Forensic Financial Analyst, Medicaid Fraud, Chicago, 23-E-08

Qualifications

• Bachelor’s or advanced degree in accounting, criminal justice, finance, economics, applied statistics or related field and three years of related work experience in a law enforcement setting, financial analysis, and/or auditing.
• A Certified Fraud Examiner (CFE) Certification or studying towards, is preferred.

Preferred Skills

• Knowledge of the health care industry and medical coding concepts (CPT, ICD-9/10, DRGs, HCPCS) and/or experience analyzing health care claims data.

Summary of Duties and Responsibilities

• Provide analysis and support to financial crime investigations that help identify fraud and related criminal offenses.
• Compile, analyze, and/or audit complex financial records to support investigations and prosecutions.
• Act as a liaison with financial institutions to facilitate records requests and productions.
• Review and analyze multiple sources of information and data.
• Conduct open-source searches to obtain necessary information and records.
• Build financial profiles to identify criminal offenses, trends, and patterns.
• Document investigation activities.
• Compile and analyze data material, including but not limited to financial and tax records, invoices, complaint data, digital media, contracts, and grant related information.
• Provide input to affidavits and subpoenas, recommend possible investigative steps, and testify in court regarding financial examination of records.
• Maintain databases, prepare summary exhibits, and reports in support of their testimony.
• Participate in strategic planning sessions with investigators, fraud investigative groups, and task forces.
• Create analytic reports, summaries, graphs and charts for use in investigations.