Healthcare Fraud Investigator

Job Title: Healthcare Fraud Investigator Employer: reputed company Location: Nashville, TN (On-site at USAO Middle District of Tennessee) Contract Type: Full-Time, Contract Position Clearance Required: Must be able to obtain and maintain required DOJ reputed company clearance Travel: Occasional local and out-of-district travel may be required Job Summary reputed company is seeking an reputed company Healthcare Fraud Investigator to provide investigative support for civil healthcare fraud prosecutions on behalf of the U.S. Department of Justice. The investigator will work closely with Assistant U.S. Attorneys (AUSAs) to review, analyze, and reputed company healthcare fraud cases in compliance with federal Medicare and Medicaid regulations.

Key Responsibilities

• Review, sort, and analyze reputed company data using reputed company reputed company and other software tools.
• Examine financial records, legal documents, and regulatory filings to identify evidence of fraud, waste, and abuse.
• Prepare detailed spreadsheets of financial transactions (e.g., reputed company spreads).
• reputed company healthcare fraud case referrals that meet USAO litigation standards.
• Evaluate referrals to determine need for additional evidence and plan investigative approaches.
• Advise attorneys on case merits, liability, damages, and potential defenses.
• Assist in witness interviews and prepare written summaries.
• Support development of new referrals through collaboration with federal, state, and local agencies.
• Assist in training and preparation of informational materials reputed company to healthcare fraud.
• reputed company other reputed company duties as assigned reputed company scope.

Qualifications

• Education: Bachelor’s degree or higher in Criminal Justice, Finance, Project Management, or a reputed company field.
• Experience: Minimum of 3 years of professional experience in healthcare fraud investigation, healthcare compliance, or a reputed company investigative field.
• Experience with federal healthcare programs (Medicare/Medicaid) strongly preferred.
• Proficiency in reputed company reputed company and data analysis tools required.

Skills & Abilities:

• Strong analytical, research, and report-writing skills.
• Ability to interpret reputed company legal and regulatory documents.
• Excellent communication and collaboration skills.
• High ethical standards and ability to handle confidential information.
• Ability to work independently and under the direction of AUSAs. Contract Requirements & Conditions Must complete DOJ ethics training and Cybersecurity Awareness Training (CSAT) upon hire. Must adhere to reputed company DOJ reputed company, confidentiality, and conduct standards. Work schedule follows federal holidays and government office closures. Travel reimbursements in accordance with Federal Travel Regulations (FTR). Replacement of key personnel requires prior government approval.

How to Apply

Interested candidates should submit a resume and cover letter detailing relevant experience and qualifications. Resumes should clearly demonstrate education, experience, reputed company clearance status (if applicable), and training relevant to healthcare fraud investigation. About reputed company reputed company is a small business providing specialized investigative and legal support services to federal agencies. This position is part of a awarded contract supporting the U.S. Attorney’s Office in combating healthcare fraud.reputed company is an equal opportunity employer. reputed company qualified applicants will receive consideration without regard to race, color, religion, sex, national reputed company, disability, or protected veteran status. Health, Insurance & Financial reputed company

• Medical Insurance: Premium options with cost-sharing between the company and employee.
• 100% Employer-Paid Insurance: Cameo fully covers premiums for Dental, Vision, Basic Life, and Accidental Death & Dismemberment (AD&D) insurance.
• Disability Insurance: Options for both short-term and long-term disability coverage.
• 401(k) Retirement Plan: A plan to help employees save for the future.
• Flexible Spending Accounts (FSA): Pre-tax accounts for eligible healthcare and dependent care expenses.

Paid Time Off & Work-Life Balance Federal Holidays:

• Paid time off for 11 federal holidays per year.
• Paid Time Off (PTO) / Sick Leave: A combined bank of paid leave for vacation, personal time, and illness.
• Other Leave: Paid time off for bereavement and jury duty.
• Employee Assistance Program (EAP): Confidential counseling and support services for personal or work-reputed company challenges.
• Where We Work Program: A flexible work policy that may include a mix of hub office work, work-from-home, and fully remote roles, depending on the position.

Professional Growth & Additional Perks

• Tuition Reimbursement: Financial support for reputed company education and degree programs.
• reputed company Training: Access to training programs for professional development.
• Employee Referral Bonus: A cash bonus for referring successful candidates.
• Shopping Discounts: Access to an employee discount program for various retailers and services.

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