Investigator, Medicaid Fraud Control Unit

Title: Investigator, Medicaid Fraud Control Unit

State Role Title: Investigator, Medicaid Fraud Control Unit

Hiring Range: Commensurate with experience

Pay Band: UG

Agency: Attorney General & Dept of Law

Location: Western Regional Office

Agency Website: www.oag.state.va.us

Recruitment Type: General Public - G

Job Duties

Conducts complex fraud investigations involving health care providers in the Virginia Medicaid Program, including allegations of corporate neglect within nursing home facilities. Reviews voluminous records, participates and/or assists in search warrants, interviews witnesses and targets of investigations, drafts overpayment schedules, participates and/or assists in undercover operations.

An applicant who is currently or was recently a sworn law enforcement officer in Virginia will have an opportunity to retain sworn law enforcement status in this position. Some overnight travel required. This position will work out of the Roanoke, Virginia Regional Office.

Minimum Qualifications

• Applicants must have a related undergraduate degree or commensurate experience.

• Major course work in the criminal justice or medical administration field, or prior law enforcement experience is preferred.

• Experienced candidates must demonstrate excellent verbal and written communication skills.

• Candidates should have a demonstrated computer proficiency with word processing and database management systems (Microsoft products preferred).

• A criminal background check will be completed on successful candidate.

Additional Considerations

A degree in criminal justice, political science, law enforcement, or health care administration field; however, an equivalent combination of education and experience may substitute for educational criteria.

Special Instructions

Kindly utilize the Virginia Jobs website (https://www.jobs.virginia.gov) to submit your application. Applications sent to the Help Personnel email address will not be reviewed for the hiring process. We do not entertain phone calls or emails inquiring about application status; instead, please login to the PageUp/RMS system for updates on your application's status.

Contact Information

Name: Human Resources

Phone: 804-786-2071

Email: helppersonnel@oag.state.va.us

In support of the Commonwealth's commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.