Must live in the Detroit, MI area.Ardelle Associates, a veteran-owned company providing Consulting and Support Services to government agencies is seeking a CivilHealth Care Fraud investigator to join their team in support of the Department of Justice (DOJ), U.S. Attorney's Office (USAO) in Detroit, MI>We are seeking a highly skilled and detail-oriented Fraud Investigator to join our team. The ideal candidate should possess expertise in document analysis related to fraud cases and health care, exhibit proficiency in Microsoft Office applications, maintain U.S. "‹ Citizenship, and demonstrate the ability to make responsible decisions on short notice while adapting to unexpected developmentsResponsibilitiesDevelop an understanding of applicable federal, state, and local statutes, regulations, and guidance to the extent necessary to make sound decisions on the direction and scope of investigations.Analyze publicly available materials, governmental databases, and other such sources to identify possible violations of federal law. Conduct preliminary investigations to confirm such violations.Assist in the investigation of affirmative cases being handled by Assistant United StatesAttorneys, including the following:o Identifying witnesseso Helping to create and implement an investigative plan, to develop strategy, and to providedirection to investigators from client agencieso Drafting and monitoring subpoenas and other document requests and demandso Reviewing and analyzing documentso Conducting interviewso Producing well written interview reports, spreadsheets, status reports, recommendations, assessments, and other analyseso Utilizing forensic services to obtain and analyze evidenceo Coordinating and participating in surveillanceo Securing, organizing, and preserving evidenceo Building and presenting proof necessary for successful affirmative cases.- Obtain and analyze financial records and information regarding assets and ability to pay of subjects under investigation utilizing electronic databases, publicly available sources, interviews, and other investigative tools.Identify and develop human sources that may provide information regarding violations of federal law and assist in the investigations of such violations.Build and maintain excellent relationships with state, local, and federal law enforcement agencies in Michigan and neighboring jurisdictions involved in the investigation of violations of federal laws or fraud on federal programs, including participation in task forces.QualificationsBachelor's Degree or higher in law enforcementcriminal justice (or another relevant field)Reside within 50 miles of the USAO Detroit OfficeAt least five years of demonstrated ability in a similar positionProficient in Microsoft Office applicationsValid driver's license and dependable vehicleU.S. Citizenship and ability to obtain adjudication for the requisite background investigationAbility to make responsible decisions on short notice and adapt to unexpected developmentsPreferred QualificationsLaw enforcement or related investigative experienceWorking knowledge of health care fraud enforcement, including the relationships between federal and state law enforcement, administrative partners, and ContractorsProficient in the use of electronic document review platforms such as Relativity, Everlaw Eclipse, or other similar platformsExperience demonstrating the following capabilities:o Make contacts, maintain effective work relationships, and gain the confidence of others, including investigators from a variety of law enforcement agencieso Develop source information, prepare for, and conduct thorough witness interviews, and prepare reliable, well-written documentation of interviewso Plan and conduct complex investigations in an expeditious manner with a minimal amount of directioncontrolo Obtain information and develop evidence by observation, interviews, and examining and analyzing recordso Independently develop investigations by, among other things, recommending additional records and investigative stepso Review, understand and analyze financial, billing, and other reporting information and materialso Communicate both orally and in writing in a clear, concise, and logical manner, including preparing graphical representations of findings and conclusions for use as exhibits and testifying in courto Analyze and objectively evaluate relevant facts and documentary evidence to arrive at sound conclusionso Develop, obtain, analyze, organize, and preserve relevant evidence for trial purposes.Job Type: Full-timePay: $36.59 - $41.00 per hourBenefits:401(k)401(k) matchingDental insuranceHealth insurancePaid time offSchedule:8 hour shiftEducation:Bachelor's (Required)Experience:Civil Fraud Investigation: 5 years (Required)Security clearance:Confidential (Preferred)Ability to Commute:Detroit, MI 48226 (Required)Work Location: In person
Job Title
Civil Healthcare Fraud Investigator (Detroit)