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    Healthcare Fraud Investigator - Lexington, United States - Ardelle Associates

    Ardelle Associates
    Ardelle Associates Lexington, United States

    3 weeks ago

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    Description

    Ardelle Associates is seeking a Healthcare Fraud Investigator to support the Department of Justice (DOJ) Affirmative Civil Enforcement (ACE) Section of the U.S. Attorney's Office (USAO) in Lexington, KY.

    The purpose of the Investigator is to develop investigative plans, prepare record requests and analyze records received in response, conduct surveillance, conduct public record research, locate and interview witnesses, gather and synthesize evidence, provide advice to attorneys on investigative and litigative steps, and perform other work pertinent to ACE's enforcement activities, with an emphasis on civil healthcare fraud investigations associated with the COVID-19 pandemic.

    DUTIES SUMMARY:

    Planning and conducting investigations related to civil healthcare fraud, developing investigative plans, analyzing records, conducting surveillance, conducting public record research, locating and interviewing witnesses, gathering and synthesizing evidence, providing advice to attorneys, preparing written requests for information, preparing written reports on progress of investigations, and assisting in compiling and synthesizing documentary evidence and witness statements. ​

    SKILLS & EXPERIENCE:

    -Experience planning, conducting, and participating in complex investigations of False Claims Act or healthcare fraud violations is required.

    -Experience in drafting legal processes for obtaining information, conducting witness interviews, and drafting written reports summarizing interviews and evidence is required.

    -Excellent communication skills are required.

    -Other skills: Analytical skills; Detail-Oriented; Forensic Accounting; Interview Techniques; Regulatory Compliance; Data Visualization.

    QUALIFICATIONS:

    -Bachelor's Degree required (Law-related degree preferred)

    Fifteen (15) years of Law Enforcement Investigation experience required

    U.S. Citizenship and ability to pass a background investigation required

    Certifications in SAS, SWL, Blockchain Analysis and/or Cybersecurity Fundamentals preferred

    RESUME: Resume must include three (3) professional references and list any federal security clearances

    Job Types: Full-time, Contract

    Pay: $ $43.04 per hour

    Expected hours: No more than 40 per week

    Benefits:

    • 401(k)
    • Dental insurance
    • Health insurance
    • Mileage reimbursement
    • Paid time off
    • Travel reimbursement
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Education:

    • Bachelor's (Required)

    Experience:

    • Law Enforcement Investigation: 10 years (Preferred)

    License/Certification:

    • AHFI or CFE (Preferred)

    Ability to Commute:

    • Lexington, KY Required)

    Work Location: In person

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