Medicaid FANS Investigator

State of South Dakota; Pierre (SD); On-site; USD 43,000 - 45,000; Full time

Job summary

State of South Dakota in Pierre, SD seeks a motivated MFANS Investigator to investigate Medicaid provider fraud, abuse, and neglect. The role focuses on safeguarding patients in nursing homes, hospitals, and pharmacies by conducting investigations and prosecuting cases with attorneys.

The position is full-time with competitive hourly pay. Applicants must have a four-year degree, SD law enforcement certification, at least three years of relevant experience, and may receive preference for

Qualifications

• Bachelor’s degree from an accredited four-year college or university.
• Be a certified law enforcement officer in the State of South Dakota.
• Minimum of three years of criminal or law enforcement experience.
• Background in healthcare, law enforcement, accounting, or auditing given special consideration.

Responsibilities

• Investigate Medicaid provider fraud cases, drug diversion, elder abuse, neglect, and exploitation.
• Conduct investigations and prepare cases with analysts and attorneys.
• Safeguard taxpayer dollars by protecting patients in healthcare settings.
• Must be able to safely operate a motor vehicle.

Skills

Investigative techniques

Criminal law procedures

Analytical skills

Written and verbal communication

Interpersonal skills

Independent work

Vehicle operation

Education

Bachelor’s degree

Job description

Job ID: 35643

Agency: Office of the Attorney General

Location: Pierre, SD

Salary: $31.00-$33.50 Hourly, depending on qualifications

Pay Grade: J

Closing Date: 9/21/26

This is a full-time position with the Office of the Attorney General. For more information on the Office of the Attorney General, please visit http://atg.sd.gov .

The Office of Attorney General is looking for a highly motivated and dedicated Investigator who is ready to make the commitment to protect South Dakotans from Medicaid fraud, abuse, and neglect. Our Medicaid Fraud, Abuse, and Neglect Services (MFANS) team provides the opportunity to make a positive difference every day in an organization that is unlike any other in our state. As a MFANS Investigator, you will play a vital part in safeguarding taxpayer dollars by investigating and prosecuting healthcare provider fraud that undermines our healthcare system. This critical work focuses on protecting patients in healthcare settings — including nursing homes, hospitals, and pharmacies — where fraud deprives them of quality care and wastes public resources. MFANS also protects the most vulnerable by investigating and prosecuting abuse, neglect, and exploitation in healthcare environments. As an MFANS Investigator, you will conduct investigations into Medicaid provider fraud cases, drug diversion within the healthcare industry, and elder abuse, neglect, and exploitation. This work directly improves patient safety and upholds the integrity of our healthcare system.

Licenses And Certifications

• State of South Dakota law enforcement certification, or ability to become a South Dakota certified law enforcement officer.

Applicants must be able to meet all minimum standards for law enforcement employment and certification at the time of appointment. Applicants who are not law enforcement certified must complete a thirteen-week basic law enforcement certification course.

The Ideal Candidate Will Have

• Bachelor’s degree from an accredited four-year college or university;
• be a certified law enforcement officer in the State of South Dakota;
• minimum of three years of criminal or law enforcement experience;
• special consideration will be given to applicants with a background in healthcare, law enforcement, accounting, or auditing.

Knowledge, Skills, And Abilities

• demonstrated knowledge of investigative techniques and criminal law procedures;
• strong analytical and research skills;
• read, comprehend, retain, and apply written factual information obtained in interviews and factual information into clear reports;
• demonstrated proficiency in interview and interrogation skills;working knowledge of state and federal law, search/seizure, and evidence standards;
• analyze situations quickly and objectively;
• observe and recall detail;
• confront a variety of problems and situations relating to theft of Medicaid funds, patient abuse/neglect, and financial exploitation;
• strong interpersonal skills;
• strong written and verbal communication skills;
• dependability and sound work habits;
• impeccable integrity, truthfulness, and credibility;
• self-motivation and the ability to work independently and collaborate with analysts and attorneys in preparing cases;
• must be able to safely operate a motor vehicle.

Additional Requirements: To be considered, please attach a cover letter, your resume, and three professional references.

This position is exempt from the Civil Service Act.

This position is eligible for Veterans’ Preference per ARSD 55:10:02:08.

Successful applicant(s) will be required to undergo a background investigation. An arrest/conviction record will not necessarily bar employment. Successful applicant(s) will undergo an abuse and neglect screening. Offers of employment are conditional upon successful completion of a drug screening.

The State of South Dakota does not sponsor work visas for new or existing employees. All persons hired will be required to verify identity and eligibility to work in the United States and complete an Employment Eligibility Verification, Form I-9. The State of South Dakota as an employer will be using E-Verify to complete employment eligibility verification upon hire.

The State of South Dakota offers $0 premium employee health insurance option plus eleven paid holidays, generous vacation and sick leave accrual, dental, vision, and other insurance options, and retirement benefits. You can view our benefits information here .

This position is a member of Class A retirement under SDRS.

South Dakota Bureau of Human Resources

Telephone: [phone] Email: [e-mail]

http://bhr.sd.gov/workforus

An Equal Opportunity Employer