State of Washington
AGO Senior Investigator/Analyst, WA State Office of the Attorney General
State of Washington, Washington, District of Columbia, us, 20022
Position and SalaryThe Attorney General’s Office is recruiting for a permanent full-time AGO Senior Investigator/Analyst in the Medicaid Fraud Division. This position is located in Spokane, Washington, and is represented by the Washington Federation of State Employees (WFSE).Salary Range 66:
$78,468 - $105,612 annuallyThe base pay offered will take into account internal equity and may vary depending on the preferred candidate’s job-related knowledge, skills, and experience.The following stipends may apply based on position requirements:Incumbents assigned to our Seattle office location receive an additional 5% King County Location Pay stipend.Incumbents assigned to a position designated as requiring dual language skills will receive a 5% Dual Language Requirement Pay stipend.About the Medicaid Fraud Division:The work of the Office’s Medicaid Fraud Control Division (MFCD) focuses on both criminal and civil law enforcement. The 75% federally funded MFCD‘s mission is combating provider fraud, abuse, and neglect in residential facilities and involving Medicaid recipients in non-institutional settings.MFCD’s Headquarters is located in Olympia, Washington with some team members also located at the AGO's Spokane Office and Seattle Office. The Division currently has a staff of 66 FTEs, including attorneys, auditors, special agents, data analysts, clinical health investigators, and professional support staff.MFCD involves protecting not only the Medicaid program of roughly 22.9 billion dollars per annum, but also its most vulnerable persons, typically elderly persons in residential facilities or persons abused or neglected by a Medicaid Provider. In many of our cases, there is no precedent so MFCD is consistently on the cutting edge of legal theories and issues. The cases range from abuse and neglect of persons in nursing homes to large-scale organized individual and corporate civil and criminal fraudulent activity to national whistleblower actions. Our staff is a highly professional, fun, and seasoned analytical investigative team. MFCD is unique in that all cases have an attorney, special agent, data analyst assigned with legal support. This, and the great people who make up the division, gives MFCD a particularly terrific team atmosphere.Duties and Essential Functions of a Senior Special Agent:This is an expert level position responsible for investigating and coordinating highly complex civil and criminal healthcare fraud which are of a serious or sensitive nature and are assigned under the oversight of the assigned AAG. The matters range from abuse and neglect in a residential facility to National Medicaid Fraud Control Unit (NAMFCU) matters. This position carries a case load, creates investigative plans, and participates as a team member on assigned cases.Works with federal, local, and Washington State law enforcement agencies as required under 42 USC 1396(b)(q)(4), 42 USC 1007.11, and 77 FR 32645. May lead multi-jurisdictional investigations relating to Medicaid provider fraud, abuse, and neglect of vulnerable adults. Brings together partner agencies, develops case investigation plans, delegates duties to other investigators, as appropriate, and follows up to ensure completion of assignments. The incumbent develops sources of information relating to Medicaid fraud and abuse and neglect in residential facilities; executes search warrants; collects, preserves, and handles evidence in accordance with established rules of evidence; conducts surveillance; conducts criminal and civil interviews; prepares written reports, affidavits, and other investigative documents; serves as a subject matter expert in civil and criminal healthcare fraud investigations. Acts as a complaint intake officer for the complaints Intake Process and acts as one of the back-up intake officers.Subject Matter Expert:The incumbent will coordinate Medicaid Fraud and Abuse and Neglect (Special Victims) Western Washington outreach program aligned with the MFCD strategic plan. This may include liaising with AGO Internal Task Force to ensure consistency and integration of message, sharing of resources and contacts. The incumbent will also act as one of the MFCD Subject Matter Experts providing guidance as requested by any AGO multi-divisional Task Force as it relates to investigating Medicaid Fraud and or Abuse and Neglect of Vulnerable Adults. Develop, promote, and provide guidance, education, and awareness, as a subject matter expert.Liaison/ Task Force Officer:The incumbent is responsible to identify, seek out, and participate in key stakeholder relationships and other multi-jurisdictional investigative task force/working groups as determined by the Director. The incumbent will either attend (or delegate attendance) key shareholder meetings, multi-jurisdictional law enforcement, and social welfare agency task force/working group meetings. Establish and maintain good working relationships with administrative agencies and law enforcement. The incumbent acts as a liaison with those agencies to ensure the referral of and requests for assistance and training regarding suspected fraud and abuse violations are delivered by the MFCD.Process Improvements Project Lead:The incumbent will identify and lead organizational improvement projects. These projects are designed to address process improvements of the Unit or address matters identified in the Unit Strategic Plan. Responsible to identify projects for consideration and upon approval by the Director or the Chief Investigator, develop a strategy to implement and measure the effectiveness of the project. The incumbent may be tasked with leading the implementation of such approved projects Unit-wide and conduct other duties as assigned.Ideal Candidate ProfileQualifications: Positions require a Bachelor’s degree and ten years of experience conducting investigations, which include the authority to independently plan and conduct investigations in civil or criminal cases. Additional qualifying investigative experience may substitute year for year for education.OR Five years’ experience as an AGO Senior Investigator/Analyst.CONDITIONS OF EMPLOYMENT:A background check consisting of employment history, professional references, and educational verification (e.g., degree, license, or official transcript) may be conducted. Prior to any offer, the applicant selected will be required to submit to and pass a fingerprint-based criminal background check conducted by the Washington State Patrol, Criminal Records Division. The incumbent will submit to additional background checks as a condition of employment every five (5) years thereafter.APPLICATION INSTRUCTIONS:In addition to completing the online application, applicants must attach the following documents to their profile in order to be considered for this position:A letter of interest, describing your specific qualifications for the position;A current resume detailing experience and education.READ THE FOLLOWING INFORMATION COMPLETELY:Carefully review your application for accuracy, spelling, and grammar before submitting.You may not reapply to this posting for 30 days.The initial screening of applications will be solely based on the contents and completeness of the “work experience” and “education” sections of your application in www.careers.wa.gov, completeness of the application material submitted, and responses to the supplemental questionnaire.A resume will not substitute for completing the “work experience” section of the application.All information may be verified and documentation may be required.
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$78,468 - $105,612 annuallyThe base pay offered will take into account internal equity and may vary depending on the preferred candidate’s job-related knowledge, skills, and experience.The following stipends may apply based on position requirements:Incumbents assigned to our Seattle office location receive an additional 5% King County Location Pay stipend.Incumbents assigned to a position designated as requiring dual language skills will receive a 5% Dual Language Requirement Pay stipend.About the Medicaid Fraud Division:The work of the Office’s Medicaid Fraud Control Division (MFCD) focuses on both criminal and civil law enforcement. The 75% federally funded MFCD‘s mission is combating provider fraud, abuse, and neglect in residential facilities and involving Medicaid recipients in non-institutional settings.MFCD’s Headquarters is located in Olympia, Washington with some team members also located at the AGO's Spokane Office and Seattle Office. The Division currently has a staff of 66 FTEs, including attorneys, auditors, special agents, data analysts, clinical health investigators, and professional support staff.MFCD involves protecting not only the Medicaid program of roughly 22.9 billion dollars per annum, but also its most vulnerable persons, typically elderly persons in residential facilities or persons abused or neglected by a Medicaid Provider. In many of our cases, there is no precedent so MFCD is consistently on the cutting edge of legal theories and issues. The cases range from abuse and neglect of persons in nursing homes to large-scale organized individual and corporate civil and criminal fraudulent activity to national whistleblower actions. Our staff is a highly professional, fun, and seasoned analytical investigative team. MFCD is unique in that all cases have an attorney, special agent, data analyst assigned with legal support. This, and the great people who make up the division, gives MFCD a particularly terrific team atmosphere.Duties and Essential Functions of a Senior Special Agent:This is an expert level position responsible for investigating and coordinating highly complex civil and criminal healthcare fraud which are of a serious or sensitive nature and are assigned under the oversight of the assigned AAG. The matters range from abuse and neglect in a residential facility to National Medicaid Fraud Control Unit (NAMFCU) matters. This position carries a case load, creates investigative plans, and participates as a team member on assigned cases.Works with federal, local, and Washington State law enforcement agencies as required under 42 USC 1396(b)(q)(4), 42 USC 1007.11, and 77 FR 32645. May lead multi-jurisdictional investigations relating to Medicaid provider fraud, abuse, and neglect of vulnerable adults. Brings together partner agencies, develops case investigation plans, delegates duties to other investigators, as appropriate, and follows up to ensure completion of assignments. The incumbent develops sources of information relating to Medicaid fraud and abuse and neglect in residential facilities; executes search warrants; collects, preserves, and handles evidence in accordance with established rules of evidence; conducts surveillance; conducts criminal and civil interviews; prepares written reports, affidavits, and other investigative documents; serves as a subject matter expert in civil and criminal healthcare fraud investigations. Acts as a complaint intake officer for the complaints Intake Process and acts as one of the back-up intake officers.Subject Matter Expert:The incumbent will coordinate Medicaid Fraud and Abuse and Neglect (Special Victims) Western Washington outreach program aligned with the MFCD strategic plan. This may include liaising with AGO Internal Task Force to ensure consistency and integration of message, sharing of resources and contacts. The incumbent will also act as one of the MFCD Subject Matter Experts providing guidance as requested by any AGO multi-divisional Task Force as it relates to investigating Medicaid Fraud and or Abuse and Neglect of Vulnerable Adults. Develop, promote, and provide guidance, education, and awareness, as a subject matter expert.Liaison/ Task Force Officer:The incumbent is responsible to identify, seek out, and participate in key stakeholder relationships and other multi-jurisdictional investigative task force/working groups as determined by the Director. The incumbent will either attend (or delegate attendance) key shareholder meetings, multi-jurisdictional law enforcement, and social welfare agency task force/working group meetings. Establish and maintain good working relationships with administrative agencies and law enforcement. The incumbent acts as a liaison with those agencies to ensure the referral of and requests for assistance and training regarding suspected fraud and abuse violations are delivered by the MFCD.Process Improvements Project Lead:The incumbent will identify and lead organizational improvement projects. These projects are designed to address process improvements of the Unit or address matters identified in the Unit Strategic Plan. Responsible to identify projects for consideration and upon approval by the Director or the Chief Investigator, develop a strategy to implement and measure the effectiveness of the project. The incumbent may be tasked with leading the implementation of such approved projects Unit-wide and conduct other duties as assigned.Ideal Candidate ProfileQualifications: Positions require a Bachelor’s degree and ten years of experience conducting investigations, which include the authority to independently plan and conduct investigations in civil or criminal cases. Additional qualifying investigative experience may substitute year for year for education.OR Five years’ experience as an AGO Senior Investigator/Analyst.CONDITIONS OF EMPLOYMENT:A background check consisting of employment history, professional references, and educational verification (e.g., degree, license, or official transcript) may be conducted. Prior to any offer, the applicant selected will be required to submit to and pass a fingerprint-based criminal background check conducted by the Washington State Patrol, Criminal Records Division. The incumbent will submit to additional background checks as a condition of employment every five (5) years thereafter.APPLICATION INSTRUCTIONS:In addition to completing the online application, applicants must attach the following documents to their profile in order to be considered for this position:A letter of interest, describing your specific qualifications for the position;A current resume detailing experience and education.READ THE FOLLOWING INFORMATION COMPLETELY:Carefully review your application for accuracy, spelling, and grammar before submitting.You may not reapply to this posting for 30 days.The initial screening of applications will be solely based on the contents and completeness of the “work experience” and “education” sections of your application in www.careers.wa.gov, completeness of the application material submitted, and responses to the supplemental questionnaire.A resume will not substitute for completing the “work experience” section of the application.All information may be verified and documentation may be required.
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