the use of common software programs (i.e., word processing, spreadsheets, Case Map, I- Ppro, STARs, and other programs) is preferred. Possess a wide variety of skills/abilities in specialized areas such as forensic accounting, health care fraud, nursing, legal and/or law enforcement. Experience in reviewing and understanding medical records and knowledge of medical billing procedures is preferred. Working knowledge of current research and investigative techniques including the use of commercial databases and other sources of information.

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