Investigator 3 - Civil Enforcement Division (Portland)

State of Oregon•Portland, OR

9d•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. The role conducts complex statewide investigations involving Medicaid provider fraud, abuse, neglect, and financial exploitation in long-term care settings. Investigators work alongside attorneys, auditors, and other investigators to gather and analyze evidence, interview witnesses and suspects, collaborate with law enforcement partners, and help protect public resources and vulnerable Oregonians. Employees currently work hybrid schedules as business needs allow, and the selected candidate will have the same opportunity. The position is permanent, full-time employment in Portland, Oregon.

Requirements

Four years of recent (within the last ten years) full-time investigative experience conducting fact finding; collecting and preserving evidence according to 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, training, and other work.
Submit a resume and a 1–2 page cover letter specifically addressing how the applicant meets the qualifications.

Nice To Haves

Excellent analytical, communication, and organizational skills.
Healthcare-related background.
Experience interviewing witnesses and suspects, including people 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, and reports 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.