USAO SDIL Senior Financial Analyst/Investigator

Grey Street Consulting, LLC (Grey Street), a leading small business provider of operational support services to Federal civilian and defense agencies, is seeking to hire a Senior Financial Analyst/Investigator to support our client within The United States Attorney's Office (USAO) for the Southern District of Illinois (SDIL). USAO SDIL is located in Fairview Heights, IL, and this position is to be performed onsite full-time.

Essential Duties and Responsibilities


The Senior Financial Analyst/Investigator shall independently plan and conduct health care fraud investigations. Contractor's duties include but are not limited to:

• Develops an understanding of all applicable federal and state laws to the extent necessary to make sound decisions on direction and scope of investigations. Determines proof required to assist in affixing legal responsibility for litigation, and devises methods for obtaining, preserving, and presenting evidence to greatest effect.
• Serves as a participating member of the Health Care Fraud Working Group, and any other task force groups or working groups that USAO SDIL may direct.
• Examines billing statements, invoices, books, ledgers, payrolls, cost reports, correspondence, computer data, and other records pertaining to the transactions, events, or allegations under investigation. Establishes and/or verifies relationships among all facts and evidence obtained or presented to confirm authenticity of documents, corroborate witness statements, and otherwise build proof necessary for successful litigation.
• Reviews billing codes to determine that they are appropriate to the services rendered and properly reflect the time and effort expended by the medical provider.
• Initiates contacts with federal, state, and local officials, and other organizations and individuals related to the subject of investigation, for the purpose of gathering facts, obtaining statements, learning sequences of events, obtaining explanations and otherwise advancing investigative objectives.
• Traces funds derived from fraud and identifies assets of subjects.
• Arranges for the integrity of evidence through secure storage, preservation, organization, and indexing of voluminous physical and electronic evidence.
• Regularly updates Assistant U.S. Attorneys (AUSAs) on the status of cases. Prepares interim and final reports on progress of investigations for use by AUSAs and supervisory attorneys. Reports will include significant findings and conclusions, recommendations for additional investigative actions, and candid assessments of strengths and weaknesses of witnesses, documentary evidence, and other aspects of cases.
• Assists in compilation of documents and physical evidence and the creation of charts, graphs, videotapes, and other materials for use by AUSAs in motions and at trial. Provides advice to AUSAs on selection of witnesses and testifies in court regarding investigations, as required.

Requirements

Job Requirements and Experience

• The Senior Financial Analyst/Investigator shall have at least seven(7) years of relevant medical and/or medical billing or health care fraud investigation experience.
• The contractor shall possess a valid driver's license and the ability to drive in support of investigations.
• Contractor shall have excellent written and oral communication, and familiarity with a variety of computer applications, including word-processing, databases, and spreadsheets.
• The contractor shall have the ability to consistently deliver the highest quality work under extreme pressure.
• Occasional local travel will be required, such as for review of records or interviews.
• Work shall be performed 8 hours per day, Monday thru Friday, except Federal holidays, but with a flexible work schedule due to evening/weekend meetings that may be required.

ADA Requirements

• Operate a PC and phone in an office environment.
• Work in a primarily sedentary position.
• Perform some bending, light lifting, and carrying of equipment may be required.
• Any additional office equipment that is required by the position.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability, or protected Veteran status.

About The United States Attorney's Office (USAO) for the Southern District of Illinois (SDIL)


A national Health Care Fraud and Abuse Control Program, operating under the joint direction of the Attorney General and the Secretary of the Department of Health and Human Services (HHS), coordinates federal, state, and local law enforcement activities with respect to health care fraud and abuse.


Health care fraud involves a variety of schemes that defraud public and private insurers and health care providers nationwide. In addition to Medicare and Medicaid, a number of federally- funded health benefit programs have been the targets of these schemes. USAOs are responsible for prosecuting health care professionals, providers, and other specialized business entities who engage in health care fraud and abuse. Health care fraud can be prosecuted both civilly and criminally under a variety of statutes and regulations.


USAO SDIL has a dynamic Health Care Fraud Working Group, a public/private, multi- disciplinary partnership that meets quarterly. The working group consists of federal agencies, state agencies, and private organizations.

About Grey Street Consulting, LLC


Grey Street is a small, federal contracting firm. Founded in 2015, Grey Street has already established itself as a leading small business provider of federal human resources (HR) services. Grey Street provides staff augmentation support to numerous federal agencies including but not limited to the U.S. Departments of Transportation (DOT), Health and Human Services (HHS), Energy (DOE), Labor (DOL), and Homeland Security (DHS) just to name a few. Our approach to the delivery of professional services is rooted in our deep subject matter expertise and supported by our ability to effectively manage our client's needs and expectations while delivering measurable results.


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