Medicaid Fraud Attorney – Civil Litigation

California Department of Justice; Sacramento (CA); Hybrid; USD 144,000 - 196,000; Full time

Benefits offered by this job

Health/Dental/Vision Insurance

11 paid holidays

Flexible paid leave options

Pension retirement

Job stability

Public Service Loan Forgiveness (PSLF)

Job summary

California Department of Justice's Division of Medi-Cal Fraud and Elder Abuse is seeking a Medicaid Fraud Attorney - Civil Litigation to lead investigations of complex healthcare fraud and litigate in state and federal courts. Attorneys manage their own caseloads, collaborate with auditors, and may serve as lead counsel on significant investigations.

The role blends in-office work one designated day per week with telework on other days, located in Sacramento with ample free parking and

Job description

Job Description And Duties

Are you interested in investigating complex healthcare fraud schemes, holding healthcare providers accountable, and recovering millions of taxpayer dollars for California's Medi-Cal program?

The Division of Medi-Cal Fraud and Elder Abuse (DMFEA), the California Department of Justice’s fastest-growing Division, is seeking a Deputy Attorney General (DAG) for its Civil Section. Civil Section attorneys investigate and litigate complex healthcare fraud matters involving hospitals, pharmaceutical companies, pharmacies, hospices, nursing facilities, medical equipment providers, and other healthcare entities. Cases are investigated and litigated in both state and federal courts and frequently involve violations of the California False Claims Act.

This role allows attorneys to build cases from the ground up, developing investigative strategy, working closely with auditors and investigators, interviewing witnesses, analyzing claims data, and determining the best path toward resolution, whether through settlement or litigation.

Experience with the Medi-Cal program, healthcare law, the pharmaceutical industry, managed care, healthcare fraud, or False Claims Act litigation is helpful but not required. The successful applicant will demonstrate the ability to perform complex, sensitive legal work independently while collaborating effectively within a small, highly engaged team of attorneys, paralegals, auditors, and support staff. Attorneys manage their own caseloads and may serve as lead counsel on significant investigations and litigation.

Unless case work, operational needs, or other circumstances require otherwise, attorneys currently work one designated day per week in the office, with the remaining days teleworking. This schedule is subject to change. The office is located in Sacramento, off Garden Highway, and offers ample free parking.

You will find additional information about the job in the Duty Statement.

Duties Include, But Are Not Limited To

• Independently developing and executing strategic investigative and litigation plans from intake through resolution
• Conducting document-intensive and data-driven investigations
• Obtaining evidence through informal investigative techniques and formal legal process
• Identifying, interviewing, and evaluating witnesses
• Performing legal research, particularly involving healthcare fraud and False Claims Act issues
• Directing and coordinating the work of paralegals and investigative auditors assigned to matters
• Analyzing healthcare claims data and developing damages models to support settlement negotiations and litigation
• Litigating complex healthcare fraud matters in state and federal courts, when necessary
• Working collaboratively with multidisciplinary teams that include auditors, investigators, attorneys from other states, U.S. Attorneys’ Offices, and other federal and state enforcement agencies
• Communicating effectively, both orally and in writing

Position Details

• Job Code #: JC-532195
• Position #(s): 423-652-5705-XXX
• Working Title: Medicaid Fraud Attorney - Civil Litigation
• Classification: DEPUTY ATTORNEY GENERAL IV
• $11,993.00 - $16,096.00
• New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable.
• Shall Consider: DEPUTY ATTORNEY GENERAL III
• $10,852.00 - $15,325.00
• # of Positions: 1
• Work Location: Sacramento County
• Telework: Hybrid
• Job Type: Permanent, Full Time
• Work Week: Monday-Friday

Department Information

• This position is located in the Division of Medi-Cal Fraud and Elder Abuse, Civil Section - Sacramento.
• The Deputy Attorney General classifications qualify for a "Hire Above Minimum" (HAM) salary. The starting salary for each classification will be: Deputy Attorney General III (5 years): $12,046 Deputy Attorney General IV (6+ years): $13,313 New to State candidates will be hired at the starting HAM salary of the classification.
• Please disregard the SROA/Surplus language below, as the Department of Justice requires applicants to submit their SROA/Surplus Letter if that is the basis of their eligibility.
• For more information about the department, please visit the Attorney General's website at www.oag.ca.gov.
• Personal Leave Program: Effective July 1, 2025, state employees are subject to temporary wage reductions in exchange for Personal Leave Program (PLP) accruals. The specific rate and hours earned were negotiated and agreed upon by each bargaining unit. The actual monetary impact of these temporary reductions can vary based on your bargaining unit and/or federal and state tax withholdings. For additional information please visit Human Resources Manual - CalHR.

Benefits of working for the State of California

• Work-life balance
• 11 paid holidays
• Flexible paid leave options
• Consistent wage increases
• Pension retirement
• Job stability
• Health/Dental/Vision Insurance
• Public Service Loan Forgiveness (PSLF) and more!