Agent - Medicaid Fraud Control

Oklahoma State Government•Oklahoma City, OK

30d•$68,000 - $90,000•Onsite

About The Position

The Oklahoma Medicaid Fraud Control Unit (MFCU) is a state law enforcement division within the Oklahoma Attorney General’s Office, and its mission is to investigate and pursue enforcement actions against health care providers who have defrauded the Medicaid program or who have engaged in abuse, neglect, and/or exploitation of persons in the Medicaid system or residential health care facilities. The MFCU has both civil and criminal enforcement powers. The successful candidate for this position will work as a member of an interdisciplinary team of investigative agents, auditors/analysts, and attorneys, seeking civil remedies such as financial restitution and penalties, divestment or forfeiture, and exclusions from the Medicaid system, and/or pursuing criminal enforcement actions such as fines, incarceration, and exclusions from the Medicaid system. The successful candidate for this position should have sound judgment, strong investigative, research, and analysis skills. The Agent serving in this position will consult with attorneys and analysts, take part in crafting and executing investigative plans, gather and review evidence, provide evidence and other information to attorneys and analysts, and testify as needed. Additionally, the position may involve taking part in investigations and enforcement actions conducted jointly with Federal counterparts at any of the three U.S. Attorney Offices located in Oklahoma. This position may also involve lending assistance to Medicaid Fraud Control Units in other States and Territories across the country as may be needed. Agents of the Oklahoma Attorney General’s (OAG) Office are commissioned state law enforcement officials tasked with investigating violations and alleged violations of criminal and civil Oklahoma state statutes. As the sole state law enforcement entity under the Oklahoma Attorney General, OAG Agents have the unique investigative and prosecutorial advantage of working with, and collaborating with, state OAG Assistant Attorneys General on a daily basis. As commissioned state law enforcement officials, OAG Agents are automatically enrolled in, and designated beneficiaries of, the Oklahoma Law Enforcement Retirement System (OLERS). To help ensure OAG Agents can fulfill their responsibilities to the citizens of Oklahoma as state law enforcement officials, OAG Agents are subject to medical and physical fitness evaluations. The agent accepting this position must maintain the integrity of the Attorney General’s Office, as well as the confidentiality of information as required by the Oklahoma Attorney General. In-state travel, including some overnight travel, is expected. Also, out-of-state training opportunities will be available.

Requirements

Be a CLEET certified peace officer in Oklahoma, or eligible to become a CLEET certified peace officer through reciprocity or successfully meeting and completing the standards and requirements of the Council on Law Enforcement Education and Training (CLEET) to become a certified peace officer in Oklahoma. (This may include the successful admission to, and completion of, the CLEET Academy)
P ossess a valid Oklahoma driver's license

Nice To Haves

A bachelor’s degree
At least four years of investigative experience
Accounting Experience
Medical experience
Experience with complex financial matters
Experience investigating financial crimes
Experience investigating fraud
Experience investigating situations involving vulnerable victims such as the elderly, children, or the mentally and/or physically impaired

Responsibilities

Develop investigative plans and investigate cases as part of a team of Agents, Supervisory Agents, Analysts, and Assistant Attorneys General as part of the MFCU team
Communicate and collaborate with other Agents, Supervisory Agents, Analysts, and Assistant Attorneys General as part of the MFCU team
Attend MFCU-specific training programs on an ongoing basis
Interview witnesses, victims, and suspects, and then document investigative efforts and findings
Maintain organized and complete records of investigative work and time expended
Effectively and professionally research, prepare, analyze, and understand complex information and legal issues.
Effectively manage a varying caseload of investigations of different types and levels of urgency
Maintain the integrity of the Attorney General’s Office as well as the confidentiality of information as required by the Attorney General.
Exercise sound judgment, and exhibit excellent report writing skills
Prepare and provide testimony in courtroom settings
Execute search and arrest warrants
Maintain safety protocols of the Office of Attorney General
The ability to perform all the physical demands as described below