Medicaid Fraud Attorney – Civil Litigation

State of California; California; Hybrid; USD 120,000 - 180,000; Full time

Job summary

The State of California, Department of Justice, Division of Medi-Cal Fraud and Elder Abuse (DMFEA) seeks a Deputy Attorney General in its Civil Section to investigate and litigate false claims and Medi-Cal fraud nationwide.

The DAG will lead strategic case plans, manage investigations, supervise staff, and coordinate with federal and state partners. Telework is available most days with 1-2 days in the office.

Qualifications

• Minimum Requirements are listed in the Class Specification.
• DEPUTY ATTORNEY GENERAL IV
• DEPUTY ATTORNEY GENERAL III

Responsibilities

• independently develop strategic case plans;
• litigate state FCA violations and other violations of California's Medi-Cal program;
• manage and shepherd investigations;
• handle informal and formal document-intensive and data-driven discovery;
• identify, interview, and evaluate witnesses;
• perform legal research in the areas of health care fraud and False Claims Act law;
• guide paralegals and investigative auditors;
• analyze claims data and develop damage models;
• communicate effectively orally and in writing; and
• coordinate enforcement efforts with multidisciplinary teams involving personnel from other state agencies, states' Attorneys General's offices, U.S. Attorney's Offices, and other federal offices in joint investigations and actions.

Job description

Are you interested in fighting Medicaid fraud committed by hospitals, pharmaceuticals, pharmacies, nursing facilities, medical equipment providers, and other healthcare providers and recovering millions of taxpayers’ dollars?

The Division of Medi-Cal Fraud and Elder Abuse (DMFEA), the Department of Justice’s fastest growing Division, is seeking a Deputy Attorney General (DAG) in its Civil Section. The DAG investigates and litigates matters in state and federal courts nationwide involving fraud committed by medical providers at the expense of California’s Medicaid program, Medi-Cal, including violations of the state False Claims Act (FCA).

Duties include:

• independently develop strategic case plans;
• litigate state FCA violations and other violations of California's Medi-Cal program;
• manage and shepherd investigations;
• handle informal and formal document-intensive and data-driven discovery;
• identify, interview, and evaluate witnesses;
• perform legal research in the areas of health care fraud and False Claims Act law;
• guide paralegals and investigative auditors;
• analyze claims data and develop damage models;
• communicate effectively orally and in writing; and
• coordinate enforcement efforts with multidisciplinary teams involving personnel from other state agencies, states' Attorneys General's offices, U.S. Attorney's Offices, and other federal offices in joint investigations and actions.

Experience in and/or knowledge of the Medi-Cal Program, the health care and pharmaceutical industries, health care fraud, managed care, and FCA litigation is helpful but not required. A successful applicant will have a demonstrated ability to perform assignments consisting of the more complex and sensitive legal work of the Office of the Attorney General. While the DAG will handle their own caseload, they will be a member of a small team of attorneys, paralegals and secretaries and would interact with their team regularly, and may act as the lead attorney in certain matters.

Unless case work, operational needs, or other circumstances require, the current work posture involves 1-2 set days per week in the office, with the remaining 3-4 days done via telework.

Benefit information can be found on the CalHR website and the CalPERS website.

Minimum Requirements

You will find the Minimum Requirements in the Class Specification.

• DEPUTY ATTORNEY GENERAL IV
• DEPUTY ATTORNEY GENERAL III

Desirable Qualifications

In addition to evaluating each candidate's relative ability, as demonstrated by quality and breadth of experience, the following factors will provide the basis for competitively evaluating each candidate:

Complex civil plaintiff or defense trial experience is helpful but not required; demonstrated ability and experience in developing case plans, managing caseloads, and coordinating investigative activities, including civil case preparation and witness management. Experience in health care law, false claims act (federal or state) experience, knowledge of the health care industry and the Medi-Cal program would be helpful. Demonstrated success as a team player who works well with others. Proven self-starter and possesses an excellent work ethic. Highly positive attitude; exercises a strong sense of professionalism; and is able to work independently and diligently.