Medicaid Fraud Special Agent III

Colorado AG; Denver (CO); On-site; USD 99,000 - 124,000; Full time

Job summary

Colorado Department of Law's Consumer Protection MFANU seeks a Special Agent III to lead complex Medicaid provider fraud and patient abuse investigations in Colorado. The role requires independent analysis, strategic planning, interviewing suspects and witnesses, and coordinating with attorneys and law enforcement partners to build criminal and civil cases.

Responsibilities include preparing reports, warrants, and litigation support materials, providing testimony in court, and potentially

Qualifications

• Combination of directly related education in Criminal Justice, Psychology, Sociology, or a closely related field and professional investigative experience as a sworn detective or criminal investigator with a government or law enforcement agency, totaling six (6) years.
• Experience conducting felony-level criminal investigations and leading investigations that resulted in charges.

Responsibilities

• Independently conduct complex criminal, civil, and administrative investigations involving Medicaid provider fraud and patient abuse or neglect.
• Coordinate investigative activities with attorneys, compliance investigators, forensic accountants, analysts, and other law enforcement partners.
• Prepare comprehensive investigative reports, affidavits, search warrants, and litigation support materials; provide testimony in court.
• Provide investigative guidance and training to other investigators and law enforcement agencies.

Skills

Organizational skills

Lead investigations

Oral and written communication

Customer service

Analytical thinking

Education

Criminal justice related degree

Job description

Colorado Department of Law's Consumer Protection MFANU seeks a Special Agent III to lead complex Medicaid provider fraud and patient abuse investigations in Colorado. The role requires independent analysis, strategic planning, interviewing suspects and witnesses, and coordinating with attorneys and law enforcement partners to build criminal and civil cases.

Responsibilities include preparing reports, warrants, and litigation support materials, providing testimony in court, and potentially