NANA Regional Corporation Senior Financial Analyst/Investigator in Bensenville, Illinois

Senior Financial Analyst/Investigator

Description

SAVA services and solutions help our federal clients provide for national security, improve communications and collaboration, secure the integrity of information systems and networks, enhance data collection and analysis, and increase efficiency and mission effectiveness. We’re at the forefront of the communications breakthroughs that bring Federal, state, local and International organizations together for leading edge collaborative solutions in our fight against global crime and terrorism.

Job Description: A national Health Care Fraud and Abuse Control Program, operating under the joint direction of the Attorney General and the Secretary of the Department of Health and Human Services (HHS), coordinates federal, state, and local law enforcement activities with respect to health care fraud and abuse.

Health care fraud involves a variety of schemes that defraud public and private insurers and health care providers nationwide. In addition to Medicare and Medicaid, a number of federally­ funded health benefit programs have been the targets of these schemes. USAOs are responsible for prosecuting health care professionals, providers, and other specialized business entities who engage in health care fraud and abuse. Health care fraud can be prosecuted both civilly and criminally under a variety of statute and regulations.

USAO SDIL has a dynamic Health Care Fraud Working Group, a public/private, multi­ disciplinary partnership that meets quarterly. The working group consists of federal agencies including HHS Office of Inspector General, the Federal Bureau of Investigation, the Department of Labor, the Internal Revenue Service Criminal Investigation Division, the U.S. Postal Service Inspection Service Inspection Service, and the Drug Enforcement Administration; state agencies such as Illinois State Police-Medicare Fraud Control Unit, Illinois Department o Healthcare and Family Services, Illinois Attorney General's Office; and private organizations such as the National Insurance Crime Bureau, Blue Cross Blue Shield, Coventry Health Care, State Farm Insurance, Essence Healthcare, and Express Scripts.

Job Responsibilities:

  • Develops an understanding of all applicable federal and state laws to the extent necessary to make sound decisions on direction and scope of investigations. Determines proof required to assist in affixing legal responsibility for litigation, and devises methods for obtaining, preserving, and presenting evidence to greatest effect.

  • Serves as a participating member of the Health Care Fraud Working Group, the Defense Procurement Fraud Worldng Group, and any other task force groups or worldng groups that USAO SDIL may direct.

  • Examines billing statements, invoices, books, ledgers, payrolls, cost reports, correspondence, computer data, and other records pertaining to the transactions, events, or allegations under investigation. Establishes and/or verifies 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.

  • Reviews billing codes to determine that they are appropriate to the services rendered and properly reflect the time and effort expended by the medical provider.

  • Initiates contacts with federal, state, and local officials, and other organizations and individuals related to the subject of investigation, for the purpose of gathering facts, obtaining statements, learning sequences of events, obtaining explanations and otherwise advancing investigative objectives.

  • Traces funds derived from fraud and identifies assets of subjects.

  • Arranges for the integrity of evidence through secure storage, preservation, organization, and indexing of voluminous physical and electronic evidence.

  • Regularly updates Assistant U.S. Attorneys (AUSAs) on the status of cases. Prepares interim and final reports on progress of investigations for use by AUSAs and supervisory attorneys. Reports will include significant findings and conclusions, recommendations for additional investigative actions, and candid assessments of strengths and weaknesses of witnesses, documentary evidence, and other aspects of cases.

  • Assists in compilation of documents and physical evidence and the creation of charts, graphs, videotapes, and other materials for use by AUSAs in motions and at trial.

  • Provides advice to AUSAs on selection of witnesses and testifies in court regarding investigations, as required.

Qualifications

BASIC QUALIFICATIONS:

  • US Citizenship is required with the ability to pass a background check.

  • Must have 10 years of related experience in the field

  • Must have a valid driver's license

  • Must have excellent written and oral communication skills

  • Must be familiar with a variety of computer applications including word-processing, databases, and spreadsheets.

  • Ability to consistently deliver the highest quality work under extreme pressure.

We are committed to Equal Employment Opportunity and providing reasonable accommodations to applicants with physical and/or mental disabilities.If you have a physical and/or mental disability and are interested in applying for employment and need special accommodations to use our website to apply for a position please contact, Recruiting Services at job-assist@akima.com or 571-353-7053.The dedicated email and telephonic options above are reserved only for individuals with disabilities needing accessibility assistance.Please do not use the dedicated phone number above to call on the status of your job application if you do not require accessibility assistance or an accommodation.Reasonable accommodation requests are considered on a case-by-case basis.

In order for our company to stay compliant with government regulations, please apply on line. Please DO NOT email resumes or call in lieu of applying online unless you have a physical and/or mental disability and need assistance with the online application.

Job: Security, Intelligence & Defense Analysis

Primary Location: US-IL-Bensenville

Schedule: Full-time

Shift: Day Job

Req ID: SAV03082