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CACI International Inc · 7 hours ago

Fraud Analyst

State Farm, VA

Part-time

Hybrid

Entry, Mid Level

$58K/yr - $118K/yr

2+ years exp

CACI International Inc is seeking a Fraud Analyst to support the Department of Justice in complex fraud investigations. The role involves analyzing data to identify fraudulent billing patterns and preparing reports to assist in legal proceedings.

Information TechnologyService IndustrySoftware

Comp. & Benefits

No H1B

Security Clearance Required

U.S. Citizen Only

Responsibilities

Review data from vendors who provide health care services paid by the federal government to identify anomalies that might be indicative of improper billing or other types of fraud

Formulate data runs or inquiries from large Medicare and Medicaid databases to elicit particular billing patterns to analyze and research

Analyze data and draft written conclusions and recommendations regarding possible fraudulent billing patterns to be further investigated

Prepare interim and final reports on progress of findings for use by AUSAs and supervisory attorneys. Reports shall include significant findings, conclusions, and recommendations for additional investigative actions, and candid assessments of strengths and weaknesses of witnesses, documentary evidence, and other aspects of the case

Work with the assigned AUSAs, supervisory AUSAs and/or and investigators to determine applicable administrative statutory and regulatory law and identify possible violations or causes of action

Develop an understanding of all applicable federal, state, or local laws to the extent necessary to make sound decisions on direction and scope of investigation. Determine proof required to assist in affixing legal responsibility for litigation, and devise methods for obtaining, preserving, and presenting evidence to greatest effect

Initiate contacts with federal, state, and local officials, and other organizations, including Medicare and Medicaid contractors, related to the subject of the investigation for the purpose of gathering facts, obtaining records, learning sequences of events, obtaining explanations, and otherwise advancing investigative objectives

Examine records, correspondence, audits, or reviews pertaining to the transactions, events, or allegations under investigation. Establish and verify relationships among all facts and evidence obtained and presented to confirm authenticity of documents, corroborate witness statements, and otherwise build proof necessary to successful case resolution

Assist in the compilation and analysis of documents and physical evidence, and creation of charts and graphs for use in hearings, presentations, or trial

Review defense presentations, expert reports, and arguments

Create financial damage models for use in litigation

Participate in negotiations as requested

Travel with USAO MD personnel to conduct interviews

Work with independent experts/consultants

Qualification

Document analysisDatabase researchFraud analysis certificationAutomated litigation supportCommunication skillsAttention to detail

Required

Experience in document analysis, particularly in relation to fraud cases

Two years' experience in performing on-line database research and telephone research

Working knowledge of various public repositories of information

Excellent oral and written communication skills

Undergraduate degree preferred; familiarity with automated litigation support helpful

DOJ MBI must be obtainable (US citizenship required)

Preferred

Experience in a litigation support environment preferred

Undergraduate degree preferred but not required

Certification or training courses completed related to fraud analysis

Familiarity with automated litigation support helpful

Excellent attention to detail and ability to perform tasks accurately and quickly

Benefits

Tuition reimbursement for Relativity certifications

The ACEDS certification

Paralegal Certificates

Healthcare

Wellness

Financial

Retirement

Family support

Continuing education

Time off benefits

Company

CACI International Inc

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At CACI International Inc (NYSE: CACI), our 25,000 talented and dynamic employees are ever vigilant in delivering distinctive expertise and technology to meet our customers’ greatest challenges in national security.

Founded in 1962

Arlington, Virginia, USA

10001+ employees