Fraud Analyst

Minimum Clearance Required to Start : DOJ MBI

Percentage of Travel Required : Up to 25%

Type of Travel : Local

Part Time : 32 hours / week

The Opportunity :

The Fraud Analyst position is a great opportunity for analysts to further their career path supporting the Department of Justice on large and complex fraud investigations. You will gain invaluable experience working with federal agents, investigators, attorneys and other experts in the detection of criminal activity.

You will sharpen your data analysis and consolidation skills by accessing, collecting, examining and analyzing data, evidence and other information from a variety of sources including public access and law enforcement databases.

Responsibilities :

Typical duties include, but are not limited to, the following :

• Review data from vendors who provide health care services paid by the federal government to identify anomalies that might be indicative of improper billing or other types of fraud
• Analyze data and draft written conclusions and recommendations regarding possible fraudulent billing patterns to be further investigated.
• Prepare interim and final reports on progress of findings for use by AUSAs and supervisory attorneys.
• Reports shall include significant findings, conclusions, and recommendations for additional investigative actions, and candid assessments of strengths and weaknesses of witnesses, documentary evidence, and other aspects of the case.
• Work with the assigned AUSAs, supervisory AUSAs and / or and investigators to determine applicable administrative statutory and regulatory law and identify possible violations or causes of action.
• Develop an understanding of all applicable federal, state, or local laws to the extent necessary to make sound decisions on direction and scope of investigation.
• Determine proof required to assist in affixing legal responsibility for litigation, and devise methods for obtaining, preserving, and presenting evidence to greatest effect.
• Initiate contacts with federal, state, and local officials, and other organizations, including Medicare and Medicaid contractors, related to the subject of the investigation for the purpose of gathering facts, obtaining records, learning sequences of events, obtaining explanations, and otherwise advancing investigative objectives.
• Examine records, correspondence, audits, or reviews pertaining to the transactions, events, or allegations under investigation.
• Establish and verify relationships among all facts and evidence obtained and presented to confirm authenticity of documents, corroborate witness statements, and otherwise build proof necessary to successful case resolution.
• Assist in the compilation and analysis of documents and physical evidence, and creation of charts and graphs for use in hearings, presentations, or trial.
• Review defense presentations, expert reports, and arguments.
• Create financial damage models for use in litigation.
• Participate in negotiations as requested.
• Travel with USAO MD personnel to conduct interviews.
• Work with independent experts / consultants.

Qualifications : Required :

Desired :

Experience in a litigation support environment preferred.

Undergraduate degree preferred but not required.

Certification or training courses completed related to fraud analysis.

Familiarity with automated litigation support helpful.

Excellent attention to detail and ability to perform tasks accurately and quickly.

Equal Opportunity Employer, including disability and protected veteran status