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Job Details

HEALTH CARE FRAUD PARALEGAL

Company name
Global Solutions Group, Inc.

Location
Cedar Rapids, IA, United States

Employment Type
Full-Time

Industry
Legal

Posted on
Sep 06,2019

Profile

BASIC QUALIFICATIONS FOR PARALEGAL
The paralegal must have: 
•         Associates Degree or higher or two years relevant experience
•         U.S. Citizenship
 
Duties:
Based on cases or broad legal issues assigned to one or more Assistant United States Attorneys (AUSAs)
and at the AUSA’s direction, the incumbent assists in the investigations of civil matters specializing in
(HCF). Cases may concern sensitive matters and involve prominent individuals, organizations or
corporations within a U.S. Attorney’s district.
Investigations may be conducted solely by the USAO, or more typically, in conjunction with other federal
and/or state or local agencies responsible for programs supported by federal funding.
The paralegal:
 
1. Researches background information using various databases and sources; identifies subjects to
investigate and develops leads; conducts interviews; collects and processes evidence; prepares reports,
charts and exhibits; and helps build financial investigations regarding the subjects and their conduct. To
that end, the paralegal would utilize analytical skills in order to do the following: identify and obtain
financial records; identify and obtain health care provider data; analyze health care, business, and
financial records; and conduct interviews of witnesses and prepare reports of interviews.
2. Develops an understanding of all applicable federal, state, or local law to the extent necessary to make
sound decisions on direction and scope of investigations. Determines proof required to affix
responsibility for violations, and devises methods for obtaining, preserving, and presenting evidence to
greatest effect.
3. Works with the assigned AUSAs, Paralegal Specialists, and supervisory attorneys to determine
applicable statutory and regulatory law and identify possible violations.
4. Performs a variety of ancillary services in direct support of assigned cases and matters.
5. Uses electronic databases to identify assets, documents, and other physical evidence.
6. Prepares interim and final reports on progress of investigations for use by AUSAs and supervisory
attorneys. Includes significant findings and conclusions, recommendations for additional investigative
actions, and candid assessments of strengths and weaknesses of witnesses, documentary evidence, and
other aspects of case.
7. Arranges for secure storage, preservation, organization, and indexing of voluminous documentary
evidence.
8. Assists in compilation and analysis of documents and physical evidence, and creation of charts,
graphs, videotapes, and other audio-visual materials for use in motions and at trial. Decides upon most
efficacious methods for planning, scheduling, and conducting investigations and identifies any resources
that may be required.
9. Initiates contacts with federal, state, and local officials, and other organizations and individuals related
to subject of investigation for the purpose of gathering facts, obtaining statements, learning sequences of
events, obtaining explanations, and otherwise advancing investigative objectives. Examines books,
ledgers, payroll records, cost reports, billing statements, invoices, correspondence, computer data and
other records pertaining to the transactions, events, or allegations under investigation. Establishes and
verifies relationships among all facts and evidence obtained or presented to confirm authenticity of
documents, corroborate witness statements, and otherwise build proof necessary to successful case
resolution.
10. Conducts preliminary inquiry into allegations and drafts memoranda recommending whether to
open a full health civil investigation. For full investigations, responsible for planning and conducting
the investigation independently and assessing the specific nature of the allegations.
11. Reviews allegations and supporting materials; conducts preliminary audits and investigations in
computerized databases, and contacts complainants, advocates, and others with relevant information.
12. Plans, coordinates, conducts and evaluates in-depth HCF audits and/or investigations at locations
throughout the District.
13. Drafts documents and data requests designed to obtain all relevant information.
14. In consultation with HCF AUSA's, effects financial accounting examination of the books, records,
computer tapes, data processing material, and activities of government contractors or of other persons. In
the absence of records, obtains detailed financial information from other sources to include interviews of
business associates, firm employees, and competitors. Reconstructs partial or inadequate records to the
extent necessary for the purpose of investigation.
15. When appropriate, utilizes Concordance, Casemap and/or Sanction software to plan and develop
timelines or documentation that compile and present information gathered from the investigation in a
manner allowing for full and complete analysis.
16. When appropriate, plans and manages databases cataloging voluminous evidence and investigative
reports relating to allegations of federal HCF violations. Extracts and categorizes material obtained
from the audit and investigation for inclusion in database.
17. Makes necessary support arrangements with information system personnel and, in conjunction
with HCF AUSAs, arranges for necessary litigation support.
18. Analyzes information contained in applicable databases. Identifies and focuses on supporting
facts and evidence that may become apparent. Prepares reports for review by HCF AUSAs, USAO
management, and the HCF Division.
19. Supports HCF Attorney in court proceedings by briefing attorney on pertinent facts, issues and case
law, and by compiling, organizing, and indexing exhibits. When necessary, obtains information, confers,
and coordinates with HCF Division and other Department of Justice components.
20. Assists HCF Attorney in pretrial preparations by preparing scheduling, reviewing, and organizing
discovery; notifying, interviewing, and managing witnesses; and researching case law.
21. Prepares factual summary and evaluation based on audit and investigations, in conjunction with HCF
AUSAs, develops recommendations as to action that may be justified against particular jurisdictions or
agencies.
22. Performs other related duties as assigned.
 
 
SECURITY REQUIREMENTS
The contract paralegal will be required to have a favorably completed “sensitive” security clearance (BI)
(PSL 5-High Risk). This process will include a background check, credit history check and a drug
screening. The successful vendor is expected to screen out applicants who cannot pass these screenings.
The USAO will provide the necessary security forms and instructions to the successful proposed
contractor and will process them.
 

Company info

Global Solutions Group, Inc.
Website : https://www.globalsolgroup.com

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