Senior Auditor

About the role

CGS is seeking a Senior Auditor to assist the district legal staff by conducting medical claims data analysis, forensic investigations, financial damages, statistical sampling, and ability-to-pay analyses, which serve a significant role in determinations regarding investigations, prosecutions, settlements, and recovery in these matters.

Responsibilities

• Analyze complex personal and business financial records for purposes to include identifying payments and kickbacks, tracing money flows, identifying assets, identifying sources and uses of cash, and quantifying damages.
• Analyze and calculate ability to pay settlements and judgments, including analyzing debt covenants, borrowing capacity, adjusted earnings and earnings per share, financial ratios, accounts receivable and accounts payable, aging schedules, tax considerations, assessing collectability, and developing payment terms and schedules.
• Identify, quantify, and understand related party transactions.
• Analyze healthcare claims and other data.
• Create financial damage models for use in litigation.
• Conduct asset valuation.
• Conduct records reconstruction.
• Develop computerized models to assist in the presentation of financial evidence.
• Report on financial data and evidence.
• Communicate findings to attorneys and investigators.
• Review defense presentations, expert reports, and arguments.
• Work with independent experts.
• Prepare expert reports for litigation.
• Participate in negotiations as requested.
• Testify as required.

Qualifications

• A minimum of 5 years of experience in forensic financial accounting, litigation consulting, and/or health care fraud analysis is required.
• The resume must demonstrate experience that illustrates a clear understanding of the rules of evidence and civil procedures, the admissibility and inadmissibility of evidence, the elements of the violation(s) under investigation, and other applicable policies required to support criminal and civil investigations.
• Ideally, you will also have experience preparing expert reports and other trial preparation preferred.
• CPA preferred.
• Certified Fraud Examiner preferred.