Investigative Auditor

Job Description

Job Description

SGI Global is seeking an Investigative Auditor to provide investigative support services to the United States Attorney's Office (USAO) - Northern District of New York within the Affirmative Civil Enforcement (ACE) Unit. The Investigative Auditor will support the development and investigation of civil fraud matters involving False Claims Act and other civil violations, namely, healthcare fraud, procurement fraud, grant fraud, COVID-relief fraud, opioid/diversion matters, and other fraud, waste, and abuse involving federal funds and programs.

Position is contingent upon award

• Assist AUSAs and investigative agencies in conducting complex financial, statistical, healthcare, and forensic accounting analyses in support of civil fraud investigations and litigation.
• Analyze and audit financial transactions, accounting systems, healthcare claims, reimbursement data, procurement records, grant expenditures, and related financial records.
• Conduct healthcare claims analysis involving Medicare, Medicaid, TRICARE, VA, and other federally funded healthcare programs.
• Assist with statistical sampling analyses and related methodologies, including familiarity with RAT-STATS or comparable statistical sampling tools.
• Conduct damages analyses involving the False Claims Act, including calculations of damages, penalties, restitution-related figures, and related financial exposure.
• Conduct asset tracing and ability-to-pay analyses to assist the Government in evaluating settlement positions, financial recoverability, and collection-related considerations.
• Analyze large financial or healthcare-related datasets and organize financial and documentary evidence using industry-standard analytical and visualization tools.
• Assist with financial tracing involving individuals, corporate entities, healthcare providers, contractors, grant recipients, and other entities.
• Perform forensic accounting analyses involving incomplete, inconsistent, voluminous, or electronically stored financial records.
• Review and analyze banking records, tax records, healthcare billing records, claims submissions, contracts, invoices, procurement materials, grant documentation, correspondence, and other documentary evidence.
• Prepare concise and accurate audit reports, schedules, spreadsheets, charts, summaries, timelines, visualizations, and other analytical materials for use in investigations, settlement negotiations, motions practice, depositions, hearings, and trial.
• Assist with interviews of witnesses, relators, subjects, healthcare providers, business representatives, law enforcement personnel, and other individuals relevant to ACE investigations.
• Assist AUSAs, USAO support staff, and investigative agencies with deposition preparation, trial preparation, exhibit preparation, and related litigation-support activities.
• Attend meetings, interviews, depositions, hearings, and trials as requested by the Government.
• Assist in preparing declarations, affidavits, summaries, and related evidentiary materials.
• Utilize electronic databases and publicly available sources to identify assets, financial information, and other relevant evidence.
• Assist with organizing, indexing, securing, and managing documentary and electronic evidence.
• Prepare interim and final reports throughout investigations and litigation.
• Assist in developing technical guidance and analytical approaches related to auditing, healthcare claims analysis, statistical sampling, forensic accounting, and financial investigations.
• Work collaboratively with AUSAs, federal agents, agency personnel, and support staff to identify potential statutory and regulatory violations.
• Utilize industry-standard financial, auditing, analytical, statistical, or visualization software tools.

• Bachelor's degree or higher in accounting, finance, economics, statistics, data analytics, healthcare administration, or related field.
• Minimum three (3) years of professional experience involving accounting, auditing, healthcare claims analysis, forensic accounting, financial investigations, statistical analysis, or related analytical work.
• Experience shall specifically address the candidate's qualifications and work history relevant to the areas identified above
• Proficient in Microsoft Office applications, including Excel, Word, PowerPoint, and Access.
• U.S. Citizenship and ability to obtain adjudication for the requisite background investigation.

Preferred:

• Certified Public Accountant (CPA) Certification
• Certified Fraud Examiner (CFE) Certification

SGI Global provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws.