DOJ Medicaid Fraud Investigator 3 - Portland
This recruitment is being used to develop a
pool of qualified applicants and will remain open until the position or
positions are filled. Please be aware that the recruitment may close at any
The Oregon Department of Justice is conducting a nationwide search
for experienced investigators interested in joining our team as a Medicaid
Fraud Investigator (Investigator 3). At this time, we are hiring two
(2) non-sworn, permanent, full-time positions.
Health care fraud enforcement is a national priority. The Medicaid Fraud Unit
of our Civil Enforcement Division
investigates and prosecutes fraud by Medicaid providers and allegations of
abuse/neglect and financial exploitation of residents in long term care
facilities. If selected, you will join DOJ as part of a dynamic,
high-achieving, multi-disciplinary team charged with investigating and
prosecuting health care fraud state-wide.
WHAT'S IN IT FOR YOU
employment in beautiful Portland, Oregon.
A workplace where
individual contribution matters and is recognized; where creativity and
accomplishment are rewarded.
Opportunity to expand
your investigative skills in health care fraud enforcement.
Job satisfaction as
part of a team whose mission is to serve Oregonians.
opportunity within DOJ and other State agencies.
An agency committed to
equal opportunity and workforce diversity.
Vacation, sick leave,
paid holidays, and special days off.
dental, and vision benefits.
support by the Service Employees International Union (SEIU).
WHAT YOU WILL DO
You will be responsible (in part) to:
Collect, evaluate, and
analyze computerized data and other evidence (including but not limited to
medical claims data, financial records and legal documents);
and suspects (including health care professionals, Medicaid agency personnel
and Medicaid recipients);
detailed reports of investigative findings and interview reports;
Procure physical and
documentary evidence and ensure all is properly obtained and secured;
charts, reports etc. for presentations;
Testify in grand
juries, hearings and trial; and,
Coordinate with other
local/state/federal law enforcement entities.
WORKING CONDITIONS: Daily exposure to office environment with
noise from ringing telephones, printers, copiers, telephone conversations and
other office equipment. Daily use of computers. Daily juggling of multiple
tasks with varying and changing deadlines with limited general supervision. Occasional
demands to work overtime, weekends and evenings. Frequent contact/interviews
with uncooperative and potentially hostile witnesses/suspects. Frequent
in-state driving/traveling for investigations, court dates, meetings and
training. Occasional out-of-state travel related to investigations, meetings or
training. Daily requirement to exercise discretion and confidentiality. Daily
interaction with other professionals.
CONDUCT EXPECTATIONS: The role of the Oregon Department of
Justice is to provide justice and uphold the rule of law. Employees of the
Department are required to meet the highest standards of professional conduct
and ethics while on the job, and also to maintain those same high standards
when taking actions in their personal lives that could reflect on the
HOW TO QUALIFY
Four years of recent
(within last ten years) full-time investigative experience which included conducting 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. Examples of qualifying investigation experience are in areas such
as law enforcement investigation, insurance investigation, investigative trial
support, or financial fraud investigation.
Work experience is based on a 40 hour work week. (Example: 20 hours a week for
one year would equal six-months of work experience.) College-level courses in
Law Enforcement, Criminal Justice, Law, Accounting, or Auditing may be
substituted on a year-for-year basis for up to one year
of the required experience.
REQUESTED SKILLS AND COMPETENCIES
analytical, communication, and organizational skills.
interviewing witnesses and suspects
interview and investigative reports
in administrative, civil or criminal proceedings.
Experience working as
part of a multidisciplinary team.
and analyzing financial records.
and analyzing medical records or claims data a plus!
Experience in abuse
and neglect investigations (including adult protective service investigations)
To apply for this position:
ALL APPLICANTS: You will only have one opportunity to upload the required resume
and cover letter. Drag and drop both resume and cover letter into Workday when
prompted to upload your resume. If you are concerned that one
or both of the required documents didn't attach to your application, please
email a copy to the recruiter noted at the bottom of this job posting. Material
will be associated on your behalf if received before the posting deadline.
CURRENT STATE EMPLOYEES: Login to Workday using your state-issued login, and apply via
the Career Worklet located on your home page. Using a private account disrupts
the hiring process for all internal candidates. Prior to clicking
"Apply", update your employee profile to reflect your Education,
Skills, and Job History (including your current job).
The application must
include work experience that supports how you meet the minimum qualifications
and requested skills. A resume (attached or text) will not replace the work
experience section of the application; however, a cover letter and resume must accompany your application.
materials and any supplemental information may be reviewed and evaluated for
presentation, content, clarity, grammar, spelling, and applicable knowledge and
screening will depend on the number of qualified applications received.
Screening may include skills testing, the results which may be used as part of
the applicant evaluation process.
background most closely matches the qualifications and required/requested
skills of this position will be invited to an interview.
If at any point in the
application process, you need assistance, please contact the recruiter at the
bottom of this posting. Help is available to upload or replace required
attachments if needed.
Monitor your Workday account,
as all communications will be sent to your Workday account. You may be asked to
submit additional information after initial application.
If you are selected to
interview and require particular accommodation during the interview,
please inform the person scheduling the interview.
This recruitment may be used to
fill future vacancies.
Oregon state government
provides qualifying veterans and disabled veterans with preference in
employment in accordance with ORS 408.225, 408.230, and 408.235. If you
are requesting veterans' preference, you may receive an additional
questionnaire in your Workday account. In order to ensure your privacy, we are
asking that you complete the Veterans’ Questionnaire and attach your qualifying
military documents at that time. This questionnaire will be sent to your
Workday account after you submit your application. We ask that
you complete the questionnaire before the application deadline; extensions
may be granted if necessary and reasonable.
Employees who are Public
Employee Retirement System (PERS) participating members will have their base
salary increased by 6.95% and pay a 6% employee contribution to PERS; the
salary range noted above reflects base salary only.
Candidates from diverse backgrounds are encouraged to apply.
The Department of Justice is an equal opportunity employer, does not
discriminate on the basis of race, color, national origin, ethnicity, gender,
sexual orientation, religion, age or disability, and is committed to workplace
Oregon Department of Justice
Attn: Mistie Slauson
1162 Court St NE
Salem OR, 97301
Phone: (503) 378-5595
Fax: (503) 373-0367