Crossroads Talent Solutions

Civil Health Care Fraud (HCF) Investigator.

Macon, GA · Contract

Sponsorship not specifiedDetected 1 day ago

ResearchCommunicationProblem SolvingPublic SpeakingMicrosoft Office

About the role

The Investigator will work closely with Assistant United States Attorneys (AUSAs) and other federal, state, and local agencies to conduct complex civil healthcare fraud investigations involving administrative and civil enforcement matters.
Conduct comprehensive investigations involving healthcare providers, organizations, corporations, government programs, and individuals.
Examine and analyze financial records, billing statements, invoices, payroll records, cost reports, electronic records, correspondence, databases, and other documentary evidence.

Develop investigative plans, establish priorities, and recommend investigative strategies to support civil litigation.
Determine evidentiary requirements necessary to establish legal responsibility and support successful litigation.
Verify the authenticity of documents and corroborate witness statements through independent investigation.
Develop litigation support materials including: Charts Graphs Timelines Exhibits Visual presentations Evidence summaries Assist with trial preparation and provide investigative support throughout litigation.

Bachelor's degree from an accredited college or university.
Minimum of five (5) years of investigative experience in a similar role.
Demonstrated ability to conduct complex investigations independently.
Proficiency with Microsoft Office Suite.
Ability to make sound decisions under pressure and adapt to rapidly changing investigative priorities.
Frequent travel throughout the Middle District of Georgia is required to conduct interviews, review records, perform surveillance, and support litigation activities.
Occasional evening or weekend work may be required with prior Government approval.
Frequent travel throughout the Middle District of Georgia is required, with occasional travel for training.

Experience working with federal prosecutors or federal law enforcement agencies.
Experience preparing evidence for trial and courtroom presentation.
Knowledge, Skills, and Abilities Successful candidates should possess: Extensive investigative and analytical skills.

Extensive investigative and analytical skills.
Knowledge of civil investigative procedures.
Understanding of federal healthcare fraud statutes and regulations.
Ability to interpret financial and healthcare documentation.
Strong interviewing and witness assessment skills.
Excellent report writing and documentation abilities.
Ability to manage multiple investigations simultaneously.
Strong organizational and evidence management skills.
Professional judgment and discretion when handling sensitive information.
Ability to work collaboratively with attorneys, investigators, and government agencies.
High ethical standards and commitment to confidentiality.
Must comply with all Department of Justice security requirements.

Position Summary Crossroads Talent Solutions is seeking an experienced Civil Health Care Fraud (HCF) Investigator to support the U.S. Attorney's Office (USAO), Middle District of Georgia.
The successful candidate will exercise sound judgment, maintain strict confidentiality, and contribute to the successful prosecution and resolution of healthcare fraud matters.
Partner with Assistant United States Attorneys to identify potential civil violations involving healthcare fraud and other administrative matters.
Initiate and maintain professional working relationships with federal, state, and local agencies, healthcare organizations, and other entities involved in investigations.
Perform additional healthcare fraud investigative and litigation support duties as assigned in support of USAO civil enforcement activities.

At Crossroads Talent Solutions, we are committed to supporting critical federal missions by providing highly qualified professionals who uphold the highest standards of integrity, accountability, and service.

This listing is sourced directly from Crossroads Talent Solutions's careers page and normalized into a canonical job model.