Assistant Attorney General / Medicaid Fraud Control Unit The West Virginia Attorney General’s Office is seeking a full-time Attorney to join its Medicaid Fraud Control Unit (“MFCU”). The MFCU is charged with investigating, prosecuting and obtaining criminal and civil remedies against individuals and corporate entities responsible for improper or fraudulent Medicaid billing schemes as well as investigating and prosecuting allegations of abuse and neglect of residents in nursing homes and other residential healthcare facilities.
To fulfill these obligations, the MFCU works to identify and investigate fraud committed by hospitals, nursing homes, pharmacies, home health agencies, transportation providers, clinics, hospitals, doctors, dentists, nurses, and other Medicaid providers – as well as individuals, who, for their own financial benefit, interfere with quality healthcare or exploit Medicaid beneficiaries.
Applicants must be organized, flexible, detail-oriented, capable of operating independently with minimal supervision, interested in acquiring new skills to assume greater responsibilities, and have a minimum of three (3) years of litigation experience handling criminal and/or civil matters. Applicants must have a demonstrated ability to make strategic decisions regarding case development, as well as strong analytical skills and the ability to exercise sound judgment. Candidates with prior healthcare or fraud experience are preferred. Ideal applicants will have at least five (5) years of litigation experience, or substantial grand jury and trial experience that preferably includes the investigation and prosecution of financial crimes, as well as experience in state and/or federal courts in West Virginia.
Responsibilities will include, but not be limited to:
- Providing legal advice on statewide criminal and civil investigations of healthcare fraud and the criminal abuse, neglect and financial exploitation of vulnerable adults;
- Conducting legal research and performing all other legal functions necessary for effective case development to ensure the best possible chance for a successful prosecution;
- Providing expert legal counsel on complex issues involving federal and state law, rules and regulations, including Stark Act violations, and nationwide multi-million dollar global investigations involving major pharmaceutical companies;
- Preparing and editing all documents in accordance with deadlines set by supervisors and colleagues, resulting in documents that are free of technical errors and properly formatted;
- Assisting County Prosecutors as a Special Assistant Prosecutor where permitted, directly prosecuting criminal MFCU cases;
- Serving as a Special Assistant United States Attorney (SAUSA) to prosecute Medicaid fraud cases in federal courts where permitted;
- Pursuing civil remedies where civil recovery is appropriate by repayment request, demand letter or civil lawsuit;
- Answering the legal questions of Investigators and other Unit members, as well as providing legal support to the Director and Deputy Director;
Candidates must have an active WV law license or be eligible for admission.