USAO – NJ Senior Civil Investigator (Health Care Fraud) at Grey Street Consulting LLC

Newark, New Jersey, United States -

Full Time

Start Date

Immediate

Expiry Date

30 Aug, 26

Salary

0.0

Posted On

01 Jun, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Civil Investigation, Health Care Fraud Investigation, Evidence Collection, Interviewing, Financial Analysis, Billing Analysis, Case Management, Legal Research, MS Excel, MS Access, Relativity, Everlaw, Report Writing, Trial Preparation, Interpersonal Communication, Data Analysis

Industry

Business Consulting and Services

Description

Description Grey Street Consulting, LLC (Grey Street), a leading small business provider of operational support services to Federal civilian and defense agencies, is seeking to hire a Senior Civil Investigator (Health Care Fraud) to support our prospective client within the United States Attorney’s Office, District of New Jersey (USAO-NJ). This position is to report on-site full-time in Newark, NJ. This position is contingent upon award. Essential Duties and Responsibilities Applicant must possess extensive knowledge of generally accepted investigative principles, techniques, and procedures. Must be knowledgeable about rules of evidence, and the constitutional rights of individuals. Must be able to recognize, develop, and present evidence that reconstructs events, sequences, and time elements and establishes relationships, responsibilities, and liability in a manner that meets the requirements of law. Applicant must have the ability to (1) make contacts, maintain effective work relationships, and gain the confidence and cooperation of others; (2) plan and conduct complex investigations; (3) devise and improvise methods of meeting investigative goals in an expeditious manner; (4) obtain information and develop evidence by observation, interviewing individuals, examining and analyzing records; (5) understand and analyze financial, billing, and other reporting information and materials relevant to health care fraud enforcement cases; (6) report facts clearly, accurately, and logically both orally and in writing; and (7) cope with unusual demands or situations, make responsible decisions on short notice and adapt to unexpected development. Plan and conduct investigations to develop and/or verify facts of health care fraud cases and complaints, both independently and in consultation with Assistant U.S. Attorneys who handle health care fraud matters. Identifying witnesses and conducting interviews. Reviewing documents, reports, bank records, interview files, computer data, and other produced materials, including patient records and health care billing records. Assisting attorneys in formulating investigative plans to identify facts and issues involved in a case, the applicable theories of law, and the scope of the investigation. Establishing and maintaining an effective system of compiling, indexing, and organizing information and its sources. Preparing reports and presenting findings orally and writing to attorneys and other staff. Participate and assist in preparation for settlement negotiations and trial. Duties include: Compiling, organizing, and indexing evidence; Managing the presentation of exhibits at settlement negotiations and trial, including preparing narrative summaries, charts, tables, graphs, or other visual aids. Computer Skills: Applicant must have the ability to use MS Excel, MS Outlook, MS Access, Relativity, Everlaw or other data bases. Applicant must have a working knowledge of research methods involved in the collection and analysis of data. Communication and interpersonal skills are extremely important. Applicant must be able to work and interact professionally and effectively with all levels of staff and public. Applicant must have the ability to meet established deadlines and work as a team player in a professional office. Requirements Job Requirements and Experience The Senior Civil Investigator (HCF) must have: U.S. Citizenship and ability to obtain adjudication for the requisite background investigation. Must have valid State driver’s license. The Contractor shall be proficient in Microsoft Office software programs (i.e., Word, PowerPoint, Excel and Outlook). Bachelor’s degree required; master’s degree preferred. 5-7 years of related experience. ADA Requirements Operate a PC and phone in an office environment. Work in a primarily sedentary position. Perform some bending, light lifting, and carrying of equipment may be required. Any additional office equipment that is required by the position. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability, or protected Veteran status. About the United States Attorney’s Office The mission of the United States Attorneys is to serve as the nation's principal litigators under the direction of the Attorney General. There are 93 United States Attorneys stationed throughout the United States, Puerto Rico, the Virgin Islands, Guam, and the Northern Mariana Islands. Each United States Attorney is the chief federal law enforcement officer of the United States within his or her jurisdiction. United States Attorneys conduct most of the trial work in which the United States is a party. The United States Attorneys have three statutory responsibilities under Title 28, Section 547 of the United States Code: The prosecution of criminal cases brought by the Federal Government; The prosecution and defense of civil cases in which the United States is a party; and The collection of debts owed the Federal Government which are administratively uncollectible. Although the distribution of caseload varies between districts, each U.S. Attorney’s Office (USAO) deals with every category of cases and handles a mixture of simple and complex litigation. Each United States Attorney exercises wide discretion in the use of his/her resources to further the priorities of the local jurisdictions and needs of their communities. About Grey Street Consulting, LLC Grey Street is a small, federal contracting firm. Founded in 2015, Grey Street has already established itself as a leading small business provider of federal human resources (HR) services. Grey Street provides staff augmentation support to numerous federal agencies including but not limited to the U.S. Departments of Transportation (DOT), Health and Human Services (HHS), Energy (DOE), Labor (DOL), and Homeland Security (DHS) just to name a few. Our approach to the delivery of professional services is rooted in our deep subject matter expertise and supported by our ability to effectively manage our client’s needs and expectations while delivering measurable results. To learn more about Grey Street click here: https://greystreet-consulting.com/

Responsibilities

Plan and conduct complex civil investigations into health care fraud cases to develop evidence and verify facts. Support Assistant U.S. Attorneys by analyzing billing records, interviewing witnesses, and preparing exhibits for settlement negotiations and trials.