Impactful Litigation & Investigations Auditor

CACI; Omaha (NE); On-site; USD 58,500 - 122,800; Full time

Job summary

CACI is seeking a Litigation and Investigations Auditor to support the United States Attorney’s Office. You will work under Assistant United States Attorneys to assist in investigation and trial preparation, including data analyses of medical claims and financial damages assessments.

You will handle confidential information, review CMS claims data and fraud records, identify anomalies, and develop loss calculation methodologies for litigation.

Qualifications

• CPA certification required.
• MBA or equivalent in accounting or related field.
• Thorough knowledge of GAAP and GAAS.
• Minimum of three years’ experience as an auditor.
• Minimum of two years’ specialized experience in Medicare billing or DoD inventory systems.
• Working knowledge of ADP systems and applications.
• Excellent oral and written communication skills.

Responsibilities

• Conduct audits in support of investigations and litigation involving the government's affirmative civil enforcement of federal laws, including the False Claims Act, Anti-Kickback Statute, and Stark Law.
• Perform audits in support of criminal investigations involving various U.S. Code sections related to fraud and money laundering.
• Review, analyze, and interpret complex data sets, including CMS claims data, PPP loan data, and records associated with healthcare and defense procurement fraud.
• Identify outlier billings and anomalies within healthcare claim codes and normalize claims data across multiple benefit plans.
• Detect trends, patterns, and relevant information within investigative and discovery records, and apply this analysis to test data under various conditions.
• Reinterpret and extrapolate results from Statistically Valid Random Samples when modifications to sample review outcomes occur.
• Develop, document, and defend loss calculation methodologies and financial damage models for litigation.
• Conduct financial investigations to assess the ability of individuals and organizations to satisfy settlements and judgments, including detailed analysis of assets, liabilities, and financial records.
• Examine personal and business financial records to identify payments, kickbacks, money flows, and related-party transactions.

Skills

CPA certification

MBA

GAAP/GAAS

Auditing experience

Medicare/DoD experience

Communication skills

Education

MBA or equivalent in accounting or related field

Tools

ADP systems

Job description

CACI is seeking a Litigation and Investigations Auditor to support the United States Attorney’s Office. You will work under Assistant United States Attorneys to assist in investigation and trial preparation, including data analyses of medical claims and financial damages assessments.

You will handle confidential information, review CMS claims data and fraud records, identify anomalies, and develop loss calculation methodologies for litigation.