INTAKE COORDINATOR | Medicaid Fraud Division

Commonwealth of MassachusettsBoston, MA
Hybrid

About The Position

Attorney General Andrea Joy Campbell is looking for a highly motivated individual to serve as the Intake Coordinator of the Medicaid Fraud Division (MFD), part of the Office of the Attorney General’s Health Care & Fair Competition Bureau. MFD is committed to identifying and prosecuting fraud against the state’s $20 billion Medicaid program and investigating allegations of fraud against the state Medicaid program and allegations of abuse, neglect, and misappropriation of funds occurring in long-term care facilities and from Medicaid members in health care settings. MFD has both criminal and civil enforcement authority and works in partnership with both federal and state law enforcement agencies.

Requirements

  • Associate or bachelor’s degree, or an equivalent combination of education and relevant administrative, legal support, or investigation experience.
  • Excellent organizational and analytical skills, with the ability to manage multiple priorities.
  • Effective written and verbal communication skills.
  • Bilingual candidates are encouraged to apply.
  • The successful candidate will be able to demonstrate a connection and commitment to the people and communities we serve, and an interest in supporting a respectful and inclusive work environment.

Nice To Haves

  • Proficiency with Microsoft Office applications, particularly Microsoft Excel, preferred.
  • Ability to travel within the Commonwealth, as needed; valid driver’s license, preferred.

Responsibilities

  • Oversee MFD’s process to receive and review constituent complaints originating from e-complaints, telephone calls, walk-ins from members of the public, and partner agencies.
  • Conduct initial investigation of complaints, including data analysis, witness interviews, and open-source research.
  • Entering data into a computerized case management system.
  • Delegating and assigning complaints for review to a team to ensure efficient workflow.
  • Make referrals to appropriate government agencies or community organizations.
  • Communicate clearly with members of the public regarding the filing, processing, and assignment of complaint information.
  • Provide investigative and litigation support to attorneys and investigators.
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