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Healthcare Fraud Paralegal

Crossroads Talent Solutions

Healthcare Fraud Paralegal

Cedar Rapids, IA
Full Time
Paid
  • Responsibilities

    Founded in 2014, Crossroads capabilities are Program Management, Recruiting & Staffing, Administrative, Human Resources, and Paralegal Support. Crossroads is built upon the foundation of our four basic principles – Honor, Integrity, Dedication, and Respect. Our core competency is serving our customers by providing professional and administrative services support to help them successfully accomplish their mission.

    Crossroads is seeking a qualified individual to serve as a Health Care Fraud Paralegal in support of the U.S. Attorney's Office in Cedar Rapids, Iowa. The mission of the United States Attorneys is to serve as the nation's principal litigators under the direction of the Attorney General. The Health Care Fraud Paralegal will provide legal research and conduct thorough and systematic legal investigations relating to civil actions within the jurisdiction of the United States Attorney's Office (USAO).

    Job Duties:

    -Researches background information using various databases and sources; identifies subjects to investigate and develops leads; conducts interviews; collects and processes evidence; prepares reports, charts and exhibits; and helps build financial investigations regarding the subjects and their conduct. To that end, the paralegal would utilize analytical skills in order to do the following: identify and obtain financial records; identify and obtain health care provider data; analyze health care, business, and financial records; and conduct interviews of witnesses and prepare reports of interviews.
    -Develops an understanding of applicable federal, state, and local law to the extent necessary to make sound decisions on direction and scope of investigations. Determines proof required to affix responsibility for violations, and devises methods for obtaining, preserving, and presenting evidence to greatest effect.
    -Works with the assigned AUSAs, Paralegal Specialists, and supervisory attorneys to determine applicable statutory and regulatory law and identify possible violations.
    -Performs a variety of ancillary services in direct support of assigned cases and matters.
    -Uses electronic databases to identify assets, documents, and other physical evidence.
    -Prepares interim and final reports on progress of investigations for use by AUSAs and supervisory attorneys. Includes significant findings and conclusions, recommendations for additional investigative actions, and candid assessments of strengths and weaknesses of witnesses, documentary evidence, and other aspects of case.
    -Arranges for secure storage, preservation, organization, and indexing of voluminous documentary evidence.
    -Assists in compilation and analysis of documents and physical evidence, and creation of charts, graphs, videos, and other audio-visual materials for use in motions and at trial. Decides upon most efficacious methods for planning, scheduling, and conducting investigations and identifies any resources that may be required.
    -Initiates contacts with federal, state, and local officials, and other organizations and individuals related to subject of investigation for the purpose of gathering facts, obtaining statements, learning sequences of events, obtaining explanations, and otherwise advancing investigative objectives.
    -Examines books, ledgers, payroll records, cost reports, billing statements, invoices, correspondence, computer data and other records pertaining to the transactions, events, or allegations under investigation. Establishes and verifies relationships among all facts and evidence obtained or presented to confirm authenticity of documents, corroborate witness statements, and otherwise build
    proof necessary to successful case resolution.

    -Conducts preliminary inquiry into allegations and drafts memoranda recommending whether to open a civil or criminal investigation. For full investigations, responsible for planning and conducting the investigation independently and assessing the specific nature of the allegations.
    -Reviews allegations and supporting materials; conducts preliminary audits and investigations in computerized databases, and contacts complainants, advocates, and others with relevant information.
    -Plans, coordinates, conducts and evaluates in-depth HCF audits and/or investigations at locations throughout the District.
    -Drafts document and data requests designed to obtain all relevant information.

    -In consultation with HCF AUSA's, effects financial accounting examination of the books, records, computer tapes, data processing material, and activities of government contractors or of other persons. In the absence of records, obtains detailed financial information from other sources to include interviews of business associates, firm employees, and competitors. Reconstructs partial or inadequate records to the extent necessary for the purpose of investigation.
    -When appropriate, utilizes software to plan and develop timelines or documentation that compile, and present information gathered from the investigation in a manner allowing for full and complete analysis.
    -When appropriate, plans and manages databases cataloging voluminous evidence and investigative reports relating to allegations of federal HCF violations. Extracts and categorizes material obtained from the audit and investigation for inclusion in database.
    -Makes necessary support arrangements with information system personnel and, in conjunction with HCF AUSAs, arranges for necessary litigation support.
    -Analyzes information contained in applicable databases. Identifies and focuses on supporting facts and evidence that may become apparent. Prepares reports for review by HCF AUSAs, USAO management, and the Civil Division.
    -Supports HCF Attorney in court proceedings by briefing attorneys on pertinent facts, issues and case law, and by compiling, organizing, and indexing exhibits. When necessary, obtain information, confers, and coordinates with Civil Division and other Department of Justice components.
    -Assists HCF Attorney in pretrial preparations by preparing scheduling, reviewing, and organizing discovery; notifying, interviewing, and managing witnesses; and researching case law.
    -Prepares factual summary and evaluation based on audit and investigations, in conjunction with HCF AUSAs, develops recommendations as to action that may be justified against particular jurisdictions or agencies.
    -Performs other related duties as assigned.

    Education/Qualifications:

    -Associates Degree or higher or two years relevant experience performing the above duties.
    -Experience in Microsoft Office Suite, word processing, document management and review, file management
    systems, and data entry.

    - Proficiency with office technology, including but not limited to computers, fax machines, and copier machines

    -Proficiency in organizational skills and the ability to multitask assignments
    -A U.S. Citizenship. ****

    Veterans are encouraged to apply.

    Crossroads Talent Solutions, LLC is a Veteran friendly employer and provides equal employment opportunity (EEO) to all employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability status, genetic information, marital status, ancestry, protected veteran status, or any other characteristic protected by applicable federal, state, and local laws.

    Equal Opportunity Employer/Veteran/Disable