Investigative Auditor

SGI Global is seeking an Investigative Auditor to provide investigative support services to the United States Attorneys 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

Job Duties

• 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.

Qualifications

• Bachelors 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 candidates 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.

Required Experience:

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