Investigative Auditor (Healthcare Fraud & Financial Investigations)

ELG Federal Solutions is seeking an experienced Investigative Auditor to support the Affirmative Civil Enforcement (ACE) Unit of the United States Attorney's Office (USAO), Northern District of New York. The selected candidate will assist federal attorneys and investigative agencies in identifying, analyzing, and investigating civil fraud involving federal programs and taxpayer funds.

This position offers a unique opportunity to work on high-impact investigations involving:

• Healthcare Fraud
• False Claims Act (FCA) cases
• Procurement Fraud
• Grant Fraud
• COVID-19 Relief Fraud
• Opioid Diversion Matters
• Financial Fraud, Waste, and Abuse

The Investigative Auditor will conduct financial analysis, healthcare claims reviews, forensic accounting examinations, statistical sampling, asset tracing, and damages calculations in support of federal investigations and litigation.

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Key Responsibilities

• Conduct complex financial, healthcare, statistical, and forensic accounting analyses.
• Analyze Medicare, Medicaid, TRICARE, VA, and other federally funded healthcare claims.
• Review financial transactions, accounting records, contracts, invoices, grant documentation, and procurement records.
• Perform damages calculations and financial exposure analyses under the False Claims Act.
• Conduct asset tracing and ability-to-pay analyses.
• Analyze large financial and healthcare datasets using analytical tools and software.
• Assist attorneys and investigators with evidence organization and litigation support.
• Prepare audit reports, spreadsheets, charts, summaries, timelines, and visual presentations.
• Support witness interviews, depositions, hearings, and trial preparation.
• Assist with forensic accounting reviews involving incomplete, inconsistent, or voluminous records.
• Utilize public databases and financial research tools to identify assets and relevant evidence.
• Collaborate with Assistant U.S. Attorneys, federal agents, auditors, and investigative personnel.

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Minimum Qualifications

Education
Bachelor's degree in one of the following:

• Accounting
• Finance
• Economics
• Statistics
• Data Analytics
• Healthcare Administration
• Related field

Experience

• Minimum of three (3) years of professional experience in one or more of the following:
  • Auditing
  • Accounting
  • Healthcare Claims Analysis
  • Financial Investigations
  • Forensic Accounting
  • Statistical Analysis
  • Fraud Investigations

Technical Skills

• Advanced Microsoft Excel
• Microsoft Word
• Microsoft PowerPoint
• Microsoft Access
• Data analysis and reporting tools

Other Requirements

• U.S. Citizen
• Ability to obtain DOJ background clearance
• Strong analytical and investigative skills
• Excellent written and verbal communication abilities

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Preferred Qualifications
Candidates with any of the following are strongly encouraged to apply:

• Certified Public Accountant (CPA)
• Certified Fraud Examiner (CFE)
• Healthcare fraud investigation experience
• False Claims Act experience
• Experience supporting DOJ, OIG, HHS, CMS, FBI, DEA, VA, or other federal agencies
• Experience with RAT-STATS or similar statistical sampling tools
• Experience with data visualization and forensic accounting software