MFCU Investigator PCN 031310

MFCU Investigator

This recruitment is exempt from the Hiring Freeze (Administrative Order 358). This recruitment is open to Alaska residents only. Applicants must meet Alaska Residency Requirements to be considered for employment at this time.

The MFCU investigator conducts high level, complex investigations of medical professional service providers who are suspected or known to have committed Medicaid fraud, patient abuse and / or misappropriation of recipient assets. The investigator is expected to develop and manage all investigative aspects of complex cases involving Medicaid fraud and any other white-collar crime that may be associated with the case.

The Medicaid Fraud Control Unit (MFCU) is a federally mandated and funded investigative and prosecutorial unit consisting of attorneys, criminal investigators, a forensic accountant, a paralegal, and a law office assistant. The mission of the unit is to investigate and criminally or civilly prosecute fraud by healthcare providers, health care facilities, pharmaceutical manufacturers, pharmacies and other healthcare related provider types that illegally divert Medicaid funds. The MFCU is responsible for investigating and prosecuting abuse, neglect or financial exploitation of patients in any licensed facility and abuse, neglect and financial exploitation of any Medicaid Recipient by their caregiver.

The MFCU investigator is expected to work closely with the unit's staff along with both state and federal investigators from various agencies. The investigator must be able to adapt to a wide variety of investigative scenarios, demonstrate good judgment, be a critical thinker, highly self-motivated, flexible and be both a team player and an independent worker with minimum supervision and direction.

There is constantly a variety of activities happening each day within the office. Along with your own caseload, you will be working with other MFCU investigators and staff on various other case projects and operations. You will participate and have a close-up view of case progression from the complaint intake to its adjudication or resolution.

The office environment is friendly, fast paced, with cases that are almost always interesting. The downtown location also provides a variety of eating options, entertainment, and various seasonal activities, such as Fur Rondy and various street festivals and fairs. The downtown location also provides easy access to parks, walking and biking trails.

Criminal Investigation : Knowledge of the guidelines, regulations, and procedures associated with criminal investigation, including evidence detection and handling and drawing appropriate factual inferences and conclusions.

Creative Thinking : Uses imagination to develop new insights into situations and applies innovative solutions to problems; designs new methods where established methods and procedures are inapplicable or are unavailable.

Criminal Law : Knowledge of state and Federal criminal laws, including procedures, regulations, guidelines, and precedents related to admissibility of evidence and prosecution

Accountability : Holds self and others accountable for measurable high-quality, timely, and cost-effective results.

Analytical Thinking / Problem Solving : Uses a logical, systematic, sequential approach to address problems or opportunities or manage a situation by drawing on one's knowledge and experience base and calling on other references and resources as necessary.

Integrity / Honesty : Contributes to maintaining the integrity of the organization; displays high standards of ethical conduct and understands the impact of violating these standards on an organization, self, and others; is trustworthy.

Investigation : Knowledge of the guidelines, regulations, and procedures associated with investigation, including interviewing, evidence detection, locating, gathering, and handling, and drawing appropriate factual inferences and conclusions. Provide oral or written reports of findings. Presenting evidence and providing testimony.

Law : Knowledge of State and federal laws, including legal and court procedures, regulations, guidelines, precedents, admissibility of evidence, case preparation, and / or settlements for applicable areas of law practiced or supported.

If selected for an interview, the applicant must provide the following :

• Professional writing sample
• Educational transcripts if using education to meet the minimum qualifications of this position.
• If you have them, please provide any certificates or licenses related to healthcare, investigations and law enforcement (Not required).
• List of three (3) professional references to include daytime telephone and email address. One must be a current or former supervisor.
• The last two (2) performance evaluations. If unavailable, supervisory letters of recommendation can be substituted.

Special Notes regarding the position :

Application Notice : You can ONLY apply for this position through the Workplace Alaska website or via a hardcopy application. If you accessed this recruitment bulletin through a job search portal, such as AlaskaJobs or any other database, you MUST use a Workplace Alaska online or hardcopy application to apply successfully. Instructions on how to apply with Workplace Alaska may be found on the Workplace Alaska "How to Apply" page. Your application must be submitted by 5 : 00 p.m. Alaska Standard Time on the closing date.

Education : If post-secondary education is required to meet the minimum qualifications, you must fill in the Education section of the application. If you have not obtained a degree, please indicate the number of units completed. Copies of transcripts are required to verify educational credentials if used to meet the minimum qualifications for a position. Transcripts can be attached at the time of application or provided at the time of the interview.

Work Experience : If using work experience not already documented in your application, also provide the employers name, job title, employment dates, and whether full or part-time. Applications will be reviewed to determine if the responses are supported and if minimum qualifications are clearly met. If they are not, the applicant may not advance to the recruitment interview and selection phase.

Note : Attaching a resume is not an alternative to filling out the application in its entirety. Noting, "see resume" or any similar response on any portion of your application may lead to a determination that your application is incomplete and removal from consideration for this job posting.

Bargaining Unit : If you are a current state employee, please mark the union you are a member of at the time of application. If you are not a current state employee, do not complete this question.

EEO Statement : The State of Alaska complies with Title I of the Americans with Disabilities Act (ADA). Individuals with disabilities, who require accommodation, auxiliary aides or services, or alternative communication formats, please call 1-800-587-0430 or 465-4095 in Juneau or (907) 465-3412 (TTY) or correspond with the Division of Personnel & Labor Relations at : P. O. Box 110201, Juneau, AK 99811-0201. The State of Alaska is an equal-opportunity employer.

For specific information about this position, please contact the hiring manager at the following : Quinten Warren, Medicaid Fraud Chief Investigator, (907) 269-6250, quiten.warren@alaska.gov.