DOJ Medicaid Fraud Investigator 3 - Portland

Position Title:

DOJ Medicaid Fraud Investigator 3 - Portland

Job Description:

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 point.

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

  • Permanent, full-time 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.
  • Advancement 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.
  • Excellent medical, dental, and vision benefits.
  • Representation and 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);
  • Interview witnesses and suspects (including health care professionals, Medicaid agency personnel and Medicaid recipients);
  • Draft accurate, detailed reports of investigative findings and interview reports;
  • Procure physical and documentary evidence and ensure all is properly obtained and secured;
  • Prepare graphs, 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 Department.

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

  • Possess excellent analytical, communication, and organizational skills.
  • Experience interviewing witnesses and suspects
  • 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.
  • Experience reviewing and analyzing medical records or claims data a plus!
  • Experience in abuse and neglect investigations (including adult protective service investigations) a plus!

APPLY NOW

To apply for this position:

  • Follow the "Apply" link HERE and complete the application online, including all supplemental questions;
  • Attach your resume; and
  • Attach your cover letter (1-2 pages).

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). ‚Äč

APPLICATION ASSISTANCE

  • 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.
  • Your application materials and any supplemental information may be reviewed and evaluated for presentation, content, clarity, grammar, spelling, and applicable knowledge and skill(s).
  • Additional applicant 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.
  • Candidates whose 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 diversity.

  

Oregon Department of Justice
Attn: Mistie Slauson
1162 Court St NE
Salem OR, 97301

DOJ.recruitment@doj.state.or.us
Phone: (503) 378-5595
Fax: (503) 373-0367



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AFP of Oregon and SW Washington
PO Box 54
Portland, OR 97207-0054

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