Investigator - Medicaid Fraud Control Unit
About The Position
Investigator Medicaid Fraud Control Unit ~ Jefferson City The Office of Attorney General's Medicaid Fraud Control Unit (MFCU) has an opening for an Investigator. The MFCU is an interdisciplinary team dedicated to protecting vulnerable individuals and safeguarding Medicaid's finite resources. The MFCU utilizes a team-based approach to uncover abuse and neglect of Medicaid recipients and complex financial fraud committed by healthcare providers, including hospitals, nursing homes, pharmacies, physicians, dentists, nurses, and other Medicaid providers. The MFCU holds offenders accountable through criminal prosecution and civil litigation. Investigations often involve multi-agency coordination, detailed document analysis, and preparation for prosecution. The Investigator's primary duties include conducting interviews, obtaining and analyzing Medicaid claims, reviewing healthcare provider documentation, preparing detailed investigative reports and exhibits, maintaining investigative case files, testifying in court, interfacing with other law enforcement and government agencies, collecting and analyzing evidence, conducting interviews, preparing reports and exhibits to include testimony in courts, and collecting evidence for possible use in civil or criminal proceedings. Teamwork skills are essential to success. The Investigator is part of a team and will be expected to work closely with other investigators and attorneys. Travel throughout Missouri is required. Experience using Word and Excel is preferred. Experience in investigations or audits of health care providers, forensic accounting, or white-collar crime investigations is preferred. Salary range $51,000-$55,000. Apply online or send resume to: Personnel, Missouri Attorney General's Office, P.O. Box 899, Jefferson City, MO 65102. This position is open until filled. www.ago.mo.gov . EOE.
Requirements
- Have good analytical and research skills and a bachelor's degree or equivalent experience
- Write clearly and informatively
- Read and interpret written information
- Maintain confidentiality, strategically plan, prioritize, organize effectively, communicate effectively in writing and orally, and exercise independent judgment
- Work independently or as part of a team
- Review and evaluate allegations of fraud, or abuse/neglect of Medicaid recipients
Nice To Haves
- Experience using Word and Excel is preferred
- Experience in investigations or audits of health care providers, forensic accounting, or white-collar crime investigations is preferred
Responsibilities
- Conducting interviews
- Obtaining and analyzing Medicaid claims
- Reviewing healthcare provider documentation
- Preparing detailed investigative reports and exhibits
- Maintaining investigative case files
- Testifying in court
- Interfacing with other law enforcement and government agencies
- Collecting and analyzing evidence
- Preparing reports and exhibits to include testimony in courts
- Collecting evidence for possible use in civil or criminal proceedings
- Assist attorneys in case preparation and testify at grand jury and trial as needed
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Number of Employees
5,001-10,000 employees
