Investigator 3 (PCN031248)

State of Alaska; Anchorage (AK); Sur place; USD 90 000 - 120 000; Plein temps

Résumé du poste

The State of Alaska, Department of Law, Criminal Division in Anchorage, seeks an Investigator 3 to conduct high-level investigations into Medicaid fraud and related white-collar crimes. This role requires strong analytical thinking, accountability, integrity, and comprehensive investigative skills.

You will work with attorneys, auditors, medical professionals, and federal partners, handling complex cases with discretion and independence.

Qualifications

• Accountability for high-quality, timely results and adherence to rules.
• Analytical thinking to approach problems systematically and draw conclusions.
• Demonstrates honesty and ethical conduct in all actions.
• Extensive knowledge of investigative methods, evidence handling, and reporting.

Responsabilités

• Conducts high-level, complex investigations of Medicaid fraud and related white-collar crime.
• Manages all investigative aspects of complex cases with multiple suspects and sources.
• Collaborates with attorneys, auditors, medical professionals, and federal partners as needed.
• Maintains professional standards and confidentiality throughout investigations.

Connaissances

Accountability

Analytical Thinking

Integrity/Honesty

Investigation

Law

Description du poste

Come join the State of Alaska!

This job class uses Competency Based minimum qualifications (MQs). Please read the Competency Based MQ instructions below to learn more.

The Department of Law, Criminal Division is recruiting for an Investigator 3 in Anchorage!

This position is open to Alaska Residents only. Please check our residency definition to determine if you qualify.

What You Will Be Doing:

The MFCU investigator conducts high level, complex investigations of medical professional service providers who are suspected or known to have committed Medicaid fraud, patient abuse and/or misappropriation of recipient assets. The investigator is expected to develop and manage all investigative aspects of complex cases involving Medicaid fraud and any other white‑color crime that may be associated with the case. These complex cases can be difficult to prove and are generally document-intensive and often extremely voluminous in nature and typically involve multiple suspects, surveillance and consultation with subject matter experts. The investigator must be able to adapt to a wide variety of investigative scenarios, demonstrate good judgment, be a critical thinker, highly self‑motivated, flexible and be both a team player and an independent worker with minimum supervision and direction.

Mission and Values/Culture:

The Medicaid Fraud Control Unit (MFCU) is a federally mandated and funded investigative and prosecutorial unit consisting of attorneys, criminal investigators, a forensic accountant, and a paralegal. The mission of the unit is to investigate and prosecute fraud by healthcare providers, healthcare facilities, pharmaceutical manufacturers, pharmacies and other healthcare related providers that illegally divert Medicaid funds. The MFCU is also responsible for investigating and prosecuting abuse, neglect or financial exploitation of any patient in any licensed facility as well as abuse, neglect and financial exploitation of any Medicaid recipient.

Benefits of Joining Our Team:

As an MFCU investigator, your work directly protects vulnerable Alaskans and ensures Medicaid resources go to providers who deliver safe, ethical care. You will handle complex cases involving healthcare fraud, patient abuse, neglect, and financial exploitation. The work will provide you opportunities to collaborate with attorneys, auditors, medical professionals, and federal partners such as HHS-OIG or DOJ.

You can expect a 37.5 hour work week; 12 paid holidays; personal leave accrual starting at 6 hours per pay period (about 21 days annually), increasing with years of service. The general office hours are 8:00AM to 4:30PM but there is flexibility in establishing your regular hours around core business hours.

The Working Environment You Can Expect:

The office environment is friendly and collaborative, handling a wide variety of interesting and unique cases. You will likely explore new avenues of investigation and have the opportunity to participate in a type of criminal prosecution that may have never been seen before in Alaska. The Medicaid Fraud Control Unit is located at 310 K Street, Ste. 308 and has a collaborative team of 6 investigators, 3 attorneys, a forensic account, paralegal and law office assistant.

Who We Are Looking For:

We are interested in candidates who possess some or all of the following position specific competencies:

• Criminal Investigation: Knowledge of the guidelines, regulations, and procedures associated with criminal investigation, including evidence detection and handling and drawing appropriate factual inferences and conclusions.
• Criminal Law: Knowledge of state and Federal criminal laws, including procedures, regulations, guidelines, and precedents related to admissibility of evidence and prosecution
• Decision Making: Makes sound, well‑informed, and objective decisions; perceives the impact and implications of decisions; commits to action, even in uncertain situations, to accomplish organizational goals; causes change.

To view the general description and example of duties for the position please go to the following link: https://www.governmentjobs.com/careers/Alaska/classspecs

Competency Based Minimum Qualifications

This job class uses competency based minimum qualifications. The competency description(s) listed below have been designed to promote a common understanding of the essential elements of the job class. They highlight the more general and customary knowledge, skills, abilities (KSAs), tasks, and behaviors used to describe the competency. They typically list expectations, as opposed to specific tasks, and are to be used only as parameters and guidelines. A competency’s description is not intended to exclusively define every KSA, task, and behavior needed to successfully meet the competency, but rather to provide the manager/agency with a broad reference of options as to how an applicant can meet the job expectation.

Please ensure your application (through work history, training, education, licenses, certifications, etc.) supports/demonstrates you possess the minimum required competencies for the job class.

Minimum Qualifications:

• Accountability: Holds self and others accountable for measurable high‑quality, timely, and cost‑effective results. Determines objectives, sets priorities, and delegates work. Accepts responsibility for own actions and decisions. Complies with established control systems and rules.
• Analytical Thinking/Problem Solving: uses a logical, systematic, sequential approach to address problems or opportunities or manage a situation by drawing on one’s knowledge and experience base and calling on other references and resources as necessary.
• Integrity/Honesty: Contributes to maintaining the integrity of the organization; displays high standards of ethical conduct and understands the impact of violating these standards on an organization, self, and others; is trustworthy.
• Investigation: Knowledge of the guidelines, regulations, and procedures associated with investigation, including interviewing, evidence detection, locating, gathering, and handling, and drawing appropriate factual inferences and conclusions. Provide oral or written reports of findings. Presenting evidence and providing testimony.
• Law: Knowledge of State and federal laws, including legal and court procedures, regulations, guidelines, precedents, admissibility of evidence, case preparation, and/or settlements for applicable areas of law practiced or supported.

Equivalent to those typically gained by:

Any combination of preparatory post‑secondary education and/or progressively responsible investigative work experience performing duties such as locating and gathering information, evidence and/or testimony to be used in civil or criminal proceedings, administrative actions, or governmentally regulated activities which included preparing reports in support of attorneys or agencies engaged in administrative adjudication, and/or detecting and verify suspected fraud, licensing violations, and other violations of state law.

Definitions:

“Competencies” means a combination of interrelated knowledge, skills, abilities, and behaviors that enable a person to act effectively in a job or situation.

“Typically gained by” means the prevalent, usual method of gaining the competencies expected for entry into the job.

“Training” and “education” in this guidance are synonyms for the process of acquiring knowledge and skills through instruction. It includes instruction through formal and informal methods (such as classroom, on‑line, self‑study, and on‑the‑job), from accredited and unaccredited sources, and long‑duration (such as a post‑secondary degree) and short‑duration (such as a seminar) programs.

“Progressively responsible” means indicating growth and/or advancement in complexity, difficulty, or level of responsibility.

Special Note:

Some positions in this class may require eligibility for commission as a Special Officer with the State of Alaska as a condition of hire.

Some positions require applicants pass a background investigation, which includes a criminal record check for conviction of felony or misdemeanor crimes, as a prerequisite to employment.

Some positions require incumbents possess an Alaska driver’s license and operate a motor vehicle.

PLEASE READ THE FOLLOWING CAREFULLY

Members of the Criminal Division are held to high standards of professionalism even in our personal lives. The incumbent must maintain the strictest of confidences with information they will be exposed to and have access to. Applicants should be aware that due to the nature of the work being performed in this office, the incumbent must have the ability to tolerate some exposure to graphic pictures, coarse language, and detailed descriptions of sometimes horrific criminal acts.

DISCLOSURE OF PRIOR STATE EMPLOYMENT

All employment with the State of Alaska, including but not limited to full‑time, part‑time, seasonal, temporary, on‑call, etc. positions must be disclosed in your application. Failure to provide this information may result in the disqualification of your application.

REQUIRED OF ALL APPLICANTS

At the time of the interview, please ensure that you provide the following materials:

• Educational transcripts if using education to meet the minimum qualifications of this position.
• List of three (3) professional references to include daytime telephone and email address. One must be a current or former supervisor.
• Last two (2) performance evaluations. If unavailable, supervisory letters of recommendation can be substituted
• A writing sample of no more than five pages.
• If you have them, please provide any certificates or licenses related to healthcare, investigations and law enforcement (Not required).

SUPPLEMENTAL QUESTIONS

For your application to be evaluated you must answer the Supplemental Questions. The State of Alaska (SOA) uses four levels of proficiency to measure and describe an applicant's level of competence in applying certain behaviors, knowledge, skills, and abilities to accomplish a specific task. The proficiency levels are Mastery, Fluency, Literacy, and Discovery. You will need to rate your proficiency for each competency listed in the supplemental questions.

BACKGROUND CHECK