Attorney - FCA/Healthcare Fraud Enforcement

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Job details:

This Jobot Job is hosted by: Forrest Mack

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Salary: $150,000 - $400,000 per year

A bit about us:

A nationally recognized law firm with deep roots in the healthcare industry, the firm has built a reputation for advising clients on some of the most complex regulatory, litigation, transactional, and compliance matters in the market. Its attorneys represent healthcare providers, health plans, life sciences companies, private equity sponsors, and other industry leaders across a broad range of legal disciplines. Known for its collaborative culture and industry-focused approach, the firm combines sophisticated legal counsel with practical business insight to help clients navigate evolving regulatory environments and high-stakes business challenges. The firm has earned national recognition for its strength in healthcare, government investigations, litigation, corporate transactions, and regulatory counseling, making it a trusted advisor to organizations operating in highly regulated industries.

Why join us?

Employment Benefits

• Competitive partner compensation structure based on experience, practice contributions, and portable business.
• Origination credit and business development incentives.
• Comprehensive medical, dental, and vision insurance.
• Health Savings Account (HSA) and Flexible Spending Account (FSA) options.
• 401(k) retirement plan with firm contributions.
• Life and disability insurance.
• Generous paid time off and firm-recognized holidays.
• Paid parental leave and family support benefits.
• Employee assistance and wellness programs.
• Professional development, CLE, and bar membership reimbursement.
• Business development and marketing support.
• Access to a nationally recognized healthcare, litigation, and regulatory platform.
• Cross-selling opportunities across healthcare, private equity, litigation, compliance, and corporate practices.
• Administrative, paralegal, and practice support resources.
• Opportunities for leadership, mentorship, and practice growth.
• Hybrid work flexibility, subject to client and business needs.
• Collaborative, entrepreneurial culture with significant opportunities for advancement.

Job Details

Qualifications

• Juris Doctor (J.D.) from an accredited law school.
• Active membership in good standing with at least one U.S. state bar, Illinois admission preferred or ability to obtain admission.
• 8+ years of experience representing healthcare organizations, health plans, managed care organizations, healthcare providers, life sciences companies, or other regulated entities in government investigations, enforcement actions, and complex litigation matters.
• Significant experience handling False Claims Act (FCA) investigations, qui tam litigation, Civil Investigative Demands (CIDs), healthcare fraud matters, and government enforcement proceedings.
• Demonstrated experience representing clients before the U.S. Department of Justice (DOJ), U.S. Attorney's Offices, Department of Health and Human Services Office of Inspector General (HHS-OIG), Centers for Medicare & Medicaid Services (CMS), state Medicaid agencies, and other federal or state enforcement authorities.
• Experience conducting internal investigations involving fraud and abuse allegations, reimbursement disputes, billing and coding issues, Anti-Kickback Statute matters, Stark Law compliance, and other healthcare regulatory concerns.
• Strong litigation background with experience managing all phases of complex commercial, regulatory, or healthcare litigation, including discovery, motion practice, witness preparation, settlement negotiations, and trial strategy.
• Demonstrated ability to independently manage sophisticated client matters while serving as a trusted advisor to executive leadership teams, boards, and healthcare stakeholders.
• Proven business development skills and a track record of cultivating and expanding client relationships within the healthcare industry.
• Portable book of business preferred for partner-level candidates.
• Excellent written advocacy, oral advocacy, negotiation, and client counseling skills.
• Ability to collaborate across multidisciplinary legal teams in a fast-paced, client-focused environment.

Preferred Qualifications

• Former Assistant United States Attorney (AUSA), Department of Justice attorney, HHS-OIG attorney, CMS attorney, or other government enforcement experience.
• Experience representing hospitals, health systems, physician groups, Medicare Advantage organizations, managed care organizations, pharmacy benefit managers (PBMs), healthcare technology companies, or private equity-backed healthcare platforms.
• Experience litigating Administrative Procedure Act (APA) challenges involving federal healthcare agencies.
• Experience handling Medicare Advantage Star Ratings litigation, CMS reimbursement disputes, risk adjustment matters, RADV audits, Medicare payment disputes, or other healthcare regulatory litigation.
• Experience defending healthcare clients in high-profile government investigations involving alleged fraud, waste, abuse, reimbursement, or compliance issues.
• Established relationships within the healthcare, managed care, government enforcement, or healthcare regulatory sectors.

Demonstrated leadership experience mentoring attorneys and contributing to practice growth initiatives.

• Existing network of referral sources, industry contacts, and healthcare executives.

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