AGO Investigator/Analyst Supervisor | Medicaid Fraud & Abuse Division | Spokane

State of Washington•Spokane County – Spokane, WA

5d•Hybrid

About The Position

The Attorney General’s Office is recruiting for a permanent full time AGO Investigator/Analyst Supervisor in the Medicaid Fraud & Abuse Division. This position is located in Spokane, Washington, and is represented by the Washington Federation of State Employees (WFSE). The work of the Office’s Medicaid Fraud & Abuse Division (MFAD) focuses on both criminal and civil law enforcement. The 75% federally funded MFAD‘s mission is combating provider fraud, abuse and neglect in residential facilities and involving Medicaid recipients in non-institutional settings. MFAD’s Headquarters is located in Olympia, Washington with some team members also located at the AGO's Spokane Office and Seattle Office. The Division currently has a staff of 84 FTEs, including attorneys, auditors, special agents, data analysts, clinical health investigators and professional support staff. MFAD involves protecting not only the Medicaid program of roughly 22.9 billion dollars per annum, but also its most vulnerable persons, typically elderly persons in residential facilities or persons abused or neglected by a Medicaid Provider. In many of our cases, there is no precedent so MFAD is consistently on the cutting edge of legal theories and issues. The cases range from abuse and neglect of persons in nursing homes, large scale organized individual and corporate civil and criminal fraudulent activity to national whistleblower actions. Our staff is a highly professional, fun and seasoned analytical investigative team. MFAD is unique in that all cases have an attorney, special agent, data analyst assigned with legal support. This, and the great people who make up the division, gives MFAD a particularly terrific team atmosphere.

Requirements

Bachelor’s degree and ten years of experience conducting investigations, which include the authority to independently plan and conduct investigations in civil or criminal cases.
At least two of these years must include supervision of investigators.
Additional qualifying investigative experience may substitute year for year for education.
OR Five years experience as an AGO Senior Investigator/Analyst.

Responsibilities

This is an expert level position responsible for investigating and coordinating highly complex civil and criminal healthcare fraud which are of a serious or sensitive nature and are assigned under the oversight of the assigned AAG.
The matters range from abuse and neglect in a residential facility to National Medicaid Fraud Control Unit (NAMFCU) matters.
This position carries a case load, creates investigative plans and participates as a team member on assigned cases.
Works with federal, local and Washington State law enforcement agencies as required under 42 USC 1396(b)(q)(4), 42 USC 1007.11 and 77 FR 32645.
May lead multi-jurisdictional investigations relating to Medicaid provider fraud, abuse and neglect of vulnerable adults.
Brings together partner agencies, develops case investigation plans, delegates duties, to other investigators, as appropriate and follows up to ensure completion of assignments.
The incumbent develops sources of information relating to Medicaid fraud and abuse and neglect in residential facilities; executes search warrants; collects, preserves and handles evidence in accordance with established rules of evidence; conducts surveillance; conducts criminal and civil interviews; prepares written reports, affidavits and other investigative documents; serves as a subject matter expert in civil and criminal healthcare fraud investigations.
The incumbent will coordinate various Medicaid fraud and long term care abuse and neglect take forces and working groups.
Develop, promote, and provide guidance, education and awareness, as a subject matter expert.
The incumbent is responsible to identify, seek out, and participate in key stakeholder relationships and other multi-jurisdictional investigative task force/working groups as determined by the Director.
The incumbent will either attend (or delegate attendance) key shareholder meetings, multi-jurisdictional law enforcement and social welfare agency task force/working group meetings.
Establish and maintain good working relationships with administrative agencies and law enforcement.
The incumbent acts as a liaison with those agencies to ensure the referral of and requests for assistance and training regarding suspected fraud and abuse violations are delivered by the MFAD.
The incumbent will identify and lead organizational improvement projects.
These projects are designed to address process improvements of the Unit or address matters identified in the Unit Strategic Plan.
Responsible to identify projects for consideration and upon approval by the Director or the Special Agent in Charge, develop a strategy to implement and measure the effectiveness of the project.
The incumbent may be tasked with leading the implementation of such approved projects Unit-wide and conduct other duties as assigned.

Benefits

Medical/Dental/Vision for employees & dependent(s)
Vacation, Sick, and Other Leave
11 Paid Holidays per year
Public Employees Retirement System (PERS) plans
Life Insurance
Dependent Care Assistance
Flexible Spending Accounts
Public Service Loan Forgiveness
Tuition Waiver
Deferred Compensation
Employee Recognition Leave
Flexible schedules
Part-time/hybrid telework options
A Wellness Program
Infants in the Workplace Program
Employee Assistance Program, which provides counseling, webinar, and other cost-free support resources
Numerous employee-driven affinity groups to foster community and connection, including Bereavement, Elder Care, Parenting, POC, LGBTQ+, Veterans and more.