Job Description:
The Oregon Department of Justice (DOJ) is conducting a nationwide search for an experienced Investigator 3 to join our Medicaid Fraud Unit within the Civil Enforcement Division. Our employees currently work hybrid schedules as business needs allow, and the selected candidate will have the same opportunity.
As a Medicaid Fraud Investigator, you will conduct complex statewide investigations involving Medicaid provider fraud, abuse, neglect, and financial exploitation in long-term care settings. Working alongside attorneys, auditors, and other investigators, you will gather and analyze evidence, interview witnesses and suspects, collaborate with law enforcement partners, and help protect public resources and vulnerable Oregonians.
If you are an experienced investigator seeking meaningful public service work with a highly skilled multidisciplinary team, we encourage you to apply!
Responsibilities
DUTIES AND RESPONSIBILITIES (in part)
- Collect, evaluate, and analyze computerized data and other evidence (e.g., medical records, Medicaid claims data, and social service, financial, records and legal records).
- Interview witnesses and suspects (including health care professionals, Medicaid agency personnel and Medicaid recipients).
- Draft accurate, detailed reports of investigative findings and interview reports.
- Prepare graphs, charts, reports etc. for presentations.
- Process referrals, conduct preliminary screenings, and make recommendations.
- Research Medicaid policies and programs.
- Testify in grand juries, hearings, and trials.
- Coordinate with social service agencies and local/state/federal law enforcement entities.
Qualifications
REQUIRED ATTRIBUTES AND SPECIAL REQUIREMENTS
In order to be considered for this position, you must meet ALL the following minimum qualifications.
- Four years of recent (within last ten years) full-time investigative experience which included: 1.) conducting fact finding; 2.) collecting and preserving evidence according to the rules of evidence; 3.) examining records; 4.) locating and interviewing witnesses to verify or disprove claims of suspected law violations; 5.) 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. 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.
- Have and be able to maintain an Oregon State driver license, throughout employment; willing and able to travel as needed (i.e., investigations, court dates, meetings, trainings, etc.).
DESIRED SKILLS AND ATTRIBUTES
- Possess excellent analytical, communication, and organizational skills.
- Healthcare related background.
- Experience interviewing witnesses and suspects, who are occasionally uncooperative and hostile.
- 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.
- Expert-level in Microsoft Excel, and experience reviewing and analyzing data a plus!
Application Process
APPLICATION PROCESS
We strongly encourage all interested individuals to apply, and allow us to evaluate the knowledge, skills and abilities that you demonstrate, using an intentional equity lens. Candidates from diverse backgrounds are encouraged to apply. The Department of Justice is an equal opportunity employer, does not discriminate based on race, color, national origin, ethnicity, veteran, gender, sexual orientation, religion, age, or disability, and is committed to workplace diversity.
- Click “Apply” and complete the online application and all supplemental questions.
- Attach your resume.
- Attach your cover letter (1-2 pages), specifically addressing how you meet the qualifications for this position.
ALL APPLICANTS: You will only have one opportunity to upload the required resume. Drag and drop your resume into Workday when prompted to upload your resume. If you are concerned that one or both required documents didn’t attach to your application, if you need an accommodation under the Americans with Disabilities Act (ADA), have questions, or need assistance with the application process, please contact doj.recruitment@doj.oregon.gov(opens in new tab). Any materials emailed 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 Jobs Hub 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).
Link to the job posting – https://oregon.wd5.myworkdayjobs.com/SOR_External_Career_Site/job/Portland–DOJ–Legal/XMLNAME–Investigator-3—Civil-Enforcement-Division–Portland-_REQ-208896