Civil Health Care Fraud (HCF) Investigator.

Founded in 2014, Crossroads Talent Solutions, LLC is a veteran-led SBA 8(a) and Service-Disabled Veteran-Owned Small Business headquartered in Maryland, delivering trusted program management, administrative, and mission support services to federal agencies nationwide. For more than a decade, we have supported critical operations for partners including the U.S. Army, U.S. Air Force, U.S. Navy, U.S. Marine Corps, National Guard, Defense Health Agency (DHA), National Oceanic and Atmospheric Administration (NOAA), Small Business Administration (SBA), U.S. Citizenship and Immigration Services (USCIS), U.S. Attorney’s Office (USAO), and the U.S. Department of Agriculture (USDA). Known for our integrity, transparency, and commitment to excellence, Crossroads has built a solid reputation as a reliable federal partner dedicated to delivering measurable performance and taking care of the people who make each mission possible.

• *Contingent Upon Award**

Civil Health Care Fraud (HCF) Investigator

Location: U.S. Attorney's Office (USAO) – Middle District of Georgia Civil Division 300 Mulberry Street, Suite 400 Macon, GA 31202

Employment Type: Full-Time (40 Hours per Week)

Work Schedule: Monday through Friday, generally 8:00 a.m. – 5:00 p.m. or 8:30 a.m. – 5:00 p.m., depending on office needs. Occasional evening or weekend work may be required with prior Government approval. Frequent travel throughout the Middle District of Georgia is required, with occasional travel for training.

Position Summary

Crossroads Talent Solutions is seeking an experienced Civil Health Care Fraud (HCF) Investigator to support the U.S. Attorney's Office (USAO), Middle District of Georgia . The Investigator will work closely with Assistant United States Attorneys (AUSAs) and other federal, state, and local agencies to conduct complex civil healthcare fraud investigations involving administrative and civil enforcement matters.

This position requires an experienced investigator capable of analyzing complex financial and healthcare records, conducting interviews, developing investigative strategies, organizing evidence, and providing litigation support throughout the investigative and trial process. The successful candidate will exercise sound judgment, maintain strict confidentiality, and contribute to the successful prosecution and resolution of healthcare fraud matters.

Essential Duties and Responsibilities

The Civil Health Care Fraud Investigator will

• Partner with Assistant United States Attorneys to identify potential civil violations involving healthcare fraud and other administrative matters.
• Research and interpret applicable federal, state, and local statutes, regulations, and administrative requirements relevant to assigned investigations.
• Develop investigative plans, establish priorities, and recommend investigative strategies to support civil litigation.
• Determine evidentiary requirements necessary to establish legal responsibility and support successful litigation.
• Conduct comprehensive investigations involving healthcare providers, organizations, corporations, government programs, and individuals.
• Examine and analyze financial records, billing statements, invoices, payroll records, cost reports, electronic records, correspondence, databases, and other documentary evidence.
• Verify the authenticity of documents and corroborate witness statements through independent investigation.
• Initiate and maintain professional working relationships with federal, state, and local agencies, healthcare organizations, and other entities involved in investigations.
• Coordinate investigative efforts with agencies including, but not limited to:
• Federal Bureau of Investigation (FBI)
• Department of Health and Human Services (HHS)
• Office of Personnel Management (OPM)
• U.S. Postal Inspection Service (USPIS)
• Department of Labor (DOL)
• Securities and Exchange Commission (SEC)
• Refer evidence of potential criminal violations to appropriate criminal investigative agencies while continuing to support civil proceedings.
• Assist attorneys during witness interviews and prepare interview summaries, memoranda, and investigative documentation.
• Identify the need for subpoenas and warrants and coordinate with appropriate law enforcement personnel for execution.
• Coordinate the use of forensic laboratories and specialized services involving:
• Handwriting analysis
• Fingerprint examination
• Questioned document analysis
• Audio and video evidence
• Physical evidence examination
• Organize, preserve, secure, and index large volumes of documentary and electronic evidence.
• Prepare detailed investigative reports, progress reports, findings, recommendations, and final case summaries.
• Evaluate the strengths and weaknesses of evidence and witness testimony.
• Develop litigation support materials including:
• Charts
• Graphs
• Timelines
• Exhibits
• Visual presentations
• Evidence summaries
• Assist with trial preparation and provide investigative support throughout litigation.
• Perform additional healthcare fraud investigative and litigation support duties as assigned in support of USAO civil enforcement activities.

Required Qualifications

• Bachelor's degree from an accredited college or university.
• Minimum of five (5) years of investigative experience in a similar role.
• Previous law enforcement or investigative experience strongly preferred.
• Healthcare fraud investigative experience highly desired.
• Demonstrated ability to conduct complex investigations independently.
• Strong analytical, organizational, and problem-solving skills.
• Excellent written and verbal communication abilities.
• Proficiency with Microsoft Office Suite.
• Valid driver's license and dependable personal transportation.
• U.S. Citizenship.
• Ability to successfully complete or maintain a ten-year minimum background investigation (High Risk/Public Trust).
• Ability to make sound decisions under pressure and adapt to rapidly changing investigative priorities.

Preferred Qualifications

• Experience supporting civil healthcare fraud litigation.
• Experience working with federal prosecutors or federal law enforcement agencies.
• Knowledge of healthcare billing systems, Medicare, Medicaid, and federal healthcare programs.
• Experience reviewing complex financial transactions and medical billing documentation.
• Familiarity with forensic investigative techniques and litigation support.
• Experience preparing evidence for trial and courtroom presentation.

Knowledge, Skills, and Abilities

Successful candidates should possess

• Extensive investigative and analytical skills.
• Knowledge of civil investigative procedures.
• Understanding of federal healthcare fraud statutes and regulations.
• Ability to interpret financial and healthcare documentation.
• Strong interviewing and witness assessment skills.
• Excellent report writing and documentation abilities.
• Ability to manage multiple investigations simultaneously.
• Strong organizational and evidence management skills.
• Professional judgment and discretion when handling sensitive information.
• Ability to work collaboratively with attorneys, investigators, and government agencies.
• High ethical standards and commitment to confidentiality.

Government Systems and Resources

The Government will provide office space, equipment, and access to investigative resources including:

• Computer and office equipment
• Telephone and office supplies
• LexisNexis
• Westlaw
• Accurint
• AutoTrackXP
• Access to sensitive financial databases necessary for assigned investigations

Security Requirements

• Must successfully complete a Tier 4 Public Trust background investigation.
• Must comply with all Department of Justice security requirements.
• Must maintain strict confidentiality of all government records, investigative information, and sensitive case materials.
• Required to complete Department of Justice ethics and annual cybersecurity awareness training.

Work Environment

This position is primarily performed within the U.S. Attorney's Office in Macon, Georgia. Frequent travel throughout the Middle District of Georgia is required to conduct interviews, review records, perform surveillance, and support litigation activities. Occasional travel may be required to the National Advocacy Center in Columbia, South Carolina for specialized healthcare fraud training.

Why Join Crossroads Talent Solutions?

At Crossroads Talent Solutions, we are committed to supporting critical federal missions by providing highly qualified professionals who uphold the highest standards of integrity, accountability, and service. As a Civil Health Care Fraud Investigator, you will play a vital role in protecting federal healthcare programs, supporting complex litigation, and advancing the Department of Justice's mission to combat fraud and safeguard public resources.

Benefits

• Medical/Dental/Vision Benefits Offered
• 401k
• Life Insurance plans
• Employee Health and Wellness program
• PTO/Sick Leave

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/Disabled