General Job Information
Job Summary
This position is a Criminal Investigator (Healthcare) in the Medicaid Fraud Control Unit (MFCU).
The MFCU is a Unit responsible for investigating and prosecuting cases involving healthcare fraud by providers in the District Medicaid program and abuse, neglect, or financial exploitation of individuals residing in Medicaid-funded healthcare facilities.
The Criminal Investigator is expected to have a full range of experience in handling all aspects of complex criminal investigations and extensive experience in handling commercial and financial fraud investigations.
Major Duties :
The Cl's primary duties are to investigate criminal and noncriminal cases of importance to the DC OIG and District government.
Consults with senior investigator and / or supervisor in initiating investigations, formulating investigative plans and violation matrix, investigating, and providing work products in a timely manner.
Develops schedule of investigative "milestones" relevant to conduct of individual work assignments.
Receives complaints / allegations under procedures identified in the Investigations Unit Standard Operating Procedures (SOP) for the criminal investigations program.
Analyzes complaints / allegations against applicable laws, regulations, and policies in terms of potential credibility.
Secures facts and develops evidence from all sources to establish the extent and nature of violations.
Prepares and maintains case files, to include completing all required actions in the electronic case management system and placing all documents file in the electronic case management system.
Properly seizes and safeguards evidence to preserve the integrity of the chain of custody.
Conducts interviews and ensures that all District employees and non-employees interviewed during an official investigation are provided all requisite warnings, as the circumstances of the investigation warrant.
Creates an accurate, clear, and well-written record of events associated with all interviews and investigative activity.
For administrative cases, draft reports of investigations for responsible management officials to take any necessary corrective action.
Conducts all investigative responsibilities and duties, such as executing search warrants and subpoenas, under established investigative policies and procedures.
Assists the Department of Justice and United States Attorneys Office to prepare cases for presentation to Federal grand juries.
Assists the District of Columbia Office of the Attorney General to prepare cases for criminal, civil and / or administrative actions.
Testifies in court as required.
Participates in routine surveillance activities.
Keeps appropriate supervisory personnel timely informed on investigative plans and activities.
Conducts administrative investigations involving payroll, travel, personnel management, waste, or mismanagement of resources (, funds, material and personnel), procurement, contracting issues, and standards of conduct violations.
Performs other related duties as assigned.
Other Significant Facts
Tour of Duty : This position may require the CI to work extended work hours. This position may require the CI to perform on-call duties or perform emergency basis availability duties.
Promotion Potential : No Known Promotion Potential
Duration of Appointment : Career Service
Pay Plan, Series, and Grade, CS-1811-12
Collective Bargaining Unit (Non-Union) : This position is not part of a collective bargaining unit.
This position requires the incumbent to frequently handle multiple cases simultaneously in a fast paced, time-sensitive environment with frequently changing priorities.
This position does not provide federal law enforcement retirement and / or Law Enforcement Availability Pay (LEAP).
Medical Requirements : This position requires the applicant to take and pass a pre-employment physical examination. This position requires the CI to take and pass an annual medical examination.
This position requires moderate physical exertion involving walking, standing, running, use of firearms, and exposure to inclement weather.
Manual dexterity with comparatively free motion of finger, wrist, elbow, shoulder, hip, and knee joints is required. Arms, hands, legs, and feet must be sufficiently intact and functioning to allow applicants to perform the assigned duties.
Sufficiently good vision in each eye, with or without correction, is required to perform the duties satisfactorily. Corrective lenses are permitted, and vision must be sufficient to read printed material the size of typewritten characters.
Hearing loss, as measured by an audiometer, must not exceed 35 decibels at 1000, 2000, and 3000 Hz levels. Because the duties of this position may involve activities under stressful conditions, applicants must possess emotional and mental stability.
Any physical condition that would cause the applicant to be a hazard to themselves or others is disqualifying.
Physical Demands : The work may involve long periods of standing and recurring stooping and bending. The work can require frequent and recurring surveillance in which there is considerable walking, stooping, bending, and climbing.
The incumbent may have to remain in one location for many hours without relief. The work may also include frequent lifting of moderately heavy objects such as luggage or boxes in cargo containers.
Incumbents must also be prepared to protect themselves or others from physical attacks and without warning and to use firearms as required by the positions.
Work Environment : The work is performed in a fast-paced environment with constantly changing priorities; an office setting with adequate lighting, heating, and ventilation.
However, duties may require frequent visits to areas with high crime rates to conduct interviews of suspects and surveillance operations, which may include exposure to extreme weather conditions outside in the elements (, rain, heat, cold, etc.
The incumbent is required to carry a firearm.
This position requires the CI to possess, upon appointment, and maintain a valid driver's license.
The position requires the CI to take and pass a pre-employment physical examination.
The position requires the CI to take and pass annual examinations.
This position requires the employee to successfully qualify with the use of a firearm within 90 days of appointment and maintain all established requirements for carrying and using firearms, and follow use of force guidelines in accordance with investigative policies and procedures.
Firearms qualification is mandatory as part of the assigned duties. Special safety precautions are required, including the use of protective equipment, including non-lethal force generators, mechanical restraints, and firearms
Special Requirements
This position will be subject to enhanced suitability screening pursuant to Chapter 4 of Personnel Regulations, Suitability Safety Sensitive.
Graduate of the Federal Law Enforcement Training Center (FLETC) Criminal Investigator Training Program (CITP) or other Federal, state, or military comparable law enforcement training is preferred.
When applying for DC OIG positions, please ensure you check your spam folder after the closing date. Information regarding interviews will be sent via the OIG Recruitment email box.
OIG reserves the right to deny interviews after dates have been identified and interviews conclude.
The District of Columbia Government does not discriminate in employment on the basis of race, color, religion, sex including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factors.
Submission of a resume alone is NOT a complete application. This position may require the completion of additional form / s and / or supplemental materials.
Failure to provide the required information and / or materials will result in your application not being considered for employment.