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Lead Investigator (Auditor) Medicaid Fraud #76705

Minnesota Attorney General's Office | Saint Paul, MN, US, 55131

Job Type: Full Time

Posted 2 days ago


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Description

Who May Apply: Open to all qualified applicants

Date Posted: 5/16/2024

Closing Date: 6/5/2024

LA8 Salary Range: $34.00 - $55.08 / hourly; $70,992 - $115,007 / annually

Telework Eligible: Hybrid

Job Summary

The Office of Attorney General Keith Ellison has a clear mission: we help Minnesotans afford their lives and live with dignity, safety, and respect.  We are a dynamic group of dedicated professionals who choose public service as a calling, and we are actively and intentionally committed to supporting an internal culture that affirms that calling. The Office is one of Minnesota’s largest public law offices and as of 2024, has been recognized as a Star Tribune Top Workplace Minnesota and Top Workplace USA for three years in a row.

The Office 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.

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
  • 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

Why Work For Us 

Working together to improve the state we love. 

What do Minnesota's State employees have in common? 

  • A sense of purpose in their work
  • Connection with their coworkers and communities
  • Opportunities for personal and professional growth

Benefits 

As an employee, you'll have access to one of the most affordable health insurance plans in Minnesota, along with other benefits to help you and your family be well.

Your benefits may include: 

  • Paid vacation and sick leave 
  • 12 paid holidays each year 
  • Low-cost medical, dental, vision, and prescription drug plans 
    • Fertility care, including IVF
    • Diabetes care
    • Dental and orthodontic care for adults and children 
  • 6 weeks paid leave for parents of newborn or newly adopted children
  • Pension plan that provides income when you retire (after working at least three years)
  • Employer paid life insurance to provide support for your family in the event of death
  • Short-term and long-term disability insurance that can provide income if you are unable to work due to illness or injury
  • Tax-free expense accounts for health, dental, and dependent care 
  • Resources that provide support and promote physical, emotional, social, and financial well-being

Support to help you reach your career goals:

  • Training, classes, and professional development Federal Public Service Loan
  • Forgiveness Program (Some positions may qualify; for more information, visit the Federal Student Aid website at )

Employee Assistance Program (EAP) for work/life support:

  • A voluntary confidential program that helps employees and their families with life challenges that may impact overall health, personal well-being, or job performance
  • Common sources of stress can be addressed through the EAP: mental health, relationship challenges (personal and work), grief and loss, finances, and legal issues Daily Living/Convenience Services: Chore services, home repair, trip planning, child/elder care

Programs, resources, and benefits eligibility varies based on type of employment, agency, funding availability, union/collective bargaining agreement, location, and length of service with the State of Minnesota.

An Equal Opportunity Employer

The State of Minnesota is an equal opportunity, affirmative action, and veteran-friendly employer. We are committed to providing culturally responsive service to all Minnesotans. The State of Minnesota recognizes that a diverse workforce is essential and strongly encourages qualified women, minorities, individuals with disabilities, and veterans to apply.


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