Fraud Investigator - Baton Rouge, LA

Lindahl Reed, Inc. Baton Rouge, Louisiana
fraud baton fraud ace data law enforcement analysis criminal justice justice data analysis health healthcare attorneys
September 25, 2022
Lindahl Reed, Inc.
Baton Rouge, Louisiana
Location: 777 Florida Street, Suite 208, Baton Rouge, LA 70801

Job Type: Full-Time On-Site

Salary: Depends on Experience

Experience: 3+ years in a similar position

Education: Four (4) year undergraduate degree in criminal justice, law enforcement, statistical/data analysis, finance, accounting, or other related field or higher

Date Updated: September 9th, 2022

Company Description

Now is the time to join Lindahl Reed, Inc. Lindahl Reed is a professional services company that provides program management, engineering and technical, and management advisory services to federal, state, institutional, and commercial customers nationwide. We offer expertise in the health, energy, and environmental markets. Lindahl Reed was founded on the belief that we can advance a safer, healthier, and more resilient and sustainable world. Our solutions allow clients to work smarter and gain unique insights and understanding into their organization as well as improve decision-making to help meet their mission, business, compliance, and operational challenges now and into the future. We are hiring creative, motivated, and talented people with a passion for doing what's right, what's smart, and what works.

Description/Job Summary

Lindahl Reed is hiring a Fraud Investigator to support the United States Attorney s Office, Middle District of Louisiana to work within the Affirmative Civil Action (ACE) program to assist in the generation of new investigations, continue with ongoing investigation and civil actions involving fraud in areas such as healthcare, contracting, grants, etc. and other fraud and abuse of federal public funds and programs.

The ACE Program restores to the Federal Treasury taxpayer money that has been wrongfully obtained by various entities and individuals through fraud and abuse. ACE fills a void between criminal prosecution and an administrative enforcement action. Occasionally, the ACE Program is required to obtain injunctive relief to freeze assets pending the outcome of other criminal or civil litigation. ACE cases come in one of three ways: Qui tam filings; referral from investigative agencies or health care intermediaries; and internal development of investigations or referral from criminal Assistant United States Attorneys (AUSA).

Position Responsibilities

  • Assist with the planning and conduction of investigations of a highly complex nature, performing quantitative, qualitative, or other analyses of relevant facts, and prepare results to support the mission of the USAO MDLA ACE Program.
  • Develop and analyze evidence that comes from other investigators and law enforcement officers, and collects information relating to this evidence or legal matters under consideration from appropriate primary and secondary sources.
  • Gather and analyze facts including statements, timelines, scientific or technical data, for the purpose of advancing prosecutorial objectives. Establish and/or verify relationships among all facts and evidence obtained or presented to confirm authenticity of documents, corroborate witness statements, and otherwise build proof necessary for successful litigation.
  • Provide specialized investigative analysis relevant to health care fraud, procurement fraud, agriculture fraud, and fraud related to other federal programs.
  • Conduct asset investigations, verify employment, and conduct financial analyses to determine capability of targets to pay monetary penalties.
  • Possess understanding of all applicable federal, state, or local law to the extent necessary to make sound decisions on direction and scope of investigations. Determine proof required to affix responsibility for violations, and devise methods for obtaining, preserving, and presenting evidence to the greatest effect.
  • Work with the assigned Paralegal Specialists, AUSAs and/or supervisory attorneys to determine applicable statutory and regulatory law and identify possible violations.
  • Utilize provided electronic databases to identify assets, documents, and other physical evidence.
  • Prepare interim and final reports regarding the progress of investigations for use by AUSAs and supervisory attorneys.
  • Arrange for secure storage, preservation, organization and indexing of voluminous documentary evidence.
  • Assist in the compilation and analysis of documents and physical evidence, and creation of charts, graphs, videotapes, and other audio-visual materials for use in motions and at trial. Provide advice to AUSA on selection of witnesses and ensures their attendance through subpoena or otherwise.
  • Communicate with federal, state, and local officials, and other organizations and individuals related to subject of investigation for the purpose of gathering facts, obtaining statements, learning sequences of events, obtaining explanations, and otherwise advancing investigative objectives.
  • Examine books, ledgers, payroll records, cost reports, billing statements, invoices, correspondence, computer data and other records pertaining to the transactions, events, or allegations under investigation.
  • Regularly meet with the ACE Coordinator and designated federal agency personnel, state, and local officials for the purpose of fraud investigations.
  • Performs other related HCF duties as assigned.
  • Travel may be required within the district or occasionally outside the district as needed to perform job duties as directed by the USAO.

Qualifications, Skills, And Experience

  • Bachelor s Degree in law enforcement/criminal justice (or other related field) or higher
  • Four (4) year undergraduate degree in criminal justice, law enforcement, statistical/data analysis, finance, accounting, or other related field or higher
  • Minimum three (3) years of professional work experience planning and conducting complex civil investigations concerning the misuse of public, private, or insurance funds
  • Proficient in Microsoft Office applications including Access and Excel.
  • Experience with data analysis including using pivot tables and Access queries.
  • Experience with Healthcare Fraud investigations.
  • Knowledge of Anti-Kickback Statute (AKS), False Claims Act (FCA), and Eliminating Kickbacks in Recovery Act (EKRA).
  • U.S. Citizenship and ability to obtain adjudication for the requisite background investigation
  • Experience and expertise in performing the requisite services

Preferred Qualifications

  • Related experience working with a federal or state legal or law enforcement entity preferred
  • Experience reviewing and understanding medical records and knowledge of medical billing procedures preferred
  • Experience analyzing, organizing, and presenting a large volume of data such as bank records, financial records, healthcare claims, tax records, etc., through the use of common software programs preferred

All positions require a background check after acceptance of our offer. The selected candidate may be eligible to begin employment before the background check has been finalized. However, continued employment with Lindahl Reed will be contingent upon the timely results of candidate s reference/background check. This position may require special credentialing, clearance, and access as a condition of employment. In the event the government or client does not sponsor or approve your clearance, it may result in termination of your employment. We are an Equal Employment/Affirmative Action employer. We do not discriminate in hiring on the basis of sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected Veteran status, or any other characteristic protected by federal, state, or local law.

For more information, view the EEO is the Law Poster and Pay Transparency Statement

Applicants have rights under Federal Employment Laws view the following posters to see more information:

Family & Medical Leave

Equal Opportunity Employment

Employee Rights

This job description is not a contract and may be adjusted as deemed appropriate in Lindahl Reed s sole discretion.

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