Investigator 3 - Civil Enforcement Division (Portland)
About The Position
The Oregon Department of Justice (DOJ) – Civil Enforcement Division is seeking a Referral Investigator (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: conducting fact finding; collecting and preserving evidence according to the rules of evidence; examining records; locating and interviewing witnesses to verify or disprove claims of suspected law violations; and writing investigation reports sufficient for use at administrative hearings or in court.
- 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.
- Experience in public speaking.
- Expert-level in Microsoft Excel, and experience reviewing and analyzing data a plus!
Responsibilities
- Collect, evaluate and analyze computerized and other evidence (e.g., medical records, Medicaid claims data, and social service, financial, records and legal records) from referral sources.
- Interview witnesses and suspects (including health care professionals, Medicaid agency personnel and Medicaid recipients) for referrals.
- Research Medicaid policies and programs.
- Present investigative findings on referrals describing policy, financial, medical, and legal aspects of the case.
- Include recommendations, with appropriate justification, for criminal or civil action, or for referral to appropriate administrative agency.
- Coordinate with social service agencies and local/state/federal law enforcement entities about referrals.
- Public outreach and education about the Medicaid Fraud Unit.
Benefits
- 11 paid holidays a year
- vacation
- sick leave
- personal business leave
- competitive benefits package
- Excellent medical, dental, and vision benefits.
- Pension and retirement programs.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
