Medicaid FANS Investigator

South Dakota State Government; Pierre (SD); On-site; USD 43,000 - 47,000; Full time

Benefits offered by this job

Health insurance option

Paid holidays

Vacation and sick leave accrual

Dental insurance

Vision insurance

Retirement benefits

Job summary

Office of the Attorney General in Pierre, SD seeks a MFANS Investigator to protect Medicaid funds and patients. The role involves conducting investigations into fraud, abuse, and neglect in healthcare settings, and collaborating with analysts and attorneys to build strong cases.

Requirements include SD law enforcement certification or ability to obtain it, a bachelor's degree, and at least three years in criminal or law enforcement work.

Qualifications

• Bachelor's degree from an accredited four-year college or university.
• State of South Dakota law enforcement certification or ability to obtain certification.
• Minimum of three years of criminal or law enforcement experience.

Responsibilities

• Investigate Medicaid fraud, abuse, and neglect cases to protect patients and state resources.
• Conduct thorough investigations, collect and analyze evidence, and prepare case reports.
• Collaborate with analysts and attorneys to prepare cases for prosecution or referral.
• Uphold integrity and comply with state and federal laws during investigations.

Skills

Investigative techniques

Analytical skills

Interviewing skills

Criminal law knowledge

Report writing

Communication skills

Integrity

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.

Join our thriving team with a mission that truly makes a difference in your community.

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.

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'

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