Medicaid Fraud & Abuse 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

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.