Medicaid Fraud Investigator II

State of Colorado; Denver (CO); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Flexible work arrangements

Public Service Loan Forgiveness

Competitive benefits

Job summary

State of Colorado’s Department of Law seeks a Compliance Investigator II for the Medicaid Fraud Control Unit to lead complex civil and criminal investigations into healthcare fraud, abuse, and neglect. You will analyze financial, medical, and investigative data, develop strategies, and prepare reports for prosecutors while coordinating with attorneys and law enforcement partners.

The role requires six years of investigation experience (or equivalent education/experience), strong analytical

Qualifications

• Requires six years of professional investigation experience including complaint intake, follow up, and final recommendations.
• Education and experience may substitute for six years of investigation experience as described.

Responsibilities

• Conduct complex civil and criminal investigations into healthcare fraud and abuse.
• Prepare comprehensive investigative reports, affidavits, and charts for prosecutorial use.
• Conduct interviews with witnesses, suspects, and involved parties; gather evidence and preserve chain of custody.

Skills

Investigation

Healthcare fraud

Data analysis

Interviewing

Evidence handling

Report writing

Education

Criminal justice education

Tools

Case management systems

Criminal justice databases

Public records resources

Job description

State of Colorado’s Department of Law seeks a Compliance Investigator II for the Medicaid Fraud Control Unit to lead complex civil and criminal investigations into healthcare fraud, abuse, and neglect. You will analyze financial, medical, and investigative data, develop strategies, and prepare reports for prosecutors while coordinating with attorneys and law enforcement partners.

The role requires six years of investigation experience (or equivalent education/experience), strong analytical