Health Care Fraud Investigator at Elegant Enterprise- Wide Solutions Inc

 

Preferred qualifications
- Law enforcement or related investigative experience
- Working knowledge of health care fraud enforcement, including the relationships between federal and state law enforcement, administrative partners, and Consultants
- Proficient in the use of electronic document review platforms such as Relativity, Everlaw Eclipse, or other similar platforms

 

- Experience demonstrating the following capabilities:

o Make contacts, maintain effective work relationships, and gain the confidence of others, including investigators from a variety of law enforcement agencies
o Develop source information, prepare for, and conduct thorough witness interviews, and prepare reliable, well-written documentation of interviews
o Plan and conduct complex investigations in an expeditious manner with a minimal amount of direction/control
o Obtain information and develop evidence by observation, interviews, and examining and analyzing records
o Independently develop investigations by, among other things, recommending additional records and investigative steps
o Review, understand and analyze financial, billing, and other reporting information and materials
o Communicate both orally and in writing in a clear, concise, and logical manner, including preparing graphical representations of findings and conclusions for use as exhibits and testifying in court
o Analyze and objectively evaluate relevant facts and documentary evidence to arrive at sound conclusions
o Develop, obtain, analyze, organize, and preserve relevant evidence for trial purposes.