INVESTIGATOR (INTERNAL SECURITY INVESTIGATOR I)

State-of-Illinois; Chicago (IL); Hybrid; USD 68,000 - 98,000; Full time

Job summary

The Department of Healthcare and Family Services, Office of Inspector General, Bureau of Investigations seeks an energetic Investigator I to independently conduct field investigations of fraud, waste, and abuse in Medicaid and related programs. Strong judgment and collaboration with partners are required.

The ideal candidate has investigative experience, is organized, and can manage tasks to ensure timely completion, with ethical and professional conduct throughout the process.

Qualifications

• Requires two years of college with coursework in law, government, liberal arts, history or business or public administration plus three years professional experience in law enforcement investigatory work or related field.
• Or four years of college with major coursework in law, government, liberal arts, history or business/public administration plus one year professional experience in law enforcement investigatory work or related field.
• Or FBI National Academy or comparable law enforcement schooling.

Responsibilities

• Serve as Investigator for the Office of Inspector General (OIG) Bureau of Investigations (BOI).
• Gathers and analyzes records such as medical records, claims data, financial statements, timesheets.
• Reviews relevant laws, rules, or other policies.
• Liaises with managed care organizations, law enforcement, federal and local government officials, and sister agencies.
• Testifies in administrative, civil, and criminal proceedings.

Skills

Investigative techniques

Healthcare investigations

Laws & regulations

Report writing

Interagency coordination

Education

2+ years college + 3 years law enforcement experience

4-year college with law/government focus

FBI National Academy or equivalent

Job description

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INVESTIGATOR (INTERNAL SECURITY INVESTIGATOR I)

We continually strive for a workforce that reflects the growing diversity within the State of Illinois. A variety of employee backgrounds, perspectives, ideas and experiences are crucial to our ability to most effectively serve the public. Bilingual skills welcome

Reasonable Accommodation Statement

The State of Illinois is committed to working with and providing reasonable accommodations to people with disabilities. Further, federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job, interview for a job, or for any other activity related to the hiring process. Examples of reasonable accommodation include, but are not limited to, making a change to the application process (if possible), providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

To be provided a Reasonable Accommodation during the hiring process, you will need to provide a certification of disability from a physician, psychiatrist, school official or an Illinois Department of Human Services (DHS) Division of Rehabilitation Services (DRS) Vocational Rehabilitation (VR) Counselor. Supporting documentation should be uploaded under My Documents → Additional Documents section for each application.

Any questions on Reasonable Accommodations can be directed to Central Management Services Disability Resource Center at [e-mail] or call [phone] for further information and to request or discuss an accommodation.

Sponsorship for Employment

The State of Illinois does not provide sponsorship for employment visa status (e.g. H-1B visa status), nor is the State able to provide extensions of optional practical training (OPT) under the STEM-designated degree program for F-1 students. To be considered for permanent employment with the State of Illinois, applicants must be currently authorized to work in the United States on a full-time basis.

Disclosure of Salary Information

In compliance with the Illinois Equal Pay Act, 820 ILCS 112/1 et seq., the State does not seek, request, or require a job applicant’s wage or salary history. Employment decisions are not made based on an applicant’s wage or salary history. To that end, please do not include wage or salary information in your resume or other profile or application materials.

Agency: Department of Healthcare and Family Services
Class Title: INTERNAL SECURITY INV I - 21731
Salary: Anticipated starting salary $6,135/month; Full salary range $6,135 - $8,790/month
Job Type: Salaried
Category: Full Time
Number of Vacancies: 1
Bargaining Unit Code: RC062 Technical Employees, AFSCME
Work Hours: Monday - Friday 8:30am - 5:00pm
Anticipated Hybrid Work Schedule Availability: It is required that a person reports to the headquarters on this job position as necessary (could be weekly, monthly, or other schedule) dependent on operational need
Headquarter Location: 401 S Clinton St, Chicago, Illinois, 60607
Work County: Cook
Agency Contact: HFS.DPASApps @ illinois.gov

This position is a union position; therefore, provisions of the relevant collective bargaining agreement/labor contract apply to the filling of this position.

Why Work for Illinois?

Working with the State of Illinois is a testament to the values of compassion, equity, and dedication that define our state. Whether you’re helping to improve schools, protect our natural resources, or support families in need, you’re part of something bigger—something that touches the lives of every person who calls Illinois home.

No matter what state career you’re looking for, we offer jobs that fit your life and your schedule—flexible jobs that provide the gold standard of benefits. Our employees can take advantage of various avenues to advance their careers and realize their dreams. Our top-tier benefits and great retirement packages can help you build a rewarding career and lasting future with the State of Illinois.

Position Overview

The Department of Healthcare and Family Services, Office of Inspector General, Bureau of Investigations is seeking to hire an energetic and qualified professional to fulfill the responsibilities of an Investigator. This position will independently perform thorough field investigations of suspected fraud, waste, and abuse involving the Illinois Medicaid program, Child Care Assistance Program, and other Healthcare and Family Services employees, contractors, and programs.

The ideal candidate will have investigative experience, strong organizational and task management skills, and good judgment. This individual must work collaboratively, prioritize work appropriately, and ensure timely completion of tasks. The incumbent will demonstrate independent initiative, communicate clearly, and always conduct themselves ethically and professionally.

Essential Functions

• Under general supervision, serves as Investigator for the Office of Inspector General (OIG) Bureau of Investigations (BOI)
• Gathers and performs analyses of records such as medical records, claims data, financial statements, timesheets)
• Reviews relevant laws, rules, or other policies
• Serves as a liaison and successfully engages with managed care organizations, law enforcement, federal and local government officials, and sister agencies such as the Illinois Department of Human Services and the Illinois Department on Aging
• Testifies in administrative, civil, and criminal proceedings
• Performs other duties as required or assigned that are reasonably within the scope of the duties enumeratedabove

Minimum Qualifications

Requires knowledge, skill, and mental development equivalent to completion of two (2) years of college with coursework in law, government, liberal arts, history or business or public administration plus three (3) years professional experience in law enforcement investigatory work or a related field.
OR
Requires knowledge, skill and mental development equivalent to four (4) years of college, with major coursework in law, government, liberal acts, history or business or public administration, plus one (1) year professional experience in law enforcement investigatory work or a related field.
OR
Requires completion of the FBI National Academy or comparable law enforcement schooling.

Preferred Qualifications

• Two (2) years of professional experience utilizing modern law enforcement investigatory techniques and concepts
• Two (2) years of professional experience conducting investigations involving healthcare, insurance, employment, or government benefit programs
• Two (2) years of professional experience in following investigative policies and procedures
• Two (2) years of professional experience writing and editing detailed and comprehensive investigative reports in preparation for referral to external parties
• Two (2) years of professional experience working with statutes, rules, and regulations concerning misconduct

Conditions of Employment

• Requires the ability to pass a background check and self-closure of criminal history
• Requires ability to travel in the performance of duties, with overnight stays as appropriate. Requires appropriate, valid driver’s license
• Requires the ability to utilize and maintain state issued equipment such as a laptop
• Must not have been convicted of a felony or Class A misdemeanor
• Requires ability to attend seminars, conferences, and trainings to stay current on methods, tools, ideologies, or other industry related topics relevant to the job duties
• Must be able to sit or stand for extended periods of time
  The conditions of employment listed here are incorporated and related to any of the job duties as listed in the job description.

About the Agency

At the Illinois Department of Healthcare and Family Services (HFS), we value staff as our greatest asset. We work in a spirit of teamwork to help millions of Illinoisans access high quality healthcare and fulfill child support obligations to advance their physical, mental, and financial well-being. We provide healthcare coverage for children and adults through Medicaid and other medical programs, and we help ensure that children receive financial resources from both their parents through Child Support Services. The HFS Office of the Inspector General investigates, audits and reviews program activity to ensure the integrity of our programs is maintained.

HFS is committed to promoting and preserving a workplace culture that embraces diversity, equity, and inclusion. We welcome and value employees with different backgrounds, life experiences, and talents. It is the collective sum of our individual differences that provides a broad perspective, leading to greater innovation and achievement. In recruiting for our team, we recognize the unique contributions of each applicant regardless of culture, ethnicity, race, national origin, sex, gender identity and expression, age, religion, disability, and sexual orientation.HFS is an equal opportunity employer.

Benefits Statement

Employees receive a robust benefit package including:

• Flexible work schedules are available in many program areas. (Remote work may be an option for certain positions.)
• Health, Life, Vision, and Dental Insurance
• Pension Plan
• Deferred Compensation Program and other pre-tax benefit programs (Medical/Daycare)
• Employees earn (12) paid Sick Days annually.
• New Employees earn (10) paid Vacation Days their first year of service and can earn up to (25) paid Vacation Days annually.
• Employees earn (3) paid Personal Days annually.
• (13-14) paid holidays annually (based on start date)

This position DOES NOT contain “Specialized Skills” (as that term is used in CBAs).