Role Overview
CGS is seeking a highly skilled Senior Auditor to provide general auditing and accounting services in support of fraud investigations involving potentially complex financial transactions. The ideal candidate will develop, coordinate, and draft technical audit guidelines, demonstrate proficiency in a variety of accounting systems, and maintain effective cross-functional communication throughout investigations.
Key Responsibilities
- Conduct financial analysis by reviewing bank records, wire transfers, ledgers, and other financial documentation.
- Perform open-source intelligence and database research on individuals, business entities, and assets.
- Analyze large and complex healthcare claims datasets to identify fraud, waste, and abuse patterns.
- Design and execute SQL queries, models, and data algorithms to detect anomalous billing trends.
- Extract and manipulate federal health claims data using tools such as OnePI, STARS, and Business Objects.
- Prepare analytical summaries, memoranda, charts, and data visualizations to support case development and litigation.
- Evaluate allegations of fraud and provide recommendations for determination while assisting in the development of investigative plans.
- Deliver oral briefings and written reports on findings from healthcare data analytics to client attorneys.
Qualifications
- Undergraduate degree minimum; MBA or equivalent in accounting or a related field required.
- Must be a Certified Public Accountant (CPA).
- Thorough knowledge of Generally Accepted Accounting Principles (GAAP) and Generally Accepted Auditing Standards (GAAS).
- Minimum of five years of experience as an auditor, including at least three years of specialized experience in relevant subject matter areas (e.g., Medicare billing and claims).
- Extensive working knowledge of accounting and financial analysis ADP systems and applications.
- Must be a United States citizen and able to obtain a Public Trust security clearance.