Investigator, Medicaid Fraud Control Unit

Virginia Information Technologies AgencyVirginia Beach, VA
$77,500 - $79,500Onsite

About The Position

Conducts complex investigations involving health care providers in the Virginia Medicaid Program including allegations of corporate neglect in nursing home facilities. Reviews voluminous records, participates and/or assists in search warrants, interviews witnesses and targets of investigations, drafts overpayment schedules, participates and/or assists in undercover operations. Applicant who is currently or was recently a sworn law enforcement officer in Virginia will have an opportunity to retain sworn law enforcement status in this position. Some overnight travel required. This position will work out of the Hampton Roads, Virginia office.

Requirements

  • Excellent verbal and written communication skills.
  • Demonstrated computer proficiency with word processing and database management systems (Microsoft products preferred).

Nice To Haves

  • Related undergraduate degree or commensurate experience.
  • Major course work in the criminal justice or medical administration field, or prior law enforcement experience, is preferred.
  • Applicant who is currently or was recently a sworn law enforcement officer in Virginia will have an opportunity to retain sworn law enforcement status in this position.

Responsibilities

  • Conducts complex investigations involving health care providers in the Virginia Medicaid Program including allegations of corporate neglect in nursing home facilities.
  • Reviews voluminous records.
  • Participates and/or assists in search warrants.
  • Interviews witnesses and targets of investigations.
  • Drafts overpayment schedules.
  • Participates and/or assists in undercover operations.
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