Investigative Auditor

Wits Solutions Inc. (WITS) is a SBA certified Small Disadvantaged Business with headquarters in the metropolitan Washington D.C. area. WITS has been providing best-in-class solutions in professional IT and administrative consulting to various Federal, State, Local and commercial customers. At WITS, we believe in working not for our clients but with them. This is why right from the beginning; our analysts and solution-builders work closely with our clients to ensure that the project outcomes continue to deliver value long into the future.

SECURITY CLEARANCE

No existing classified clearance is specified as mandatory. Candidate must be able to obtain favorable adjudication for the requisite DOJ background investigation/security screening. Resume must identify current security clearance level, if any.

EDUCATION/CERTIFICATIONS MANDATORY

Bachelor's degree or higher in accounting, finance, economics, statistics, data analytics, healthcare administration, or a related field.

WORK EXPERIENCE MANDATORY

Minimum 3 years of professional experience involving accounting, auditing, healthcare claims analysis, forensic accounting, financial investigations, statistical analysis, or related analytical work. Experience must specifically demonstrate qualifications relevant to the Section 3 scope. Proficiency in Microsoft Excel, Word, PowerPoint, and Access is required. Candidate must have experience and expertise performing the required investigative/audit support services.

EDUCATION/CERTIFICATIONS NICE TO HAVE

Certified Public Accountant (CPA) and/or Certified Fraud Examiner (CFE) certification preferred.

WORK EXPERIENCE NICE TO HAVE

Strongly relevant experience includes False Claims Act and affirmative civil enforcement matters, healthcare fraud, procurement fraud, grant fraud, COVID-relief fraud, opioid/diversion matters, healthcare claims analysis involving Medicare/Medicaid/TRICARE/VA, statistical sampling using RAT-STATS or comparable tools, damages calculations, asset tracing, ability-to-pay analysis, large financial/healthcare datasets, forensic accounting, financial tracing, and litigation support.

ROLES AND RESPONSIBILITIES

• Provide investigative auditor support to AUSAs and investigative agencies in the USAO-NDNY Affirmative Civil Enforcement Unit. Assist with complex financial, statistical, healthcare, and forensic accounting analyses supporting civil fraud investigations and litigation. Analyze and audit financial transactions, accounting systems, healthcare claims and reimbursement data, procurement records, grant expenditures, and related financial records.
• Conduct healthcare claims analyses involving Medicare, Medicaid, TRICARE, VA, and other federally funded healthcare programs. Assist with statistical sampling methodologies, including RAT-STATS or comparable statistical tools. Perform False Claims Act damages calculations, penalties analyses, restitution-related calculations, and other financial exposure analyses. Conduct asset tracing and ability-to-pay analyses to support settlement, recoverability, and collection decisions.
• Analyze large financial and healthcare datasets and organize financial/documentary evidence using analytical and visualization tools. Perform forensic accounting on incomplete, inconsistent, voluminous, or electronically stored financial records. Review banking records, tax records, healthcare billing records, claims submissions, contracts, invoices, procurement materials, grant documents, correspondence, and other evidence.
• Prepare audit reports, schedules, spreadsheets, charts, summaries, timelines, visualizations, and other analytical products for investigations and litigation. Assist with interviews of witnesses, relators, subjects, healthcare providers, business representatives, law enforcement personnel, and other relevant individuals. Support deposition preparation, trial preparation, exhibit preparation, hearings, and related litigation support activities. Prepare declarations, affidavits, summaries, and evidentiary materials. Use electronic databases and public sources to identify assets, financial information, and other evidence. Organize, index, secure, and manage documentary and electronic evidence.
• Prepare interim and final reports throughout investigations and litigation. Develop technical guidance and analytical approaches related to auditing, healthcare claims, statistical sampling, forensic accounting, and financial investigations. Collaborate with AUSAs, federal agents, agency personnel, and support staff to identify potential statutory and regulatory violations. Use industry-standard financial, auditing, analytical, statistical, and visualization software. Perform other related duties within scope as assigned.