Investigative Auditor

Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in accounting, finance, economics, statistics, data analytics, healthcare administration, or related field
  • Minimum three years of experience in accounting, auditing, healthcare claims analysis, forensic accounting, or financial investigations
  • Proficient in Microsoft Office applications, especially Excel, Word, PowerPoint, and Access
  • U.S. Citizenship required with ability to pass a background investigation
  • Preferred: CPA or CFE certification

Responsibilities

  • Assist AUSAs and investigative agencies with complex financial analyses for civil fraud investigations
  • Analyze and audit various financial and healthcare records to ensure accuracy
  • Conduct healthcare claims analyses for federal programs like Medicare and Medicaid
  • Perform statistical sampling analyses using tools like RAT-STATS
  • Calculate damages and financial exposure under the False Claims Act
  • Trace assets to evaluate settlement positions and financial recoverability
  • Organize and analyze large datasets with analytical and visualization tools

Benefits

  • Health, Dental, and Vision insurance
  • Life Insurance
  • 401k retirement plan
  • Flexible Spending Accounts for health and dependent care
  • Paid Time Off and state/federal holidays observed
Full Job Description
Investigative Auditor

Employment Type: Full Time, Mid-Level

Department: Finance

CGS is seeking an Investigative Auditor to join our team supporting the mission of a large federal agency in Albany, NY. This position will allow candidates to demonstrate expertise in auditing and fraud services to support the litigation process of a large federal office.

Job Duties:
  • Assist AUSAs and investigative agencies in conducting complex financial, statistical,
    healthcare, and forensic accounting analyses in support of civil fraud investigations and
    litigation.
  • Analyze and audit financial transactions, accounting systems, healthcare claims,
    reimbursement data, procurement records, grant expenditures, and related financial records.
  • Conduct healthcare claims analysis involving Medicare, Medicaid, TRICARE, VA, and other
    federally funded healthcare programs.
  • Assist with statistical sampling analyses and related methodologies, including familiarity with
    RAT-STATS or comparable statistical sampling tools.
  • Conduct damages analyses involving the False Claims Act, including calculations of
    damages, penalties, restitution-related figures, and related financial exposure.
  • Conduct asset tracing and ability-to-pay analyses to assist the Government in evaluating
    settlement positions, financial recoverability, and collection-related considerations
  • Analyze large financial or healthcare-related datasets and organize financial and documentary
    evidence using industry-standard analytical and visualization tools
  • Assist with financial tracing involving individuals, corporate entities, healthcare providers,
    contractors, grant recipients, and other entities.
  • Perform forensic accounting analyses involving incomplete, inconsistent, voluminous, or
    electronically stored financial records.
  • Review and analyze banking records, tax records, healthcare billing records, claims
    submissions, contracts, invoices, procurement materials, grant documentation,
    correspondence, and other documentary evidence
  • Prepare interim and final reports throughout investigations and litigation


Job Requirements:
  • Bachelor's degree or higher in accounting, finance, economics, statistics, data analytics,
    healthcare administration, or related field
  • Minimum three (3) years of professional experience involving accounting, auditing,
    healthcare claims analysis, forensic accounting, financial investigations, statistical analysis,
    or related analytical work.
  • Proficient in Microsoft Office applications, including Excel, Word, PowerPoint, and Access
  • U.S. Citizenship and ability to obtain adjudication for the requisite background investigation

Preferred:
  • Certified Public Accountant (CPA) Certification
  • Certified Fraud Examiner (CFE) Certification


We care about our employees. Therefore, we offer a comprehensive benefits package:

- Health, Dental, and Vision

- Life Insurance

- 401k

- Flexible Spending Account (Health, Dependent Care, and Commuter)

- Paid Time Off and Observance of State/Federal Holidays

Join our team and become part of meaningful government innovation!

Explore additional job opportunities with CGS on our Job Board:

https://cgsfederal.com/join-our-team/

For more information about CGS please visit: https://www.cgsfederal.com or contact:

Email: [email protected]

#CJ

$90,000 - $120,000 a year

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

About Contact Government Services, LLC

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