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McNeal Professional Services, Inc.

ACE Fraud Investigator

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Job Description

We are looking to place an ACE Fraud Investigator on a three-year project at a Federal Agency in Hammond, IN. McNeal Professional Services, Inc. is a 25-year national Wireless Engineering and Staffing Services firm. We offer a comprehensive benefits package that includes medical, dental, vision, STD, LTD, and Life Insurance. Join our great team today! If interested and available, please reply with an updated Word version of your resume and salary requirements.
Job Description:
The Government requires a skilled fraud investigator to independently develop, lead, and support civil fraud investigation and related litigation involving federal funds and programs, including health care, government contracting, grants, and lending. The investigator will frequently serve as the lead or sole investigator on a matter, and, where federal agents and investigators are involved, as the AUSA's primary point of contact with investigative agencies. Has substantial complex-fraud investigative experience. Case Intake and Assessment Review and analyze qui tam complaints, agency referrals, and other source materials; identify the factual issues and the evidence needed to evaluate the allegations. Assess the factual support for the allegations and the likelihood of recovery/collectability and communicate a reasoned preliminary assessment to the assigned AUSA. Guided by the legal theories and elements identified by the assigned AUSA, prepare a written investigative plan identifying the evidence required, investigative steps, resource needs, and a proposed timeline. Investigation Leadership and Coordination - Serve as lead investigator on assigned matters, carrying the investigation forward under general direction. Coordinate with, and serve as point of contact for, federal investigative agencies (e.g., HHS-OIG, FBI, DCIS, DEA, DOL-OIG, SBA-OIG) and agency program personnel. Track investigative steps, deadlines, and case status, and provide status updates on the schedule set by the assigned AUSA. Independently or with the assigned AUSA, meet periodically with designated agency personnel to generate fraud investigations. Evidence Development- Use electronic databases (e.g., CLEAR/Accurint, LexisNexis, PACER, SAM.gov, USASpending.gov) to identify and locate witnesses and subjects, verify corporate structure and ownership, and develop documentary evidence. Obtain, organize, and analyze voluminous documentary and electronic records, including claims data, financial and accounting records, medical records, and email/ESI productions. Witness Interviews- Independently plan and prepare for interviews of witnesses and subjects in complex fraud matters, conduct those interviews together with an AUSA or federal agent, and be prepared to take the lead in questioning. Prepare accurate, comprehensive memoranda of interview (MOIs). Financial and Damages Analysis- Compute factual loss and overpayment amounts supported by, and traceable to, source records, using sound and reproducible methodology. Reporting and Work Product-Prepare interim and final investigative reports suitable for AUSA use in intervention, declination, settlement, and litigation decisions. Litigation Support-Support discovery and litigation as directed, including identifying and organizing relevant records, assisting with document production, preparing exhibits and summaries, and supporting deposition, hearing, and trial preparation.
QUALIFICATIONS
At least 5 years of full-time investigative experience. Substantial experience independently conducting in-depth interviews of witnesses and subjects in complex fraud matters. Substantial experience reviewing and analyzing large volumes of financial records and structured data (e.g., claims data, transactional data, accounting or billing records) to identify patterns, quantify loss, and support findings. A record of authoring reports and memoranda of interview relied upon by attorneys, prosecutors, auditors, or adjudicators. Experience within, or in direct support of, a law enforcement, prosecutorial, or regulatory/oversight (e.g., Office of Inspector General) environment. Prior service as a federal agent or analyst (e.g., IRS/IRS-CI, HHS-OIG, FBI, DCIS, DOL-OIG, SBA-OIG, or other OIG), or as a state Medicaid Fraud Control Unit (MFCU) or state/local fraud investigator. Certified Fraud Examiner (CFE), CPA, or comparable credential. Direct experience with False Claims Act / qui tam matters. Experience quantifying damages/loss and preparing declarations, exhibits, or testimony; litigation support or testimonial experience. Advanced data analysis skills (advanced Excel, SQL, e-discovery platforms such as Relativity, data visualization). Experience coordinating multi-agency investigations. Ability to pass a detailed, extensive background check and credit check from the Department of Justice! New Applicants Only!
Job Type:
Full-time Pay:
$60,000.00 - $137,000.00 per year
Benefits:
401(k) 401(k) matching Dental insurance Flexible schedule Health insurance Health savings account Life insurance Paid time off Vision insurance
Education:
High school or equivalent (Required)
Experience:
False Claims Act & Qui tam: 3 years (Preferred) Witness interviewing: 3 years (Required) Financial analysis and reporting: 2 years (Required)
Litigation Support & Discovery:
2 years (Required) prior experience as a federal agent or analyst: 5 years (Preferred)
Investigative :
5 years (Required)
License/Certification:
CFE, CPA or similar certification (Required)
Work Location:
In person