Minimum Qualifications Six years of experience in a field investigative position conducting interviews of witnesses and others, taking written statements and affidavits, collecting and analyzing physical and documentary evidence, and preparing detailed written reports of investigative findings.
Substitutions: an associate's degree in criminal justice or related field may substitute for two years of qualifying experience. A bachelor's degree in criminal justice or a related field may substitute for four years of qualifying experience. Related fields include: law enforcement, police science, criminal justice administration, criminology, criminal investigation, police studies, public justice, forensic accounting, forensic psychology, forensic science, and economic crime management.
Excellent verbal and written communication skills.
Proficiency with Microsoft Office Suite and ability to learn new data systems. Ability to analyze and apply data to investigations. Understanding of the services provided to Medicaid recipients through providers within the Home Health Industry.
Regular travel, including to areas not served by public transportation, is required. Must have a valid driver's license or otherwise demonstrate the ability to meet the transportation requirements of the position.
Duties Description The Division of Medicaid Investigations ensures the integrity of the Medicaid program by conducting investigations, recovering over payments and implementing administrative sanctions against providers. Duties of the position will include, but not be limited to:
Investigate allegations of Medicaid fraud or abuse.
Conduct fieldwork, including on-site inspections.
Operate various data systems; analyze information; and draw appropriate conclusions.
Obtain sufficient information and documentation to support investigative findings.
Draft correspondence, reports, and notices for public issuance in connection with administrative actions seeking to recoup Medicaid overpayments and impose sanctions.
Testify at administrative hearings as necessary.
Collaborate with other regulatory oversight agencies and law enforcement and conduct joint investigations as appropriate.
Additional Comments Non-Competitive, permanent and full-time, fingerprinting and background check required. Routine travel is required in order to conduct fieldwork necessary to complete investigations.
Must have a valid driver's license or otherwise demonstrate the ability to meet the transportation requirements of the position. There may be minimal mandatory overtime.
State Of New York