Division of Medi-Cal Fraud and Elder Abuse, Special Agent Supervisor

State of California; California; On-site; USD 120,000 - 160,000; Full time

Job summary

State of California's Medi-Cal Fraud and Elder Abuse Division seeks a Special Agent Supervisor to oversee a team of investigators in provider fraud, elder abuse, and drug diversion investigations. You will plan, assign, and direct complex cases, supervise warrants, and coordinate with prosecutors to build strong cases.

Lead and mentor agents, maintain compliance with DOJ and cross-agency standards, and provide expert testimony when required.

Qualifications

• Experience conducting complex investigations in fraud, patient abuse, or drug diversion.
• Ability to lead a team of Special Agents across multiple chains of command.
• Strong written and oral communication under pressure.
• Experience with electronic evidence collection and Medi-Cal data systems.
• Ability to coordinate with prosecutors and DOJ divisions.

Responsibilities

• Supervise and direct a team of Special Agents in Medi-Cal provider fraud, elder abuse and drug diversion investigations.
• Plan, assign, and direct criminal, civil, and special investigations; lead complex cases.
• Review timekeeping, ProLaw updates, investigation reports, and warrant affidavits; coordinate multi-agency efforts.
• Organize warrants, covert operations, surveillance, and liaison with prosecutors and Supervising Deputy Attorney Generals.
• Provide expert testimony and training; develop relationships with law enforcement at all levels.

Skills

Leadership

Investigation leadership

Communication skills

Time management

Judgment

Tools

ProLaw

Job description

As the state’s federally mandated Medicaid Fraud Control Unit (MFCU), the division of Medi-Cal Fraud and Elder Abuse (DMFEA) works aggressively to investigate and prosecute fraudulent activities and the illegal diversion of health care resources from California’s most vulnerable citizens.

Under the direction of the Special Agent In-Charge, the Special Agent Supervisor is responsible for supervising and directing a team of Special Agents in Medi-Cal provider fraud, patient abuse, and drug diversion investigations. Specific duties include planning, assigning, and directing criminal, civil, and special investigations; organizing and conducting the more difficult, complex, or sensitive investigations; reviewing time and task accounting systems, ProLaw database updates, investigative reports, and search and arrest warrant affidavits. Serve search and arrest warrants and conduct covert and surveillance operations. Responsible for coordinating the casework of team members with the assigned DAG and Investigative Auditor. Other duties include obtaining an expert level of knowledge of the laws and regulations of the Medi-Cal Program and payment systems, elder abuse laws, and regulations of the Licensing and Certification Division of the Department of Health Care Services; understanding and utilizing complex automated payment and information systems; developing productive working relationships with allied law enforcement agencies at the federal, state, and local levels; providing specialized expertise and training to law enforcement; providing expert testimony; coordinating multi-jurisdictional enforcement efforts; conducting frequent review and monitoring of assigned investigations with team members, assigned prosecutors, and investigative auditors and effectively managing the investigations assigned to team members where there are several chains of command present.

You will find additional information about the job in the Duty Statement.

Benefit Information - Please access this link for information on benefits afforded to employees who work for the State of California - https://www.calhr.ca.gov/Pages/California-State-Civil-Service-Employee-Benefits-Summary.aspx

Minimum Requirements

• SPECIAL AGENT SUPERVISOR, DEPARTMENT OF JUSTICE

Desirable Qualifications

In addition to evaluating each candidate's relative ability, as demonstrated by quality and breadth of experience, the following factors will provide the basis for competitively evaluating each candidate:

Experience conducting complex investigations in fraud, patient abuse, or drug diversion. Demonstrated ability to work closely with assigned prosecutors and Supervising Deputy Attorney Generals, and effectively organize a team of Special Agents to be high producers; effectively lead a team where there are several chains of command present; take leadership assignments. Must possess good judgment and leadership skills. Ability to communicate effectively (written and oral), work under pressure while assisting prosecutors to prepare cases for court, and meet deadlines. Experience in the collection and analysis of electronic evidence; understanding and utilizing complex automated Medi-Cal claims data systems; and establishing close working relationships with all levels of DOJ, including legal divisions and law enforcement. Experience with database timekeeping and case management. Knowledge of supervision principles and the Department's equal employment opportunity objectives.