AGO InvestigatorAnalyst Supervisor, Medicaid Fraud & Abuse Division, Olympia

Description

Persons requiring reasonable accommodation in the application process or requiring information in an alternative format may contact the recruitment team at . Those with a hearing impairment in need of accommodation are encouraged to contact the Washington Relay Service at 1- or .

Position and Salary

The Attorney Generals Office is recruiting for a permanent full time AGO Senior Investigator / Analyst Supervisor in the Medicaid Fraud & Abuse Division. This position is located in Olympia Washington and is represented by the Washington Federation of State Employees (WFSE).

AGO Investigator / Analyst Supervisor Salary Range 69 : $87048 - $117120 annually

The base pay offered will take into account internal equity and may vary depending on the preferred candidates job-related knowledge skills and experience.

The AGO provides a workplace that is understanding of work-life balance and promotes advancement by offering a wide variety of professional development and growth opportunities.

Excellent benefits :

Washington State offers one of the most competitive benefits packages in the nation including Medical / Dental / Vision for employees & dependent(s); Vacation Sick and Other Leave; 11 Paid Holidays per year; Public Employees Retirement System (PERS) plans; and Life Insurance. Beyond these traditional benefits we offer Dependent Care Assistance Flexible Spending Accounts Public Service Loan Forgiveness Tuition Waiver Deferred Compensation Employee Recognition Leave and more. With the goal of employee health and wellness we also offer :

• Flexible schedules and part-time / hybrid telework options;
• A Wellness Program an Infants in the Workplace Program and the Employee Assistance Program which provides counseling webinar and other cost-free support resources;
• Numerous employee-driven affinity groups to foster community and connection including Bereavement Elder Care Parenting POC LGBTQ Veterans and more. The AGO is a place to belong and make a difference!

About the Medicaid Fraud & Abuse Division :

The work of the Offices Medicaid Fraud & Abuse Division (MFAD) focuses on both criminal and civil law enforcement. The 75% federally funded MFADs mission is combating provider fraud abuse and neglect in residential facilities and involving Medicaid recipients in non-institutional Headquarters is located in Olympia Washington with some team members also located at the AGOs Spokane Office and Seattle Office. The Division currently has a staff of 75 FTEs including attorneys auditors special agents data analysts clinical health investigators and professional support staff.

MFAD involves protecting not only the Medicaid program of roughly 22.9 billion dollars per annum but also its most vulnerable persons typically elderly persons in residential facilities or persons abused or neglected by a Medicaid many of our cases there is no precedent so MFAD is consistently on the cutting edge of legal theories and issues. The cases range from abuse and neglect of persons in nursing homes large scale organized individual and corporate civil and criminal fraudulent activity to national whistleblower actions. Our staff is a highly professional fun and seasoned analytical investigative team. MFAD is unique in that all cases have an attorney special agent data analyst assigned with legal support. This and the great people who make up the division gives MFAD a particularly terrific team atmosphere.

Duties and Essential Functions of anAGO Investigator / Analyst Supervisor :

This is an expert level position responsible for investigating and coordinating highly complex civil and criminal healthcare fraud which are of a serious or sensitive nature and are assigned under the oversight of the assigned AAG. The matters range from abuse and neglect in a residential facility to National Medicaid Fraud Control Unit (NAMFCU) matters. This position carries a case load creates investigative plans and participates as a team member on assigned cases.

Works with federal local and Washington State law enforcement agencies as required under 42 USC 1396(b)(q)(4) 42 USC 1007.11 and 77 FR 32645. May lead multi-jurisdictional investigations relating to Medicaid provider fraud abuse and neglect of vulnerable adults. Brings together partner agencies develops case investigation plans delegates duties to other investigators as appropriate and follows up to ensure completion of assignments. The incumbent develops sources of information relating to Medicaid fraud and abuse and neglect in residential facilities; executes search warrants; collects preserves and handles evidence in accordance with established rules of evidence; conducts surveillance; conducts criminal and civil interviews; prepares written reports affidavits and other investigative documents; serves as a subject matter expert in civil and criminal healthcare fraud investigations.

The incumbent will coordinate various Medicaid fraud and long term care abuse and neglect take forces and working groups. Develop promote and provide guidance education and awareness as a subject matter expert. The incumbent is responsible to identify seek out and participate in key stakeholder relationships and other multi-jurisdictional investigative task force / working groups as determined by the Director. The incumbent will either attend (or delegate attendance) key shareholder meetings multi-jurisdictional law enforcement and social welfare agency task force / working group meetings. Establish and maintain good working relationships with administrative agencies and law enforcement. The incumbent acts as a liaison with those agencies to ensure the referral of and requests for assistance and training regarding suspected fraud and abuse violations are delivered by the MFAD.

The incumbent will identify and lead organizational improvement projects. These projects are designed to address process improvements of the Unit or address matters identified in the Unit Strategic Plan. Responsible to identify projects for consideration and upon approval by the Director or the Special Agent in Charge develop a strategy to implement and measure the effectiveness of the project. The incumbent may be tasked with leading the implementation of such approved projects Unit-wide and conduct other duties as assigned

This recruitment announcement may be used to fill multiple open positions for the same classification in addition to the position(s) listed in this announcement.

Required Qualifications :

Bachelors degree and ten years of experience conducting investigations which include the authority to independently plan and conduct investigations in civil or criminal cases. At least two of these years must include supervision of investigators. Additional qualifying investigative experience may substitute year for year for education.

OR

Five years experience as an AGO Senior Investigator / Analyst.

CONDITIONS OF EMPLOYMENT :

A background check consisting of employment history professional references and educational verification (e.g. degree license or official transcript) may be conducted. Prior to any offer the applicant selected will be required to submit to and pass a fingerprint-based criminal background check conducted by the Washington State Patrol Criminal Records Division. The incumbent will submit to additional background checks as a condition of employment every five (5) years thereafter.

About the Washington State Office of the Attorney General

The Attorney Generals Office (AGO) touches the lives of every resident in this state. We serve more than 230 state agencies boards commissions colleges and universities as well as the Legislature and the Governor. The Office is comprised of nearly 700 attorneys and 800 professional staff all working together to deliver the highest quality professional legal services to Washington state officials agencies and entities. This includes :

Our agency also has national reach representing the State of Washington before the Supreme Court the Court of Appeals and trial courts in all cases that involve the states interest. If you want to make a difference we may be the perfect fit for you! Learn more about the AGO here.

Commitment to Diversity

Diversity is critical to the success of the mission of the AGO. This means recognizing respecting and appreciating all cultures and backgrounds and fostering the inclusion of differences between people. Appreciating valuing and implementing principles of diversity permits AGO employees to achieve their fullest potential in an inclusive respectful environment.

One recent measure of the AGOs commitment to diversity can be found in its nomination for Rainbow Alliance and Inclusion Networks Outstanding Agency Award in 2019. Our commitment to employee wellness is reflected in earning the 2024 Zo8 Washington Wellness Award.

APPLICATION INSTRUCTIONS :

In addition to completing the online application applicants must attach the following documents to their profile in order to be considered for this position :

READ THE FOLLOWING INFORMATION COMPLETELY :

Equal Employment Opportunity and Accommodations Requests

Honoring diversity equity and inclusion means that as an agency and as individuals we are committed to ensuring that all employees and volunteers enjoy a respectful safe and supportive working environment. Only by fostering the inclusion of people from all backgrounds cultures and attributes can AGO employees and volunteers achieve their fullest potential and best advance the goals and mission of the AGO.

The AGO is an equal opportunity employer and does not discriminate on the basis of race creed color national origin sex marital status sexual orientation / gender identity age disability honorably discharged veteran or military status retaliation or the use of a trained dog guide or service animal by a person with a disability. Persons requiring reasonable accommodation in the application process or requiring information in an alternative format may contact the recruitment team at . Those with a hearing impairment in need of accommodation are encouraged to contact the Washington Relay Service at 1- or .

For questions regarding this recruitment or assistance with the application process please contact the recruitment team at .

If you are having technical difficulties creating accessing or completing your application please call NEOGOV toll-free at or .

Required Experience :

Manager

Key Skills

Risk Management,Bank Secrecy Act,Fraud,PCI,Law Enforcement,Banking,Business Management,Regulatory Reporting,Analysis Skills,Customer Support,UCC Law,RMF

Employment Type : Full-Time

Experience : years

Vacancy : 1

Monthly Salary Salary : 7254 - 9760