Investigator 3 - Civil Enforcement Division (Portland)

State of Oregon•Portland, OR
•$62,316 - $95,616•Hybrid

About The Position

The Oregon Department of Justice is conducting a nationwide search for an experienced Investigator 3 to join its Medicaid Fraud Unit within the Civil Enforcement Division. Employees currently work hybrid schedules as business needs allow, and the selected candidate will have the same opportunity. The Medicaid Fraud Investigator conducts complex statewide investigations involving Medicaid provider fraud, abuse, neglect, and financial exploitation in long-term care settings. Working alongside attorneys, auditors, and other investigators, the investigator gathers and analyzes evidence, interviews witnesses and suspects, collaborates with law enforcement partners, and helps protect public resources and vulnerable Oregonians. This is a permanent, full-time position in Portland, Oregon. The Department describes the role as an opportunity to contribute to public service, develop government auditing and data analysis skills, and work with a multidisciplinary team.

Requirements

  • Four years of recent full-time investigative experience, within the last ten years, including 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.
  • College-level courses in Law Enforcement, Criminal Justice, Law, Accounting, or Auditing may substitute year for year for up to one year of the required experience.
  • Have and maintain an Oregon State driver license throughout employment.
  • Be willing and able to travel as needed for investigations, court dates, meetings, trainings, and other work.

Nice To Haves

  • 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 Microsoft Excel skills; experience reviewing and analyzing data is a plus.

Responsibilities

  • Collect, evaluate, and analyze computerized data and other evidence, including medical records, Medicaid claims data, social service records, 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, and other materials 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, and federal law enforcement entities.

Benefits

  • 11 paid holidays per year, vacation, sick leave, and personal business leave.
  • Competitive benefits package.
  • Medical, dental, and vision benefits.
  • Pension and retirement programs.
  • Peer and management support.
  • Representation by the Service Employees International Union (SEIU).
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