SENIOR INVESTIGATOR - 1 1 1

Uloop Inc.; Miami (FL); On-site; USD 47,434 - 50,744; Full time

Job summary

The Office of the Attorney General in Florida's Medicaid Fraud Control Unit is seeking a Senior Investigator in Miami. The role involves independent investigations of Medicaid fraud and patient abuse, gathering evidence, interviewing witnesses, and preparing reports and exhibits for potential court proceedings.

Responsibilities include conducting routine and complex investigations, reviewing records, and assisting in prosecutions with testimony in court.

Qualifications

• Experience and/or education meeting minimum qualifications.

Responsibilities

• 65% Conducts routine and complex investigations of possible Medicaid fraud and/or patient abuse, including interviews with witnesses and possible criminal violators.
• 20% Review records collected during investigation and prepare reports pertaining to all aspects of the investigation for use in criminal prosecution, civil actions and administrative referrals.
• 10% Assist in the prosecution of Medicaid fraud and/or patient abuse to include testimony in courts of law pertaining to the investigation.
• 5% Perform other duties as assigned.

Job description

Senior Investigator

The Office of the Attorney General within the Medicaid Fraud Control Unit in Miami, Florida.

Salary: $47,434.14 - $50,744.20 annually.

Responsibilities

This position is in the Medicaid Fraud Control Unit enforcing all matters addressed in 409.920, Florida Statutes. This is independent work conducting investigations of alleged violations of applicable laws pertaining to Medicaid fraud in the administration of the Medicaid program and/or the alleged abuse or neglect of patients in health care facilities governed by the State Medicaid program. An employee in this position performs all aspects of Medicaid fraud investigations as well as initiating investigative leads, collecting evidence, analyzing evidence, conducting interviews, preparing reports and exhibits to include testimony in courts.

• 65% Conducts routine and complex investigations of possible Medicaid fraud and/or patient abuse, including interviews with witnesses and possible criminal violators.
• 20% Review records collected during investigation and prepare reports pertaining to all aspects of the investigation for use in criminal prosecution, civil actions and administrative referrals.
• 10% Assist in the prosecution of Medicaid fraud and/or patient abuse to include testimony in courts of law pertaining to the investigation.
• 5% Perform other duties as assigned.

Qualifications

Candidate must have verifiable experience, education, training, knowledge, skills and/or abilities, and responses to pre-qualifying questions that meet the minimum qualifications.

Benefits

Annual and Sick Leave benefits. Nine paid holidays and one Personal Holiday each year. State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options. Retirement plan options, including employer contributions. Flexible Spending Accounts. Tuition waivers.

Legal & Equal Opportunity Statements

The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer and does not tolerate discrimination or violence in the workplace. The Office of the Attorney General participates in the U.S. government's employment eligibility verification program (E-Verify). The agency supports employment of individuals with disabilities and encourages them to seek employment within the agency. Male applicants born on or after October 1, 1962 are required to be registered with the Selective Service System before their 26th birthday or have a Letter of Registration Exemption. The State of Florida supports a drug-free workplace and all employees are subject to reasonable suspicion or other drug testing in accordance with Section 112.0455, F.S. All employees are required to participate in the direct deposit program and OAG positions require favorable background investigation including fingerprinting. The agency hires only U.S. citizens and those lawfully authorized to work in the U.S.