Senior Auditor
Employment Type: Full-Time, Experienced
Department: Financial
CGS is seeking a highly skilled Senior Auditor to provide general auditing and accounting services in support of fraud investigations involving potentially complex financial transactions and complex organizations attempting to evade detection. The ideal candidate will develop, coordinate, and draft technical audit guidelines, is proficient in a variety of accounting systems, and practices excellent cross-functional communication throughout investigations.
Skills and attributes for success:
-Management experience helpful; experience in litigation environment, experience working with automated litigation support helpful.
-Conduct financial analysis by reviewing bank records, wire transfers, ledgers, and other financial documentation.
-Conduct open-source intelligence and database research on individuals, business entities, and assets.
-Analyze large and complex healthcare claims datasets to identify fraud, waste, and abuse patterns.
-Design and run SQL queries, models, and data algorithms to detect anomalous billing trends and patterns.
-Extract and manipulate federal health claims data using CMS tools such as OnePI, STARS, Business Objects, and other related platforms.
-Prepare analytical summaries, memoranda, charts, and data visualizations to support case development and litigation.
-Summarize transaction histories and flag suspicious activities for follow-up.
-Evaluate allegations of fraud and provide recommendations to [assistant client attorneys] for determination.
-Based on fraud data, assist with development of investigative plans including identifying areas of investigative focus.
-Work collaboratively with attorneys and investigators to refine leads and develop investigative strategies.
-Deliver oral briefings and written reports to [assistant client attorneys] on findings from healthcare data analytics.
-Support development of internal best practices and workflows for healthcare fraud detection."
Required Skills:
-Undergraduate degree minimum, CPA/MBA equivalent.
-Must be a Certified Public Accountant.
-MBA or equivalent in accounting or directly related field.
-Thorough knowledge of generally accepted accounting principles and generally accepted auditing standards.
-Minimum of five years' experience as an auditor; minimum three years specialized experience in the specific subject matter area involved - for example, Medicare billing and claims systems, or DoD inventory systems.
-Extensive working knowledge of appropriate accounting and financial analysis ADP systems and applications.
-Excellent oral and written communication skills.
-Must be a United States citizen
Must be able to obtain a Public Trust security clearance
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 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
$100,000 - $125,000 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.
