Attorney - FCA/Healthcare Fraud Enforcement

Overview Attorney - FCA/Healthcare Fraud Enforcement — Chicago, IL, US Date Posted: 06-29-2026 Apply now to advance your career in healthcare enforcement and FCA matters. Responsibilities Represent healthcare organizations, health plans, managed care organizations, healthcare providers, life sciences companies, and other regulated entities in government investigations, enforcement actions, and complex litigation matters. Handle False Claims Act (FCA) investigations, qui tam litigation, Civil Investigative Demands (CIDs), healthcare fraud matters, and related government enforcement proceedings. Represent clients before agencies and offices such as the U.S. Department of Justice (DOJ), U.S. Attorneys’ Offices, HHS-OIG, CMS, state Medicaid agencies, and other federal or state authorities. Conduct internal investigations involving fraud and abuse allegations, reimbursement disputes, billing and coding issues, Anti-Kickback Statute matters, Stark Law compliance, and other healthcare regulatory concerns. Manage all phases of complex commercial, regulatory, or healthcare litigation, including discovery, motion practice, witness preparation, settlement negotiations, and trial strategy. Serve as a trusted advisor to executive leadership teams, boards, and healthcare stakeholders, and collaborate across multidisciplinary legal teams in a fast-paced environment. Demonstrate business development skills and a track record of cultivating and expanding client relationships within the healthcare industry. Maintain a portable book of business suitable for partner-level candidates (preferred). Qualifications Juris Doctor (J.D.) from an accredited law school. Active membership in good standing with at least one U.S. state bar; Illinois admission preferred or ability to obtain admission. 8+ years of experience representing healthcare organizations, health plans, managed care organizations, healthcare providers, life sciences companies, or other regulated entities in government investigations, enforcement actions, and complex litigation. Significant experience handling FCA investigations, qui tam matters, CIDs, healthcare fraud matters, and government enforcement proceedings. Demonstrated experience representing clients before DOJ, U.S. Attorney’s Offices, HHS-OIG, CMS, and other enforcement authorities. Experience conducting internal investigations related to fraud and abuse, reimbursement disputes, billing and coding issues, Anti-Kickback Statute matters, Stark Law, and other regulatory concerns. Strong litigation background with experience managing all phases of complex litigation, including discovery, motion practice, witness preparation, settlements, and trial strategy. Ability to independently manage sophisticated client matters and advise executive leadership teams. Proven business development skills and a track record of expanding client relationships within healthcare. Excellent written and oral advocacy, negotiation, and client counseling skills. Ability to collaborate across multidisciplinary teams in a client-focused environment. Preferred Qualifications Former AUSA, DOJ attorney, HHS-OIG attorney, CMS attorney, or other government enforcement experience. Experience representing hospitals, health systems, physician groups, Medicare Advantage organizations, managed care organizations, PBMs, healthcare technology companies, or private equity-backed healthcare platforms. Experience litigating Administrative Procedure Act (APA) challenges involving federal healthcare agencies. Experience handling Medicare Advantage Star Ratings litigation, CMS reimbursement disputes, risk adjustment matters, RADV audits, and other healthcare regulatory litigation. Experience defending healthcare clients in high-profile government investigations involving fraud, waste, abuse, reimbursement, or compliance issues. Established relationships within healthcare, managed care, government enforcement, or healthcare regulatory sectors. About the firm A nationally recognized law firm with deep roots in the healthcare industry, known for advising clients on complex regulatory, litigation, transactional, and compliance matters. The firm represents healthcare providers, health plans, life sciences companies, private equity sponsors, and other industry leaders across multiple disciplines. It emphasizes a collaborative culture and industry-focused approach, delivering sophisticated counsel with practical business insight. Benefits Competitive partner compensation structure based on experience, contributions, and portable business. Origination credit and business development incentives. Comprehensive medical, dental, and vision insurance. Health Savings Account (HSA) and Flexible Spending Account (FSA) options. 401(k) retirement plan with firm contributions. Life and disability insurance. Generous paid time off and firm holidays. Paid parental leave and family support benefits. Employee assistance and wellness programs. Professional development, CLE, and bar membership reimbursement. Business development and marketing support. Access to a nationally recognized healthcare, litigation, and regulatory platform. Cross-selling opportunities across healthcare, private equity, litigation, compliance, and corporate practices. Administrative, paralegal, and practice support resources. Opportunities for leadership, mentorship, and practice growth. Hybrid work flexibility, subject to client and business needs. Collaborative, entrepreneurial culture with advancement opportunities. #J-18808-Ljbffr