What are the responsibilities and job description for the Investigative Auditor position at EnProVera?
Investigative Auditor
US Attorney's Office
Northern District of New York
Position Responsibilities:
- 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 tracking 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.
- 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 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.
Required Skills and Experience:
- Bachelor’s 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.
- Proficient in Microsoft Office applications, including Excel, Word, PowerPoint, and Access.
Preferred:
- Certified Public Accountant (CPA) Certification
- Certified Fraud Examiner (CFE) Certification