Financial Investigator
Core
Conduct criminal and civil investigations into Medicaid fraud, patient abuse/neglect, and misappropriation of funds through financial analysis and evidence gathering.
Role type
Senior IC financial investigator (healthcare fraud)
Builds
Enforcement actions to recover taxpayer funds and protect Medicaid enrollees
Domain
Public sector / Healthcare fraud / Financial crime
Deliverable
client delivery
Required skills
Financial analysis, Data analysis, Interviewing witnesses, Report writing, Court testimony, Knowledge of state/federal laws, Evidence rules
Preferred skills
Law enforcement background, Accounting/Finance degree, Auditing experience, Microsoft Excel
Technologies
Microsoft Office (Excel)
Responsibilities
Conduct complex criminal and civil investigations involving Medicaid provider fraud and patient abuse; Analyze Medicaid claims data; Review financial documents (bank statements, tax returns); Interview suspects and witnesses; Prepare detailed investigation reports; Testify in state and federal court
Seniority
Entry-level to Mid-level (NC16 grade)
