What are the responsibilities and job description for the Health Care Fraud (HCF) Auditor position at Global Solutions Group?
Position: One (1) Health Care Fraud (HCF) Auditor
Term 5 Years
Place: Newark, NJ 07102
Performs a variety of ancillary audit-related services in direct support of litigation. Support activities include one or more of the following:
- Provides general auditing and accounting services in support of fraud investigations involving potentially complex financial transactions and complex organizations attempting to evade detection.
- Assists with the planning of investigations, including performing quantitative and qualitative analyses to identify potential witnesses and relevant documents, to include financial documents.
- Works with the assigned AUSAs and/or supervisory attorneys, determines applicable administrative statutory and regulatory law, and identifies possible violations or causes of action.
- Reviews all applicable laws and evidence, providing insights to assist in affixing legal responsibility for litigation while allowing final decisions on investigations and evidence presentation methods to be made by the appropriate authorities
- Reviews and advises on effective methods for planning, scheduling, and conducting investigations, and identifies any necessary resources
- Analyzes, organizes, and presents a large volume of data such as bank records, financial records, healthcare claims, tax records, correspondence, policies, other documentary evidence, etc., using common software programs.