MFCU Investigator 1 (PCN030278)

State of Alaska • Anchorage, AK

7d • Onsite

About The Position

The Department of Law, Division of Criminal is recruiting for an Investigator 1 for the Medicaid Fraud Control Unit (MFCU) within the Office of Special Prosecutions. This position is open to Alaska Residents only. The Medicaid Fraud Control Unit (MFCU) is a federally mandated and funded investigative and prosecutorial unit consisting of attorneys, criminal investigators, a forensic accountant, and a paralegal. The mission of the unit is to investigate and prosecute fraud by healthcare providers, healthcare facilities, pharmaceutical manufacturers, pharmacies and other healthcare related providers that illegally divert Medicaid funds. The MFCU is also responsible for investigating and prosecuting abuse, neglect or financial exploitation of any patient in any licensed facility as well as abuse, neglect and financial exploitation of any Medicaid recipient.

Requirements

• Knowledge of the guidelines, regulations, and procedures associated with criminal investigation, including evidence detection and handling and drawing appropriate factual inferences and conclusions.
• Adjusts planned work by gathering relevant information and applying critical thinking to address multiple demands and competing priorities in a changing environment.
• Knowledge of state and Federal criminal laws, including procedures, regulations, guidelines, and precedents related to admissibility of evidence and prosecution.
• Uses a logical, systematic, sequential approach to address problems or opportunities or manage a situation by drawing on one’s knowledge and experience base and calling on other references and resources as necessary.
• Is thorough when performing work and conscientious about attending to detail.
• Contributes to maintaining the integrity of the organization; displays high standards of ethical conduct and understands the impact of violating these standards on an organization, self, and others; is trustworthy.
• Knowledge of State and federal laws, including legal and court procedures, regulations, guidelines, precedents, admissibility of evidence, case preparation, and/or settlements for applicable areas of law practiced or supported.
• Expresses information (for example, ideas or facts) to individuals or groups effectively, taking into account the audience and nature of the information (for example, technical, sensitive, controversial); makes clear and convincing oral and written presentations; listens to others, attends to nonverbal cues, and responds appropriately.
• Any combination of preparatory post-secondary education and/or experience in performing duties such as assisting in investigative work or legal research; preparing legal documents; conducting searches to locate individuals and/or assets; providing accurate interpretative information on laws and regulations; conducting administrative reviews of cases under appeal and issuing decisions; conducting interviews; locating and gathering information and data, evidence, and/or testimony to be used in civil or criminal proceedings, administrative actions, or governmentally regulated activities; conducting adjudications of claims; and/or drafting documents in support of attorneys or agencies engaged in administrative adjudication.
• Must maintain the strictest of confidences with information they will be exposed to and have access to.
• Ability to tolerate some exposure to graphic pictures, coarse language, and detailed descriptions of sometimes horrific criminal acts.

Nice To Haves

• Certificates or licenses related to healthcare, investigations and law enforcement

Responsibilities

• Conduct initial investigations of providers who are suspected or known to have committed Medicaid fraud, patient abuse or neglect or misappropriation of recipient assets.
• Receive and document all incoming allegations, interview initial complainant(s), gather background information, prepare discovery, court exhibits, various types of evidence, maintain case information in a digital case management system, maintain the unit’s inventory, including monitoring of all investigative equipment, and organize case files and evidence for closing, archiving and/or disposition.
• Work closely with the unit’s staff, its attorneys and with various federal and state investigators and agencies.

Benefits

• There is constantly a variety of activities happening each day within the office.
• You will be working with other MFCU investigators, the attorneys and staff on various case projects and operations.
• You will have a close-up view and participate in case progression from the complaint intake to its adjudication or resolution.
• As a member of the MFCU you will gain self-satisfaction knowing that you are part of a unit whose mission is to serve the public by enforcing and upholding healthcare related laws geared towards protecting Alaskans from Medicaid provider fraud, waste and abuse.
• As a MFCU investigator, your work directly protects vulnerable Alaskans and ensures Medicaid resources go to providers who deliver safe, ethical care.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed