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Are you looking for a Health Care Fraud Investigative Specialist? We suggest you consider a direct vacancy at Executive Office for U.S. Attorneys and the Office of the U.S. Attorneys in Grand Rapids. The page displays the terms, salary level, and employer contacts Executive Office for U.S. Attorneys and the Office of the U.S. Attorneys person

Job opening: Health Care Fraud Investigative Specialist

Salary: $98 496 - 128 043 per year
Employment Type: Full-time
The U.S. Attorney's Office for the Western District of Michigan offers some of the most flexible work options of any U.S. Attorney's Office in the nation, including liberal telework and alternate schedule options as permitted by Department of Justice policy. Please note, however, that employees must live within 25 miles of the district to which they are appointed. This position is also being announced to applicants eligible to apply through Merit Staffing procedures under 23-MIW-12062402-MS.

Duties

If selected, you will serve as a Health Care Fraud Investigator in the Criminal Division of the United States Attorney's Office (USAO), Western District of Michigan. The Incumbent will work with Assistant United States Attorneys (AUSAs) and other Federal, State, and local agencies on Health Care Fraud (HCF) and Affirmative Civil Enforcement (ACE) investigations. Typical work assignments will include: Planning and managing large-scale investigative analysis of significant HCF and ACE cases. Analyzing evidentiary information or voluminous data to assess facts related to assigned cases. Preparing valid samples of claims and examining claims or other relevant data, books, ledgers, payroll, cost reports, billing statements, invoices, correspondence, computer data, and other records pertaining to the claims, transactions, events, or allegations under investigation. Consolidating and synthesizing data relevant to investigations collected from multiple sources. Assisting with the calculation of fraud loss and/or damages, including but not limited to providing statistical analyses of claims data and victim restitution calculations. Identifying and coordinating reviews of evidence with retained litigation consultants and expert witnesses. Responsibilities will increase and assignments will become more complex as your training and experience progress. Notes: Although this position can support both Criminal and Civil HCF and ACE investigations, the incumbent will not perform any Criminal Investigator (GS-1811) duties (i.e., serving warrants or subpoenas, transporting suspects/defendants, carrying a firearm, conducting surveillance activities, operating undercover, etc.). Location for this position is open to Grand Rapids or Lansing with expected travel to Grand Rapids often.

Requirements

  • You must be a United States Citizen or National.
  • Initial appointment is conditioned upon a satisfactory pre-employment adjudication. This includes fingerprint, credit and tax checks, and drug testing. Continued employment is subject to a favorable adjudication of a background investigation
  • You must be registered for Selective Service, if applicable.
  • If selected, you may be required to complete a one year probationary period.
  • You must meet all qualification requirements upon the closing date of this announcement.

Qualifications

GS-13: In order to qualify for the GS-13 level, you must have 1 year of specialized experience equivalent to the GS-12 level in Federal Service. Specialized Experience is defined as experience conducting complex health care fraud investigations and financial examinations; analyzing evidentiary information to assess facts; assessing information to prepare analytical products; preparing samples of claims and examining claims or other relevant data or allegations under investigation; assisting in the analysis and compilation of documents and physical evidence; and knowledge of, and skill in applying, a wide range of complex inspection, investigation, enforcement, and/or compliance principles, concepts, and practices. Interagency Career Transition Assistance Plan (ICTAP)- The ICTAP provides eligible displaced Federal competitive service employees with selection priority over other candidates for competitive service vacancies. If your agency has notified you in writing that you are a displaced employee eligible for ICTAP consideration, you may receive selection priority if: 1) this vacancy is within your ICTAP eligibility; 2) you apply under the instructions in the announcement; and 3) you are found well-qualified for this vacancy. To be well-qualified, you must satisfy all qualification requirements for the vacant position and receive a score of 85 or better on established ranking criteria. You must provide proof of eligibility to receive selection priority. Such proof may include a copy of your written notification of ICTAP eligibility or a copy of your separation personnel action form. Additional information about ICTAP eligibility is at: http://www.opm.gov/policy-data-oversight/workforce-restructuring/employee-guide-to-career-transition/ Career Transition Assistance Plan (CTAP)-The CTAP provides eligible surplus and displaced competitive service employees in the Department of Justice with selection priority over other candidates for competitive service vacancies. If your Department of Justice component has notified you in writing that you are a surplus or displaced employee eligible for CTAP consideration, you may receive selection priority if: 1) this vacancy is within your CTAP eligibility, 2) you apply under the instructions in this announcement, and 3) you are found well-qualified for this vacancy. To be well qualified, you must satisfy all qualification requirements for the vacant position and receive a score of 85 or better on established ranking criteria. You must provide a copy of your written notification of CTAP eligibility with your application. Additional information about CTAP eligibility is at: http://www.opm.gov/policy-data-oversight/workforce-restructuring/employee-guide-to-career-transition/

Contacts

  • Address Western District of Michigan 330 Ionia Avenue Grand Rapids, MI 49503 US
  • Name: Britni Michael
  • Phone: 6164562404
  • Email: [email protected]

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