Civil Health Care Fraud Investigator at Lindahl Reed Inc
Cleveland, Ohio, USA -
Full Time


Start Date

Immediate

Expiry Date

09 Nov, 25

Salary

0.0

Posted On

10 Aug, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Investigation, Communication Skills, Excel, Adjudication, Finance, Criminal Justice, Outlook, Fraud Investigations

Industry

Hospital/Health Care

Description

Title: Civil Health Care Fraud Investigator
Location: Cleveland, OH (Onsite)
Job Type: Full-Time
Salary: Commensurate with experience
Experience: Minimum 5 years of federal law enforcement experience, with demonstrated experience in health care fraud investigations
Education: Four-year bachelor’s degree in law enforcement, criminal justice, accounting, finance or related field.
Date Updated: August 8, 2025

COMPANY DESCRIPTION

Now is the time to join Lindahl Reed, Inc. Lindahl Reed is a professional services company that provides program management, engineering and technical, and management advisory services to federal, state, institutional, and commercial customers nationwide. We offer expertise in the health, energy, and environmental markets. Lindahl Reed was founded on the belief that we can advance a safer, healthier, and more resilient and sustainable world. Our solutions allow clients to work smarter and gain unique insights and understanding into their organization as well as improve decision-making to help meet their mission, business, compliance, and operational challenges – now and into the future. We are hiring creative, motivated, and talented people with a passion for doing what’s right, what’s smart, and what works.

DESCRIPTION/JOB SUMMARY

Lindahl Reed is hiring a Civil Health Care Fraud Investigator to support the Department of Justice (DOJ), United States Attorney’s Office (USAO), Northern District of Ohio (OHN) in Cleveland, OH. The investigator will be responsible for a wide variety of investigative services to one or more Assistant United States Attorneys (AUSA) involved in pandemic-related health care fraud and/or civil opioid-related health care fraud matters.. Support and research assignments involve complex legal matters in compliance with Medicare, Medicaid, TRICARE, and the Federal Employees Health Benefits Program regulations.

QUALIFICATIONS, SKILLS, AND EXPERIENCE:

  • Four (4) year undergraduate degree or higher in criminal justice, finance, project management, or other related field.
  • CPA certification preferred
  • Minimum 5 years of federal law enforcement experience, with demonstrated experience in health care fraud investigations
  • Excellent written and oral communication skills
  • Understands the rules of evidence and civil/criminal procedure, the admissibility and inadmissibility of evidence, the elements of the violation(s) under investigation, and other applicable policies
  • Experience testifying in court matters
  • Proficient in Microsoft Office software programs (i.e., Word, Excel, Outlook, etc.)
  • Valid U.S. driver’s license
  • Ability to travel in support of investigations
  • U.S. Citizenship and ability to obtain adjudication for the requisite background investigation

BENEFITS

The following benefits are available to benefit-eligible employees:

  • Medical Benefits
  • Dental Benefits
  • Vision Benefits
  • Retirement Plan
  • Company paid Basic Life and Long-Term Disability
  • Flexible Spending Account
  • Paid Time Off/ 11 Federal Holidays
  • Professional and Educational Development
  • And other benefits

All positions require a background check after acceptance of our offer. The selected candidate may be eligible to begin employment before the background check has been finalized. However, continued employment with Lindahl Reed will be contingent upon the timely results of candidate’s reference/background check. This position may require special credentialing, clearance, and access as a condition of employment. In the event the government or client does not sponsor or approve your clearance, it may result in termination of your employment. We are an Equal Employment/Affirmative Action employer. We do not discriminate in hiring on the basis of sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected Veteran status, or any other characteristic protected by federal, state, or local law.
For more information, view the EEO is the Law Poster
Applicants have rights under Federal Employment Laws view the following posters to see more information:
Family & Medical Leave
Employee Rights
This job description is not a contract and may be adjusted as deemed appropriate in Lindahl Reed’s sole discretion

Responsibilities
  • The Contractor shall provide one (1) Civil Health Care Fraud Investigator to perform the following job duties:
  • Supports the planning and conduction of investigations
  • Assists Assistant United States Attorneys (AUSAs) in the investigation of matters in conjunction with federal agents, to determine whether there have been violations of Federal Statutes, e.g., False Claims Act, Stark Law, Anti-Kickback Act, and Controlled Substances Act.
  • Works and regularly communicates with AUSAs to identify possible violations or causes of action, determines proof required to assist in affixing legal responsibility, and devises methods for obtaining, preserving, and presenting such evidence.
  • Decides upon the most effective methods for planning, scheduling, and conducting investigations, and identifies required resources. Recommends methods for conducting investigations, including interviews, subpoenas, and depositions. Secures participation of appropriate law enforcement agents in execution of these investigative methods.
  • Identifies and presents AUSAs with potential investigations through review of the news, databases, and regular communications with representatives of Government agencies and private industry.
  • Contacts federal, state, and local officials, as well as business representatives, to gather information, documents, and statements on current or potential investigations, as well as coordinate investigative activities.
  • Assists AUSAs with the identification, locating, and interviewing of witnesses. Conducts surveillance of suspects with appropriate law enforcement agencies. Communicates with counsel of subjects and witnesses.
  • Prepares appropriate memos and reports on contacts, interviews, and surveillance.
  • Examines, analyzes, presents, and secures evidence such as documents, emails, policies, text messages, payrolls, financial statements, billing statements, invoices, correspondence, computer data, and other records pertaining to the transactions, events, or allegations under investigation.
  • Research and reviews laws, rules, regulations, and policies to determine whether health care billings were improper. Identifies and interviews any relevant Governmental or business representative pertaining to the propriety of the billings.
  • Traces funds derived from fraud and identifies assets of subjects.
  • Confirms authenticity of documents, corroborates witness statements, and otherwise builds proof necessary for successful litigation.
  • Arranges for the integrity of evidence through secure storage, preservation, organization, and indexing of voluminous physical and electronic evidence.
  • Regularly updates AUSAs on status of case. 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 case.
  • Assists AUSAs with preparation for litigation and trial.
  • Provides analytical advice and assistance with compiling documents and physical evidence, and creating charts, graphs, videotapes, and other audio-visual materials for use by AUSAs in motions and at trial.
  • Provides advice to AUSA on selection of witnesses and ensures their attendance through subpoena or otherwise.
  • Prepares summary evidence for litigation and trial; testifies in litigation proceedings and at trial regarding summary evidence.
  • Other related duties as assigned and within scope.
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