Civil Opioid Investigator with Security Clearance - Raleigh, NC, United States - Cherokee Federal

Description

Civil Opioid Investigator This position requires an active Public Trust clearance or the ability to obtain a Public Trust clearance to be considered
The Civil Investigator will assist in conducting thorough and systematic investigations relating to potential civil actions within the jurisdiction of the USAO-EDNC involving opioid-related health care fraud violations
Some of those cases may also impact other jurisdictions
Cases are handled independently or as a team member and may concern sensitive matters or those involving prominent individuals, organizations or corporations; may involve complex factual and legal issues, including jurisdictional issues; may vary in scope and complexity; and may involve obscure leads, uncooperative witnesses, and/or conflicting evidence
The investigator will assist with developing leads through data analysis, document reviews, assistance with witness interviews, public-source searches, or otherwise; will investigate thoroughly; will be required to assist in preparing written reports as appropriate; and may, in limited instances, be called to testify in civil proceedings, including depositions and trials
The Civil Investigator's assistance with investigations must be within the bounds of the law, and consistent with ethical and professional responsibility requirements
Initiative, self-discipline, time-management, organization, and communication are extremely important

Compensation & Benefits:
Estimated Starting Salary Range for

Civil Opioid Investigator:
$95,000 - $102,000 Pay commensurate with experience
Full time benefits include Medical, Dental, Vision, 401K, and other possible benefits as provided
Benefits are subject to change with or without notice

Civil Opioid Investigator Responsibilities Include:

• Working with assigned Assistant United States Attorneys ("AUSA"), uses data, documents, data analytics, and other sources, tools, and methodologies to identify trends, potential cases, and investigative leads.
• Based on cases or broad legal issues assigned to one or more Assistant United States Attorneys, assists in developing investigative leads, and assists in planning and conducting investigations of a complex and difficult nature

Cases frequently concern exceptionally complex matters involving healthcare professionals, as well as local and national retail and wholesale manufacturers, distributors, and dispensers of opioids and other controlled substances
Investigations are of major interregional dimension, or may be nationwide in coverage, with possible occasional international implications

Typical investigations of this nature are conducted in conjunction with federal, state and/or local agencies, both within and outside the USAO-EDNC's geographic jurisdiction.

• In working with assigned Assistant United States Attorney(s), determines applicable statutory and regulatory law, and identifies possible violations.
• Assists in piecing together evidence that comes from data sources, witnesses, custodians, investigators, analysts, contractors, and law enforcement officers stationed throughout a large geographic area or several states

From this evidence, recognizes the target suspect's or organization's pattern of operations in order to identify information of interest and anticipate events as they unfold

Independently or in coordination with others, assists in determining proof required to affix legal responsibility for violation(s), and assists in devising methods for obtaining, preserving, and presenting evidence for greatest litigative effect.

• Performs a variety of analytical and investigations-related services in direct support of investigations and litigation

Support activities include some or all of the following:

• Initiates contacts with federal, state, and local officials and other organizations and individuals (including targets, subjects, and witnesses) related to the subject(s) of investigation for the purpose of gathering and analyzing facts, obtaining statements, learning sequences of events, obtaining explanations, and otherwise advancing investigative objectives

Identifies the need for, prepares for, and assists in conducting witness interviews, and prepares associated reports
Gathers and examines medical records, pharmaceutical records, claims data, prescription data, books, ledgers, payroll, cost reports, billing statements, invoices, bank records, business records, correspondence, data, public source information and documents, and other materials pertaining to the transactions, events, or allegations under investigation

Establishes and/or verifies relationships among all facts and evidence obtained or presented, to confirm authenticity of documents, corroborate witness statements, and otherwise build proof necessary for successful litigation.

• Defines and conducts extensive research and analysis of data relating to suspected civil violations, such as healthcare fraud or other violations or offenses of special concern related to opioids and other controlled substances within the USAO-EDNC's jurisdiction

Analyzes information on target individuals and organizations by identifying relevant data and information sources, and gathering, extracting, analyzing, and validating data and other information

Prepares and disseminates information and analyses to federal, state, and local law enforcement agencies, courts, and other appropriate entities, in consultation with the assigned AUSA or other USAO staff.

• Prepares interim and final reports on progress of investigations for use by AUSAs and supervisory attorneys

Includes significant findings and conclusions, recommendations for additional investigative actions, and candid assessments of strengths and weaknesses of witnesses, documentary evidence, and other aspects of the case.

• On a continual basis, monitors, reviews, and analyzes information from multiple sources

Identifies the need for further research, analysis, or investigation, and assists in making decisions concerning the consolidation and dissemination of information to various law enforcement agencies and other organizations, in consultation with the assigned AUSA or other USAO staff

• Prepares written requests for information (including subpoenas and discovery requests) for AUSA review and otherwise assists in gathering evidence.
• In consultation and coordination with the assigned AUSA or other USAO staff, arranges for secure storage, preservation, organization, logging, tracking, and indexing of voluminous documentary evidence and other investigative materials.
• Compiles and analyzes documents, statements, and physical evidence, and creates of charts, graphs, summaries, demonstrative exhibits, illustrative exhibits, videotapes, and other audio-visual materials for use in motions, depositions, evidentiary hearings, trials, and other proceedings or internal meetings.
• Assists AUSA on selection of witnesses and ensures their attendance through subpoena or otherwise

Limited instances of testimony in civil proceedings (including deposition and trial) may be required.

• Works closely with the Assistant U.S

Attorneys, meets regularly with designated federal agency personnel, as well as state and local officials, for the purpose of generating and assisting with investigations, and coordinating responsibilities with regard to those investigations.

Performs other job-related duties as assigned Civil Opioid Investigator Experience, Education, Skills, Abilities requested:

• The applicant will be expected to work with and review highly complicated and highly technical, regulatory, and/or scientific data and documents, including medical records, medical claims data, prescription data, information pertaining to pharmaceuticals and pharmaceutical companies, and pharmacy records

Prior experience, training, education, or knowledge with or in the areas of medicine, medical practices, health care, pharmaceuticals, pharmacies, and/or pharmacy operations will be highly useful

Working knowledge and understanding of, and experience with, various aspects of the healthcare and pharmaceutical industry, including International Classification of Diseases codes (e.g., ICD-9 and ICD-10); Current Procedure Terminology codes ("CPT"); the Health Care Financing Administration's Common Procedure Coding System ("HCPCS"); medical and pharmaceutical practices; and healthcare billing is also a plus.

• The applicant must have the ability to use MS Excel, MS Outlook, MS Word, MS PowerPoint, and Adobe Acrobat Professional, and ideally has experience reviewing documents and working in Eclipse, Relativity, Everlaw, and/or Casemap

Experience viewing, accessing, and searching healthcare specific databases, or other similar databases in which claims, payments, prescriptions, regulations, policies, guidelines, or other relevant data or materials are aggregated and reported, is a plus.

• The position requires working and interacting professionally and effectively with all levels of staff and Department of Justice personnel, including legal support staff, document management teams, and Assistant U.S

Attorneys
It also requires working and interacting professionally and effectively with law enforcement and members of the public
The ability to meet established deadlines and work as a team player in a professional office setting is also required
The position requires meeting and dealing with people in a courteous and tactful manner.

• Must pass pre-employment qualifications of

Cherokee Federal Company Information:
Cherokee Nation 3S (CN3S) is a part of Cherokee Federal - the division of tribally owned federal contracting companies owned by Cherokee Nation Businesses
As a trusted partner for more than 60 federal clients, Cherokee Federal LLCs are focused on building a brighter future, solving complex challenges, and serving the government's mission with compassion and heart
To learn more about CN3S, visit cherokee-#CherokeeFederal #LI Cherokee Federal i