Senior Forensic Auditor: Healthcare Claims & Damages

CGS Federal; Detroit (MI); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Health, Dental, and Vision

Life Insurance

401k

Flexible Spending Account

Paid Time Off and Holidays

Job summary

CGS Federal is seeking a Senior Auditor to support district legal staff with medical claims data analysis, forensic investigations, and financial damages assessments. You will conduct statistical sampling, ability-to-pay analyses, and prepare expert reports for litigation, while communicating findings to attorneys and investigators.

The ideal candidate has 5+ years in forensic financial accounting or health-care fraud analysis, with experience in civil procedures and admissibility of evidence.

Qualifications

• Minimum of 5 years of forensic financial accounting, litigation consulting, and/or health care fraud analysis.
• Experience with rules of evidence and civil procedures, and admissibility of evidence to support investigations.

Responsibilities

• Analyze complex personal and business financial records to identify payments, kickbacks, and damages.
• Analyze ability-to-pay settlements and judgments, including debt covenants, earnings, ratios, and payment terms.
• Identify related party transactions.
• Analyze healthcare claims and other data.
• Prepare expert reports for litigation.
• Testify as required.
• Communicate findings to attorneys and investigators.

Skills

Forensic accounting

Litigation consulting

Healthcare fraud

Financial analysis

Ability-to-pay

Data reporting

Testimony

Education

Bachelor's degree in accounting/finance

CPA preferred

Certified Fraud Examiner preferred

Job description

CGS Federal is seeking a Senior Auditor to support district legal staff with medical claims data analysis, forensic investigations, and financial damages assessments. You will conduct statistical sampling, ability-to-pay analyses, and prepare expert reports for litigation, while communicating findings to attorneys and investigators.

The ideal candidate has 5+ years in forensic financial accounting or health-care fraud analysis, with experience in civil procedures and admissibility of evidence.