Special Investigator/State Detective I-IV - Medicaid Fraud Control Unit

DelDOT; Wilmington (DE); On-site; USD 60,000 - 80,000; Full time

Job summary

The Fraud and Consumer Protection Division seeks a Special Investigator responsible for investigating Medicaid fraud and patient abuse. This role requires strong investigative skills, communication abilities, and collaboration with Deputy Attorneys General. Candidates should have law enforcement experience and be familiar with relevant tools.

Benefits

Loan forgiveness

State of Delaware healthcare plan

State of Delaware pension plan

Over 4 weeks of vacation per year

3 weeks of paid sick leave per year

12 weeks of paid parental leave

Qualifications

• Minimum five years law enforcement experience.
• Ability to investigate complex cases independently and as part of a team.

Responsibilities

• Conduct investigations of Medicaid fraud and patient abuse.
• Prepare and submit timely reports of interviews and investigations.

Skills

Communication

Investigation

Tools

Microsoft Office

DELJIS

NCIC

LEISS

Job description

Introduction

Delaware's Attorney General, the State's chief law enforcement officer, has a broad responsibility to combat crime, uphold civil rights, safeguard families, fight fraud, and protect consumers in the First State.
In meeting this mission, Attorney General Kathy Jennings is supported by teams of talented lawyers and staff in the Criminal, Civil, Family, Fraud and Consumer Protection, and Civil Rights and Public Trust Divisions. Each of the more than 500 staff who work in the Office of the Attorney General are dedicated to serving all Delawareans with integrity and passion.
Deputy Attorneys General, with critical support from criminal special investigators, victim service specialists, paraprofessionals, and administrative staff, prosecute criminal cases, enforce consumer laws, provide counsel to state agencies, ensure the public's access to open government, protect the abused, and much more.

Summary Statement

The Fraud and Consumer Protection Division, Medicaid Fraud Control Unit (“MFCU”), seeks a Special Investigator.� Under direct supervision of the Chief Special Investigator, this Special Investigator is responsible for conducting investigations of alleged civil and criminal Medicaid fraud by health care providers; patient abuse, neglect, mistreatment, and financial exploitation in facilities; and diversion of pharmaceutical drugs by health care providers in facilities.� While this position is located in New Castle County, Wilmington, Delaware, MFCU’s jurisdiction is statewide, and investigations will require occasional travel to Kent and Sussex Counties.




***Initial Application Review Date: May 21,
2025***

Preferred Qualification

Applicants who do not possess the below preferred qualifications will still be eligible to compete for this position if job requirements are met.




1.\tExperience with health care fraud investigations.
2.\tExperience with financial crime investigations.
3.\tExperience with drug diversion investigations.
4.\tExperience with abuse/neglect investigations.
5.\tExperience investigating criminal and civil cases.�
6.\tExperience making educational presentations to the public and/or other��
� � � � stakeholders.

Essential Functions

This Special Investigator will work directly with MFCU Deputy Attorneys General in pre-arrest investigations, post-arrest investigations, prosecutions, and civil litigation.� This Special Investigator will interview witnesses, obtain evidence, attend court proceedings, testify as needed, and provide overall vertical prosecution assistance to the Deputy Attorneys General on specific cases.� Depending on the investigation type, this Special Investigator will also collaborate with MFCU auditors and/or nurse analysts.


This Special Investigator will prepare and submit timely reports of interviews and investigations.� This Special Investigator will maintain professional liaisons and coordinate investigations with relevant federal and/or state law enforcement and regulatory agencies.� Duties will include conducting outreach or training presentations, assisting with the intake of cases as needed, and performing other duties as assigned.

Job Requirements

Applicants must have education, training and/or experience demonstrating competence in each of the following areas:







Minimum five years law enforcement experience.
Ability to investigate complex and difficult cases both independently and as part of a team.
Ability to prepare comprehensive investigative reports for review by a Deputy Attorney General for civil and criminal complaints.
Strong written and verbal communication skills.
Current or recent Police Officers Standards Training (“POST”) certification.�
Familiarity with Microsoft Office (Word, Excel, PowerPoint), DELJIS, NCIC, and LEISS.
Possession of a valid driver’s license.
Ability to qualify to carry a DOJ-issued firearm.
Willingness to travel and attend various training opportunities as needed.

Additional Posting Information

Please be sure to upload a recent copy of your resume, as you complete the application process for this posting.
This position is exempt from the State of Delaware Merit System.��
This posting may close before 6/12/2025 upon filling the vacant position.

Conditions of Hire

Criminal background check: A satisfactory criminal background check is required as a condition of hire.�
Direct deposit of paychecks is required as a condition of hire.
Applicants must be legally authorized to work in the United States.
This position is a classification organized under an exclusive bargaining representative (labor organization) that has been elected by employees as their representative for collective bargaining and other applicable terms and conditions of employment, in accordance with Title 29, Chapter 59 and Title 19, Chapter 13 and 16.� This position is covered by a collective bargaining agreement based on its individual terms.

Benefits

Department of Justice Benefits Include:

May be eligible Loan forgiveness (State and Federal).
State of Delaware healthcare plan.
State of Delaware pension plan.
Over 4 weeks of vacation per year.
3 weeks of paid sick leave per year.
12 weeks of paid parental leave.

To learn more about the comprehensive benefit package please visit our website at https://dhr.delaware.gov/benefits/
�

Accommodations

Accommodations are available for applicants with disabilities in all phases of the application and employment process.� To request an auxiliary aid or service please call [phone]. TDD users should call the Delaware Relay Service Number 1-800-232-5460 for assistance.
The State of Delaware is an Equal Opportunity employer and values a diverse workforce. We strongly encourage and seek out a workforce representative of Delaware including race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression.