Criminal Investigators in the Attorney General’s Medicaid Fraud Control Unit (MFCU) perform criminal and civil investigations involving violations of federal and/or State laws related to provider fraud within Nevada’s Medicaid program, as well as the abuse and neglect of older and/or vulnerable adults. Investigations are primarily focused on healthcare providers, facilities, and caregivers. Investigative activities include performing a substantial amount of medical claims analysis, healthcare record review, interviews with witnesses and subjects, and gathering of other evidence through methods including the use of subpoenas, surveillance, and search warrants. The MFCU uses a strike force model meaning that multiple staff are assigned and work each case together to include investigators, analysts, and prosecutors. Criminal Investigators are also responsible for providing provider education, conducting outreach training, and teaching various classes at the local police academies. The MFCU also participates in a variety of working groups, community partnerships, and taskforces with federal, State, and local agencies. Criminal Investigators in the Attorney General’s Investigations Division perform criminal investigations involving violations of federal and/or State laws pertaining to a specific program or regulatory area which includes, but is not limited to, Medicaid fraud, workers’ compensation fraud, consumer protection, public integrity, human trafficking, missing children, financial fraud, alleged criminal offenses committed by State officers or employees, and all types of conflict of interest cases submitted by outside agencies, along with participating in multi-jurisdictional task forces comprised of officers from federal, State and local enforcement agencies. The investigative process is initiated following a formal request for service, upon receipt of a complaint from the public, or as a coordinated effort with federal, State or local law enforcement and criminal justice agencies.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Job Type
Full-time
Career Level
Entry Level