Job Description

CGS is seeking a Healthcare Fraud Investigator to provide legal support for a large Government Project. The role involves analyzing data, reviewing records, developing case referrals, and assisting attorneys with litigation related to healthcare fraud, waste, and abuse.

Responsibilities

• Review and analyze data using Microsoft Excel
• Review financial and legal documents and summarize contents
• Develop HCF case referrals meeting agency standards
• Analyze data for fraud, waste, and abuse
• Evaluate referrals and plan information gathering
• Advise attorneys on case merits and weaknesses
• Assist in developing new referrals and training
• Conduct witness interviews and prepare summaries

Requirements

• Four-year undergraduate degree in criminal justice, finance, or related field
• Minimum three years of experience in healthcare, fraud, or investigative work
• Proficiency in Microsoft Office applications
• Proficiency in analyzing healthcare data (Medicare, Medicaid)
• Strong communication and interpersonal skills
• U.S. Citizenship
• Ability to obtain a Public Trust Clearance

Benefits

• No benefits