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This Position Is No Longer Available

Job Title:  Paralegal Specialist (Health Care Fraud)
Department:  Department Of Justice
Agency:  Executive Office for U.S. Attorneys and the Office of the U.S. Attorneys
Job Announcement Number:  14-SDFL-1157485-DE-16

This position is closed and no longer accepting online applications through USAJOBS.

The contents of the announcement can still be viewed.
$61,349.00 to $79,754.00 / Per Year
Tuesday, July 8, 2014 to Wednesday, July 9, 2014
Full Time - Permanent
1 vacancy in the following location:
Miami, FL View Map
United States Citizens
Public Trust - Background Investigation


This announcement will close on the day the 50th application is received or on the closing date, whichever occurs first.


If you are looking for an exciting and challenging career, this is the position for you! With a diverse and talented workforce of over 100,000 men and women, Justice leads the Nation in ensuring the protection of all Americans while preserving their constitutional freedoms. You will be part of a dedicated team helping to enforce Federal criminal and civil laws that protect life, liberty and the property of citizens.

The United States Attorneys Office is a great place to work. The Department of Justice ranked #5 out of 33 large Federal cabinet agencies and the Executive United States Attorneys Office/United States Attorneys Offices ranked #55 out of 240 agency subcomponents in a study, "The Best Places to Work in the Federal Government, 2013 Ratings" published by the Partnership for Public Service. See

This position is located in the Miami Office, Economic and Environmental Crimes Section of the United States Attorney's Office for the Southern District of Florida.  The district consists of more than 400 attorneys and support staff and comprises the main Miami Office, three branch offices, four divisions, various sections and units.

The Miami Office is within walking distance to the metro mover and metro rail (Government Center) transit center, a short walk to the Bayside Market Place and numerous restaurants and shops.

For more information on the Department of Justice and the United States Attorneys Offices, visit

To view the entire announcement, including instructions on how to apply, click on tabs above.


  • Occasional Travel
  • 1 to 5 days per year for training


  • No


  • You must be a U.S. Citizen or National.
  • Background investigation, credit check, and drug test required.
  • You must be registered for Selective Service, if applicable.


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If selected for this position, you will join a well-respected team that is responsible for the prosecution of criminal cases brought by the Federal government and you will perform a variety of complex paralegal support assignments relating to Health Care Fraud.  Paralegal support and legal research assignments require significant specialized knowledge in the area of Health Care Fraud, including fraud statutes, penalty statutes, and health care regulations.   As a Paralegal Specialist in the area of Health Care Fraud for the Economic and Environmental Crimes Section of the United States Attorney's Office for the Southern District of Florida you will:


  • Perform specialized legal research and writing in support of Health Care Fraud.
  • Review and evaluate new investigations and referrals to determine the need for additional information and evidence, and plan a comprehensive approach to obtain this information and evidence.
  • Review, analyze and synthiesize Medicare, Medicaid and other insurance data for suspicious billing patterns, loss calculations, etc.
  • Review, notate, synthesize medical documents including Plans of Care, Superbills, Outcome Assessment Information Sets, therapy notes, and other documents.
  • Receive and analyze incoming pleadings and correspondence.  Determine appropriate action and note time limitations for responses. 
  • Assist Health Care Fraud attorneys in pretrial preparations by preparing, scheduling, reviewing, and organizing discovery (including proprer redaction of discovery consistent with local non-disclosure rules and Health Insurance Protabilityaand Accountability Act)

Responsibilities will increase and assignments will become more complex as your training and experience progress.


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GS-11: To be eligible at the GS-11 level, you must meet at least ONE of the following conditions, as defined below:  Specialized Experience, Education, OR a combination of Education and Experience.

Specialized Experience: One full year of specialized experience equivalent to the GS-9 level.  Specialized Experience is defined as experience performing a variety of analytical paralegal or legal work related to Health Care Fraud which demonstrates an in depth knowledge of Medicare Rules and Regulations for each of the four major Medicare Program Parts; working knowledge of the various types of Medicare billing data and typical billing systems; and experience with medical documentation used in Medicare billing, including Plans of Care, Superbills, Outcome Assessment Information Sets, therapy notes, and others.  Examples of specialized experiences may include the following: reviewing and evaluating new investigations and referrals to determine the need for additional information and evidence; reviewing, analyzing and synthesizing Medicare, Medicaid and other insurance data for suspicious billing patterns, loss calculations, etc.; reviewing, notating, and synthesizing medical documents including Plans of Care, Superbills, Outcome Assessment Information Sets Assessments, therapy notes, and others; Assisting Health Care Fraud attorneys in pretrial preparations by preparing, scheduling, reviewing and organizing discovery, researching case law and notifying, interviewing and managing witnesses.

Education:  One of the following types of education in a related field (e.g., Criminal Justice, Law): a Ph.D. or equivalent doctoral degree; OR 3 full years of progressively higher level graduate education leading to such a degree; or LL.M.  Education at the graduate level must be in an accredited college or university and must demonstrate the knowledge, skills, and abilities necessary to perform the duties of the position. 

Combining Education and Experience: Combinations of successfully completed graduate education and experience may be used to meet total qualification requirements.  In order to qualify based on a combination, graduate education must be in excess of 2 full years.

Interagency Career Transition Assistance Plan (ICTAP)- The ICTAP provides eligible displaced Federal competitive service employees with selection priority over other candidates for competitive service vacancies. If your agency has notified you in writing that you are a displaced employee eligible for ICTAP consideration, you may receive selection priority if: 1) this vacancy is within your ICTAP eligibility; 2) you apply under the instructions in the announcement; and 3) you are found well-qualified for this vacancy. To be well-qualified, you must satisfy all qualification requirements for the vacant position and receive a score of 85 or better on established ranking criteria. You must provide proof of eligibility to receive selection priority. Such proof may include a copy of your written notification of ICTAP eligibility or a copy of your separation personnel action form. Additional information about ICTAP eligibility is at: 

Career Transition Assistance Plan (CTAP)-The CTAP provides eligible surplus and displaced competitive service employees in the Department of Justice with selection priority over other candidates for competitive service vacancies. If your Department of Justice component has notified you in writing that you are a surplus or displaced employee eligible for CTAP consideration, you may receive selection priority if: 1) this vacancy is within your CTAP eligibility, 2) you apply under the instructions in this announcement, and 3) you are found well-qualified for this vacancy. To be well qualified, you must satisfy all qualification requirements for the vacant position and receive a score of 85 or better on established ranking criteria. You must provide a copy of your written notification of CTAP eligibility with your application. Additional information about CTAP eligibility is at:

All academic degrees and coursework must be completed at a college or university that has obtained accreditation or pre-accreditation status from an accrediting body recognized by the U.S. Department of Education. For a list of schools that meet this criteria, see

If selected, you may be required to complete a one year probationary period.



Your application will be evaluated and rated under DOJ’s Category Rating and Selection Procedures. Your resume and supporting documentation will be used to determine whether you meet the job qualifications listed on this announcement. If you are basically qualified for this job, your resume and supporting documentation will be compared to your responses on the Occupational Questionnaire. If you rate yourself higher than is supported by your application materials, your responses may be adjusted and/or you may be excluded from consideration for this job. If it is determined you meet minimum qualification requirements, your application will then be placed in one of three categories: Best Qualified, Highly Qualified, or Qualified Within these categories, applicants eligible for Veterans' Preference will receive selection priority over non-veteran preference eligibles.
You will be rated on the following Competencies:

Litigation Procedures:  Knowledge of and ability to adhere to the procedures and practices as prescribed by the applicable forum (for example, Federal Rules of Civil Procedure, Federal Rules of Appellate Procedure, local rules of the Court, agency procedural rules).

Attention to Detail:  Is thorough when performing work and conscientious about attending to detail.

Oral Communications:  Expresses information to individuals or groups effectively, taking into account the audience and nature of the information; makes clear and convincing oral presentations; listens to others, attends to nonverbal cues, and responds appropriately.

Legal Writing:  Knowledge of legal terminonlogy; knowledge of proper forms of citation (for example, Blue Book); ability to prepare various legal documents (for example, legal memoranda, motions, pleadings, correspondence, decisions, opinions) ; ability to convey persuasive legal arguments in writing.

Self-Management:  Sets well-defined and realistic personal goals; displays a high level of initiative, effort, and commitment towards completing assignments in a timely manner; works with minimal supervision; is motivated to achieve; demonstrates responsible behavior.

The Occupational Questionnaire will take you approximately 20 minutes to complete. To preview the Occupational Questionnaire, click the following link View Assessment Questions


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Payment of relocation expenses will not be authorized. 

The Department of Justice offers a comprehensive benefits package that includes, in part, paid vacation; sick leave; holidays; telework; life insurance; health benefits; and participation in the Federal Employees Retirement System. This link provides an overview of the benefits currently offered to Federal employees:


Veterans' Preference- If you are entitled to Veterans' Preference, you must indicate the type of preference you are claiming in your application and submit the appropriate documentation, as specified below.

•In order to verify your Veterans' Preference entitlement, please submit a copy of the Member Copy 4 of your DD-214 (Certificate of Release or Discharge from Active Duty); official statement of service from your command if you are currently on active duty; or other official documentation (e.g., documentation of receipt of a campaign badge or expeditionary medal) that shows your military service was performed under honorable conditions.
In addition, if you are a disabled veteran, a Purple Heart recipient, or widow/widower if a veteran, the spouse of a disabled veteran or the natural mother of a disabled or deceased veteran, you must submit a signed and dated Standard Form (SF) 15, "Application for 10-Point Veteran Preference," and the other required documentation identified on the reverse side of the SF-15 to support your preference claim.
Selective Service: If you are a male applicant born after December 31, 1959, you must certify that you have registered with the Selective Service System, or are exempt from having to do so under the Selective Service Law. See
Reasonable Accommodation Statement: Federal Agencies must provide reasonable accommodation to applicants with disabilities, where appropriate. Applicants requiring reasonable accommodation for any part of the application and hiring process should contact the hiring agency directly. Determinations on requests for reasonable accommodation will be made on a case-by-case basis.

EEO Statement: The United States Government does not discriminate in employment on the basis of race, color, religion, sex, national origin, political affiliation, sexual orientation, marital status, status as a parent, genetic information, disability, age, membership or nonmembership in an employee organization, or on the basis of personal favoritism.


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To apply for this position, you must complete the occupational questionnaire and submit the documentation specified in the Required Documents section below.

The complete application package must be submitted by 11:59 PM (EST) on Wednesday, July 09, 2014 to receive consideration.

1. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USAJOBS resume and/or other supporting documents and complete the occupational questionnaire.

2. Click the Submit My Answers button to submit your application package. (It is your responsibility to ensure your responses and appropriate documentation are submitted prior to the closing date.) 

3. To verify your application is complete, log into your USAJOBS account,, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application.  Your uploaded documents may take several hours to clear the virus scan process.

To return to an incomplete application, log into your USAJOBS account and click Update Application in the vacancy announcement.  You must re-select your resume and/or other documents from your USAJOBS account or your application will be incomplete.

Faxing Applications or Supporting Documents:

You are encouraged to apply online.  Applying online will allow you to review and track the status of your application.

NOTE:  If you applied online and your application is complete, do not fax the paper application (1203FX) as this will overwrite your prior online responses and may result in you being found ineligible.

If you completed the occupational questionnaire online and are unable to upload supporting document(s):

1. To fax your documents, you must use the following cover page and provide the required information.  The Vacancy ID is 1157485

2. Fax your documents to 1-478-757-3144.


If you cannot complete the Application Package online, you may fax all of your materials.  The complete application package must be submitted by 11:59 PM (EST) on Wednesday, July 09, 2014  to receive consideration.  Keep a copy of your fax confirmation in the event verification is needed.

To complete the occupational questionnaire and submit via fax:

1. Click the following link to view and print the occupational questionnaire View Occupational Questionnaire.

2. Print the 1203FX form, follow the instructions and provide your responses to the occupational questionnaire items

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.


You must provide a complete Application Package, which includes:

Required:  Your responses to the Occupational Questionnaire. (Online or 1203-FX)
Required: Your resume showing relevant experience and dates of employment (cover letter optional).
Required if you meet qualifications based on education: An unofficial college transcript.(Note: If you are selected for this position, official transcript will be required prior to your first day.)

Required, if applicable: Veterans' Preference documentation. (See Benefits and Other Information section for details.)
Required, if applicable: CTAP/ICTAP documentation (a copy of a separation notice or other proof of eligibility for priority selection; a copy of an SF-50, Notification of Personnel Action, showing current position, grade, promotion potential, and duty location; AND a copy of your most recent performance appraisal.)


Minett Fernandez
Phone: (305)961-9059
Agency Information:
Southern District of Florida
Do not mail applications- apply online
Miami, FL


We will notify you of the outcome after each step of the recruitment process has been completed. After making a tentative job offer, we will conduct a suitability/security background investigation, to include a credit check, and a drug test by urinalysis. We expect to make a final job offer within 80 days after the closing date of the announcement.

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EEO Policy Statement | Reasonable Accommodation Policy Statement | Veterans Information | Legal and Regulatory Guidance