Investigator 3 - Civil Enforcement Division (Portland)

State of OregonPortland, OR
13dHybrid

About The Position

The Oregon Department of Justice (DOJ) – Civil Enforcement Division is seeking an Investigator 3 interested in joining our team. Our employees are currently working hybrid work schedules as business needs allow. The candidate selected for this position will do the same. Health care fraud enforcement is a national priority. The Medicaid Fraud Unit of our Civil Enforcement Division investigates and prosecutes fraud by Medicaid providers and allegations of abuse/neglect and financial exploitation of residents in long term care facilities. If selected, you will join DOJ as part of a dynamic, high-achieving, multi-disciplinary team charged with investigating and prosecuting health care fraud state-wide.

Requirements

  • Four years of recent (within last ten years) full-time investigative experience which included: 1.) conducting fact finding; 2.) collecting and preserving evidence according to the rules of evidence; 3.) examining records; 4.) locating and interviewing witnesses to verify or disprove claims of suspected law violations; 5.) and writing investigation reports sufficient for use at administrative hearings or in court.
  • Examples of qualifying investigation experience are in areas such as law enforcement investigation, insurance investigation, investigative trial support, or financial fraud investigation.
  • College-level courses in Law Enforcement, Criminal Justice, Law, Accounting, or Auditing may be substituted on a year-for-year basis for up to one year of the required experience.
  • Have and be able to maintain an Oregon State driver license, throughout employment; willing and able to travel as needed (i.e., investigations, court dates, meetings, trainings, etc.).

Nice To Haves

  • Possess excellent analytical, communication, and organizational skills.
  • Healthcare related background.
  • Experience interviewing witnesses and suspects, who are occasionally uncooperative and hostile.
  • Experience writing interview and investigative reports
  • Experience testifying in administrative, civil, or criminal proceedings.
  • Experience working as part of a multidisciplinary team.
  • Experience reviewing and analyzing financial records.
  • Expert-level in Microsoft Excel, and experience reviewing and analyzing data a plus!
  • APS experience a plus!

Responsibilities

  • Collect, evaluate, and analyze computerized data and other evidence (e.g., medical records, Medicaid claims data, and social service, financial, records and legal records).
  • Interview witnesses and suspects (including health care professionals, Medicaid agency personnel and Medicaid recipients).
  • Draft accurate, detailed reports of investigative findings and interview reports.
  • Prepare graphs, charts, reports etc. for presentations.
  • Process referrals, conduct preliminary screenings, and make recommendations.
  • Research Medicaid policies and programs.
  • Testify in grand juries, hearings, and trials.
  • Coordinate with social service agencies and local/state/federal law enforcement entities.

Benefits

  • Work/life balance to include 11 paid holidays a year, vacation, sick leave, personal business leave, and a competitive benefits package .
  • Permanent, full-time employment in Portland, Oregon.
  • A workplace where individual contribution matters and is recognized; and where creativity and accomplishment are rewarded.
  • Opportunity to expand your government auditing and data analysis skills.
  • Excellent medical, dental, and vision benefits.
  • Pension and retirement programs.
  • Endless peer and management support, and representation by the Service Employees International Union (SEIU).

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

No Education Listed

Number of Employees

501-1,000 employees

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