What are the responsibilities and job description for the Health Care Fraud Investigator position at Legacy Management Solutions?
We are seeking a Health Care Fraud Investigator (HCF Investigator) to support the U.S. Attorney’s Office (USAO) in the Northern District of Mississippi. This role involves conducting complex investigations related to civil and administrative healthcare fraud matters, directly supporting Assistant U.S. Attorneys (AUSAs). The investigator will operate independently and collaboratively on sensitive, high-impact cases involving federal programs, organizations, and individuals.
Key Responsibilities
Qualifications
Security Requirements
Work Environment
Key Responsibilities
- Plan and conduct healthcare fraud investigations under the direction of AUSAs
- Analyze applicable federal, state, and local laws to identify violations and legal exposure
- Gather and evaluate evidence including:
- Financial records (billing, payroll, invoices)
- Medical and administrative documentation
- Digital and forensic data
- Conduct witness interviews (in-person and telephonic)
- Coordinate with federal agencies such as:
- FBI
- HHS
- DOL
- USPIS
- SEC
- Develop investigative strategies and determine methods for evidence collection
- Prepare interim and final investigative reports for litigation use
- Assist AUSAs with:
- Trial preparation
- Evidence organization
- Witness coordination
- Testify in court as required
- Support surveillance coordination (non-enforcement; no arrest authority)
Qualifications
- Bachelor’s degree or higher
- Minimum 5 years of investigative experience in a related field
- Experience with healthcare fraud, civil investigations, or regulatory enforcement preferred
- Strong ability to analyze complex financial and documentary evidence
- U.S. Citizenship required
Security Requirements
- Must be eligible for a High-Risk Background Investigation (BI)
- Includes:
- Background check
- Credit check
- Drug screening
Work Environment
- On-site at:
U.S. Attorney’s Office
900 Jefferson Avenue
Oxford, MS - Standard hours: Monday–Friday, 8:00 AM – 5:00 PM
- Limited travel within the district (reimbursable per federal guidelines)