Job Information
State of Minnesota Lead Investigator (Auditor) - Medicaid Fraud in St. Paul, Minnesota
Working Title: Lead Investigator (Auditor) - Medicaid Fraud
Job Class: Legal Assistant 8 (LA8)
Agency: Attorney General's Office
Job ID : 76705
Location : St. Paul
Telework Eligible : Yes
Full/Part Time : Full-Time
Regular/Temporary : Unlimited
Who May Apply : Open to all qualified job seekers
Date Posted : 05/16/2024
Closing Date : 06/05/2024
Hiring Agency/Seniority Unit : Attorney General's Office / Attorney General-Excluded Oth
Division/Unit : Attorney Gen. / Medicaid Fraud Investigators
Work Shift/Work Hours : Day Shift
Days of Work : Monday - Friday
Travel Required : Yes - Up to 25% of the time
Salary Range: $34.00 - $55.08 / hourly; $70,992 - $115,007 / annually
Classified Status : Unclassified
Bargaining Unit/Union : 221 - Excluded All Others/Unrep
FLSA Status : Nonexempt
Designated in Connect 700 Program for Applicants with Disabilities (https://mn.gov/mmb/careers/diverse-workforce/people-with-disabilities/connect700/) : No
The work you'll do is more than just a job.
At the State of Minnesota, employees play a critical role in developing policies, providing essential services, and working to improve the well-being and quality of life for all Minnesotans. The State of Minnesota is committed to equity and inclusion, and invests in employees by providing benefits, support resources, and training and development opportunities.
The Office of the Minnesota Attorney General is currently seeking a Lead Investigator - Auditor in the Medicaid Fraud Division of the Office. Investigators within Medicaid Fraud conduct criminal investigations into health care providers suspected of defrauding the Minnesota Medicaid program. The investigator reviews complaints against public health care providers; evaluates and analyzes claims data, medical records, and financial records; conducts research and surveillance; interviews victims, witnesses, and targets of investigations; participates in the execution of search warrants; drafts reports summarizing investigative findings; and works with attorneys to prepare cases for prosecution. Investigators are required to testify about their findings at criminal jury trials.
In addition to the above responsibilities the Lead Investigator - Auditor:
Has familiarity with, or the ability to quickly gain familiarity with, the most complex aspects of the division's case work;
Works closely with the Investigative Supervisor to onboard, train, mentor, and supervise the work of new or less experienced investigators;
Reviews and monitors complex financial data including restitution and other payment information;
Leads responses to audits from outside entities;
Reviews and summarizes incoming referrals from state agencies, health insurance companies, law enforcement agencies, and other referral sources; and
Completes complex, detailed annual statistical reporting to federal entities overseeing the division's grant funding.
This position is eligible for a hybrid work environment.
Minimum Qualifications
Bachelor's degree and at least two years demonstrable similar experience OR at least six years demonstrable similar experience
Ability to perform assigned job responsibilities with a high level of professionalism
Proven ability to display excellent judgement, character, and work ethic
Intermediate to advanced proficiency in Microsoft Office
Excellent analytical, writing, and organizational skills
Demonstrated experience:
Participating in the training of new employees
Working with complex statistical databases
Auditing financial records
Implementing organizational policies and procedures
Working in a multidisciplinary partnership with other entities such as state agencies and law enforcement agencies
The ability to travel to counties throughout the state
Preferred Qualifications
Fluency in Spanish, Hmong, Somali, or other relevant language for Minnesota
Experience leading complex investigations
Management or supervisory experience
Education or experience in of the following fields: accounting or finance; economics or statistics; criminal justice, law enforcement, or investigations; healthcare or nursing
Physical Requirements
- Ability to move and transport such articles as files, laptop computer and resource materials weighing up to 20 pounds
Additional Requirements
It is our policy that all candidates submit to a background check prior to employment. This background check may consist of the following components:
Conflict of Interest Review
Criminal History Check
Education / License Verification
Employment Reference / Records Check
In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire.
AN EQUAL OPPORTUNITY EMPLOYER
Minnesota State Colleges and Universities is an Equal Opportunity employer/educator committed to the principles of diversity. We prohibit discrimination against qualified individuals based on their race, sex, color, creed, religion, age, national origin, disability, protected veteran status, marital status, status with regard to public assistance, sexual orientation, gender identity, gender expression, or membership in a local commission as defined by law. As an affirmative action employer, we actively seek and encourage applications from women, minorities, persons with disabilities, and individuals with protected veteran status.
Reasonable accommodations will be made to all qualified applicants with disabilities. If you are an individual with a disability who needs assistance or cannot access the online job application system, please contact the job information line at 651-259-3637 or email careers@state.mn.us . Please indicate what assistance is needed.
State of Minnesota
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