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Healthcare Fraud Attorney

Commercial Litigation Branch - Fraud Section
Attorney
Washington, DC 20530
United States
CIV-TA-Fraud-2016-5
About the Office: 

The Civil Division, with more than 1,000 Attorneys and 14 litigating components, represents the United States, its departments and agencies, Members of Congress, Cabinet and other Federal employees.

The Healthcare Fraud Attorney's primary responsibility will be to assist the Fraud Section's attorneys and staff to evaluate the medical and clinical aspects of healthcare fraud allegations received by the office.  This responsibility may involve, for example, helping to identify appropriate medical review experts, using or analyzing Medicare claims data to test alleged behavior or conduct, and/or researching medical literature in order to better inform attorneys and staff about medical services at issue in a case.

 

Job Description: 

The Healthcare Fraud Attorney will support the Fraud Section's healthcare fraud investigations by providing expert advice and guidance to over 100 DOJ attorneys, investigators, and members of management in all areas of healthcare fraud, with particular emphasis on:  medical conditions, public health and healthcare financing programs, designing healthcare research, and designing analyses using claims data, coding, and/or other methods to prevent and detect fraud, waste, and abuse.

 

Qualifications: 

Applicants must be a graduate from a full course of study in a School of Law accredited by the American Bar Association and be a member in good standing of the bar of a state, territory of the United States, the District of Columbia, or the Commonwealth of Puerto Rico.

A Doctor of Medicine degree (M.D.), Bachelor of Science in Nursing degree, (B.S.N.), Master of Science in Nursing degree (M.S.N.), Doctor of Nursing Practice degree (D.N.P.), or equivalent, is preferred, but not required. 

Applicants must have at least four years of post J.D. experience to qualify at the GS-15 level.  The ideal candidate will have experience with public health and healthcare financing programs (with special emphasis on the federal Medicare program); knowledge of federal healthcare laws, Department of Health and Human Services (HHS) regulations and policies, program objectives, and HHS practices relating to payment and coverage of healthcare; and familiarity with coding systems used to describe healthcare services and conditions such as ICD-9-CM, ICD-10-CM, CPT, HCPCS, and/or HCC codes.  Experience working at or with HHS and other federal healthcare agencies, contractor medical directors, and expert witnesses is highly desirable.

 

Salary: 
$128,082.00 to $160,300.00 / Per Year
Travel: 
This position requires occasional travel.
Application Process: 

To apply for this position, you must provide a complete Application Package which includes:

1. Your Résumé
2. A complete Occupational Questionnaire
3. Additional Required Documents (see Required Documents section below)

The complete Application Package must be submitted by 11:59 PM (EST) on Friday, May 20, 2016.

To begin the process, click the Apply Online button to create an account or log in to your existing USAJOBS account.   
 
Note: To check the status of your application or return to a previous or incomplete application, log into your USAJOBS account, select Application Status, and click on the more information link under the application status for this position. 

To fax supporting documents you are unable to upload, complete this cover page http://staffing.opm.gov/pdf/usascover.pdf using the following Vacancy ID  1675761.  Fax your documents to 1-478-757-3144.

If you cannot apply online:

1. Click the following link to view and print the occupational questionnaire View Occupational Questionnaire ,
2. Print this 1203FX form to provide your response to the occupational questionnaire http://www.opm.gov/forms/pdfimage/opm1203fx.pdf, and
3. Fax the completed 1203FX form along with any supporting documents to 1-478-757-3144. Your 1203FX will serve as a cover page for your fax transmission.

 

Application Deadline: 
Friday, May 20, 2016
Relocation Expenses: 
Not authorized.
Number of Positions: 
1
Updated May 5, 2016

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Department Policies

Equal Employment Opportunity:  The U.S. Department of Justice is an Equal Opportunity/Reasonable Accommodation Employer.  Except where otherwise provided by law, there will be no discrimination because of color, race, religion, national origin, political affiliation, marital status, disability (physical or mental), age, sex, gender identity, sexual orientation, genetic information, status as a parent, membership or non-membership in an employee organization, on the basis of personal favoritism, or any other non-merit factor.  The Department of Justice welcomes and encourages applications from persons with physical and mental disabilities. The Department is firmly committed to satisfying its affirmative obligations under the Rehabilitation Act of 1973, to ensure that persons with disabilities have every opportunity to be hired and advanced on the basis of merit within the Department of Justice.

Reasonable Accommodations:  This agency provides reasonable accommodation to applicants with disabilities where appropriate. If you need a reasonable accommodation for any part of the application and hiring process, please notify the agency.  Determinations on requests for reasonable accommodation will be made on a case-by-case basis.

Outreach and Recruitment for Qualified Applicants with Disabilities:   The Department encourages qualified applicants with disabilities, including individuals with targeted/severe disabilities to apply in response to posted vacancy announcements.  Qualified applicants with targeted/severe disabilities may be eligible for direct hire, non-competitive appointment under Schedule A (5 C.F.R. § 213.3102(u)) hiring authority.  Individuals with targeted/severe disabilities are encouraged to register for the Office of Personnel Management (OPM) Shared List of People with Disabilities (the Bender Disability Employment Registry) by submitting their resume to resume@benderconsult.com and referencing "Federal Career Opportunities" in the subject line.  Additional information about the Bender Registry is available at www.benderconsult.com.  Individuals with disabilities may also contact one of the Department’s Disability Points of Contact (DPOC).  See list of DPOCs.    

Suitability and Citizenship:  It is the policy of the Department to achieve a drug-free workplace and persons selected for employment will be required to pass a drug test which screens for illegal drug use prior to final appointment.  Employment is also contingent upon the completion and satisfactory adjudication of a background investigation. Congress generally prohibits agencies from employing non-citizens within the United States, except for a few narrow exceptions as set forth in the annual Appropriations Act (see, https://www.usajobs.gov/Help/working-in-government/non-citizens/). Pursuant to DOJ component policies, only U.S. citizens are eligible for employment with the Executive Office for Immigration Review, U.S. Trustee’s Offices, and the Federal Bureau of Investigation. Unless otherwise indicated in a particular job advertisement, qualifying non-U.S. citizens meeting immigration and appropriations law criteria may apply for employment with other DOJ organizations. However, please be advised that the appointment of non-U.S. citizens is extremely rare; such appointments would be possible only if necessary to accomplish the Department's mission and would be subject to strict security requirements. Applicants who hold dual citizenship in the U.S. and another country will be considered on a case-by-case basis. All DOJ employees are subject to a residency requirement. Candidates must have lived in the United States for at least three of the past five years. The three-year period is cumulative, not necessarily consecutive. Federal or military employees, or dependents of federal or military employees serving overseas, are excepted from this requirement. This is a Department security requirement which is waived only for extreme circumstances and handled on a case-by-case basis.

Veterans:  There is no formal rating system for applying veterans' preference to attorney appointments in the excepted service; however, the Department of Justice considers veterans' preference eligibility as a positive factor in attorney hiring. Applicants eligible for veterans' preference must include that information in their cover letter or resume and attach supporting documentation (e.g., the DD 214, Certificate of Release or Discharge from Active Duty and other supporting documentation) to their submissions. Although the "point" system is not used, per se, applicants eligible to claim 10-point preference must submit Standard Form (SF) 15, Application for 10-Point Veteran Preference, and submit the supporting documentation required for the specific type of preference claimed (visit the OPM website, www.opm.gov/forms/pdf_fill/SF15.pdf for a copy of SF 15, which lists the types of 10-point preferences and the required supporting document(s). Applicants should note that SF 15 requires supporting documentation associated with service- connected disabilities or receipt of nonservice-connected disability pensions to be dated 1991 or later except in the case of service members submitting official statements or retirement orders from a branch of the Armed Forces showing that his  or her retirement was due to a permanent service-connected disability or that he/she was transferred to the permanent disability retired list (the statement or retirement orders must indicate that the disability is 10% or more).

 

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This and other vacancy announcements can be found under Attorney Vacancies and Volunteer Legal Internships. The Department of Justice cannot control further dissemination and/or posting of information contained in this vacancy announcement. Such posting and/or dissemination is not an endorsement by the Department of the organization or group disseminating and/or posting the information.