Overview
Criminal Investigator – Medicaid Fraud Division Jobs in Washington, USA at Law, Department of
Job Title:
Criminal Investigator – Medicaid Fraud Division
Agency:
Office of the Attorney General
Shift: Day (United States of America)
Compensation:
Minimum $70,000, commensurate with experience
Number of Openings: 2
Responsibilities
- Conduct health care fraud and patient abuse investigations, including on‑site inspections and evidence collection.
- Assist criminal justice personnel—analysts, auditors, and prosecutors—in investigations.
- Develop and maintain familiarity with computer software programs used in unit investigations.
- Stay current on trends and developments related to health care fraud and patient abuse.
- Respond to assignments and requests for assistance promptly, reviewing documentation and conducting interviews.
- Plan and gather information for investigations involving health care fraud and patient abuse.
- Assist in executing and planning on‑site search warrants, obtaining and seizing evidence.
- Prepare charts, schedules, and presentations for prosecution of health care fraud cases.
- Maintain chain of custody for evidence in accordance with laws, guidelines, and policies.
- Collect, review, and evaluate documentation such as medical records, billing records, and financial data.
- Create and analyze databases, including source, expenditure, and cash flow analyses of suspects.
- Search public records, governmental databases, and commercial databases for evidence.
- Identify potential assets subject to seizure.
- Organize, analyze, and process evidence for investigative and prosecutorial purposes.
- Use computers and software to conduct investigations, create databases, spreadsheets, graphs, and presentations.
- Prepare thorough and accurate reports documenting interviews, search warrants, seizures, analyses, and database searches.
- Distribute copies of reports to appropriate parties in a timely manner.
- Present courtroom testimony with proper demeanor and assist prosecutors in coordinating pre‑trial activities.
- Coordinate and prepare courtroom testimony with the prosecuting attorney.
- Maintain supplies, reports, equipment, and relationships with other agencies per unit requirements.
- Maintain equipment, supplies, and relationships with other agencies, departments, and the public.
- Stay professionally updated through seminars, meetings, and reading relevant literature.
- Interact with state and local government personnel respectfully and cooperatively.
- Accept direction, feedback, and responsibility for mistakes, taking action to prevent recurrence.
- Use established communication channels and maintain professional relationships.
Minimum Qualifications
- Current Georgia POST PBLE (Post Basic Law Enforcement) certification that is active and in good standing.
- Twelve (12) months of fraud investigation or related experience.
Preferred Qualifications
- Bachelor’s degree from an accredited four‑year college or university, majoring in Criminal Justice or a related field.
- Digital Forensics experience.
- Certified Fraud Examiner.
- Demonstrated analytical skills.
- State training and verification of selected courses.
- Completion of any item in the above list will result in a preference advantage.
Equal Employment Opportunity
The State of Georgia is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. Qualified applicants may request reasonable accommodation when needed during the application and/or screening process by contacting the appropriate agency Human Resources department. The position will remain open until filled.
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Title: Criminal Investigator – Medicaid Fraud Division
Company: Law, Department of
Location: Washington, USA
Category:
