Fraud Analyst

Fraud Analyst

The Fraud Analyst position is a great opportunity for analysts to further their career path supporting the Department of Justice on large and complex fraud investigations. You will gain invaluable experience working with federal agents, investigators, attorneys and other experts in the detection of criminal activity. You will sharpen your data analysis and consolidation skills by accessing, collecting, examining and analyzing data, evidence and other information from a variety of sources including public access and law enforcement databases. CACI is committed to growing our eDiscovery workforce and has included tuition reimbursement for Relativity certifications, the ACEDS certification and Paralegal Certificates! This is a great opportunity for someone to grow their careers. Please apply if you are interested to hear more!

Responsibilities

Typical duties include, but are not limited to, the following :

• 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.
• This position is Part Time (32 hours)

Qualifications

Required :

Desired :

What You Can Expect

A culture of integrity. At CACI, we place character and innovation at the center of everything we do. As a valued team member, you'll be part of a high-performing group dedicated to our customer's missions and driven by a higher purpose to ensure the safety of our nation.

An environment of trust. CACI values the unique contributions that every employee brings to our company and our customers - every day. You'll have the autonomy to take the time you need through a unique flexible time off benefit and have access to robust learning resources to make your ambitions a reality.

A focus on continuous growth. Together, we will advance our nation's most critical missions, build on our lengthy track record of business success, and find opportunities to break new ground in your career and in our legacy.

Your potential is limitless. So is ours. Learn more about CACI here.

Pay Range

There are a host of factors that can influence final salary including, but not limited to, geographic location, Federal Government contract labor categories and contract wage rates, relevant prior work experience, specific skills and competencies, education, and certifications. Our employees value the flexibility at CACI that allows them to balance quality work and their personal lives. We offer competitive compensation, benefits and learning and development opportunities. Our broad and competitive mix of benefits options is designed to support and protect employees and their families. At CACI, you will receive comprehensive benefits such as; healthcare, wellness, financial, retirement, family support, continuing education, and time off benefits.

Since this position can be worked in more than one location, the range shown is the national average for the position. The proposed salary range for this position is : $57,500-$117,900

CACI is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, age, national origin, disability, status as a protected veteran, or any other protected characteristic.