Fraud Investigator - Federal Programs

Location: Miami, FL
Analytica is seeking a Fraud Investigator to conduct investigations into persons and entities alleged to have committed fraud against federal government programs, particularly federal health care programs, as part of affirmative civil enforcement (“ACE”) actions. Cases may be handled as lead agent or as a team member, and frequently concern highly sensitive matters involving prominent individuals or corporations, and often are characterized by obscure leads, few visible records, uncooperative witnesses and conflicting evidence.

Responsibilities include (but may not be limited to):
  • Perform a variety of tasks to advance each assigned investigation, including, but not limited to, developing investigative plans, conducting witness interviews, reviewing records, coordinating with various federal agencies, working with consultants, participating in settlement negotiations and assisting with presentations. 
  • Plan and conduct investigations involving complex fraud schemes.
  • Work with the assigned Assistant United States Attorney and their support staff to determine applicable statutory and regulatory law and identify possible violations.
  • Develop understanding of all applicable federal, state or local law to the extent necessary to make sound decisions on direction and scope of investigations. Determine proof required to assist in affixing legal responsibility for violations, and devise methods for obtaining, preserving, and presenting evidence to greatest effect.
  • Decide upon most efficient methods for planning, scheduling and conducting investigations and identify any resources that may be required.
  • Initiate 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.
  • Often in concert with other members of the investigative team, examine books, ledgers, cost reports, billing statements, invoices, correspondence, computer data and other records pertaining to the transactions, events, or allegations under investigation.
  • Establish and/or verify relationships among all facts and evidence obtained or presented to confirm authenticity of documents, corroborate witness statements, and otherwise build proof necessary for successful affirmative civil enforcement action.
  • Assist in the preparation of Civil Investigative Demands seeking oral testimony, production of documents and/or answers to interrogatories.
  • Plan and schedule service of subpoenas and secure participation of other law enforcement agents in execution of same.
  • Arrange for secure storage, preservation, organization and indexing of voluminous documentary evidence.
  • Identify and/or locate witnesses and subjects and assist case agents/attorneys/other investigators during government-conducted interviews of individuals.
  • Prepare interim and final reports on progress of investigations for use by supervisory attorneys.
  • Include significant findings and conclusions, recommendations for additional investigative actions, and candid assessments of strengths and weaknesses of witnesses, documentary evidence, or other aspects of case.
  • Assist in the location, compilation and review of documents and physical evidence, and creation of charts, graphs, videotapes, and other audio-visual materials for use in litigation or pre-litigation presentations. Provide advice on selection of witnesses and ensure their attendance through subpoena or otherwise. 
  • Testify in court as needed.


KEY REQUIREMENTS/QUALIFICATIONS:
  • Must possess extensive knowledge of generally accepted investigative principles, techniques and procedures.
  • Must be knowledgeable about rules of evidence, and the constitutional rights of individuals.
  • Must be able to recognize, develop and present evidence that reconstructs events, sequences, and time elements and establishes relationships, responsibilities, and liability in a manner that meets the requirements of law.
  • Must have the ability to: (1) make contacts, maintain effective work relationships, and gain the confidence and cooperation of others; (2) plan and conduct complex investigations; (3) devise and improvise methods of meeting investigative goals in an expeditious manner; (4) obtain information and develop evidence by observation, interviewing individuals, examining and analyzing records; (5) understand and analyze financial, billing, and other reporting information and materials relevant to affirmative civil enforcement matters; (6) report facts clearly, accurately, and logically, both orally and in writing; and (7) cope with unusual demands or situations, make responsible decisions on short notice and adapt to unexpected developments.
  • Have at least five years of experience as an investigator
  • Prior experience handling federal fraud investigations is preferred.
  • Bachelor Degree in Criminal Justice or related field highly desired.  


About ANALYTICA: Analytica is a leading consulting and information technology solutions provider to public sector organizations supporting health, civilian, and national security missions. Founded in 2009 and headquartered in Washington D.C., the company is an established SBA certified HUBZone and 8(a) small business that has been recognized by Inc. Magazine each of the past three years as one of the 250 fastest-growing companies in the U.S.  Analytica specializes in providing software and systems engineering, information management, analytics & visualization, agile project management, and management consulting services. The company is appraised by the Software Engineering Institute (SEI) at CMMI® Maturity Level 3 and is an ISO 9001:2008 certified provider.
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