Job Details

Overview

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.

What You Will Be Doing

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. These complex cases can be difficult to prove and are generally document-intensive and often extremely voluminous in nature and typically involve multiple suspects, surveillance and consultation with subject matter experts.

Mission and Culture

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.

Benefits of Joining Our Team

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. As a member of the MFCU you will gain self-satisfaction in knowing that you are part of a unit whose mission is to serve the public by enforcing and upholding healthcare related laws geared towards protecting Alaskans from fraud, waste and abuse by Medicaid providers. Medicaid has a limited funding source and the efforts put forth by the MFCU ensure that less fortunate Alaskans continue to get the health care services they need and deserve.

The Working Environment You Can Expect

The office environment is friendly, fast paced, with cases that are almost always interesting. Although our primary mission is Medicaid Fraud Prosecutions, many of these cases are unique. In fact, most likely you would explore avenues of investigation that you have never done before and will have the opportunity to participate in a type of criminal prosecution that may have never been seen before in Alaska.

The Medicaid Fraud Control Unit is in downtown Anchorage near 3rd and K Street. Parking is provided. The downtown location 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.

Who We Are Looking For

• 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

Any combination of education and/or experience that provides the applicant with competencies in

• Accountability

  Holds self and others accountable for measurable high-quality, timely, and cost-effective results. Determines objectives, sets priorities, and delegates work. Accepts responsibility for own actions and decisions. Complies with established control systems and rules.

  
  

• 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.

  
  

Equivalent to those typically gained by: Any combination of preparatory post-secondary education and/or progressively responsible investigative work experience performing duties such as locating and gathering information, evidence and/or testimony to be used in civil or criminal proceedings, administrative actions, or governmentally regulated activities which included preparing reports in support of attorneys or agencies engaged in administrative adjudication, and/or detecting and verify suspected fraud, licensing violations, and other violations of state law.

Definitions: "Competencies" means a combination of interrelated knowledge, skills, abilities, and behaviors that enable a person to act effectively in a job or situation.

"Typically gained by" means the prevalent, usual method of gaining the competencies expected for entry into the job.

"Training" and "education" in this guidance are synonyms for the process of acquiring knowledge and skills through instruction. It includes instruction through formal and informal methods (such as classroom, on-line, self-study, and on-the-job), from accredited and unaccredited sources, and long-duration (such as a post-secondary degree) and short-duration (such as a seminar) programs.

"Progressively responsible" means indicating growth and/or advancement in complexity, difficulty, or level of responsibility.

Special Note

Some positions in this class may require eligibility for commission as a Special Officer with the State of Alaska as a condition of hire. Some positions require applicants pass a background investigation, which includes a criminal record check for conviction of felony or misdemeanor crimes, as a prerequisite to employment. Some positions require incumbents possess an Alaska driver's license and operate a motor vehicle.

NOTE: PLEASE READ THE FOLLOWING CAREFULLY

THIS RECRUITMENT IS FOR ALASKA RESIDENTS ONLY

If selected for an interview

The applicant must provide the following:

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

Special Notes regarding the position

• The Alaska Public Safety Information Network (APSIN) is utilized in this position. A background check and fingerprinting will be required. The incumbent will be required to obtain APSIN access, which will be done through the office.
• Members of the Criminal Division are held to high standards of professionalism even in our personal lives. The incumbent must maintain the strictest of confidences with information they will be exposed to and have access to.
• Investigators must successfully complete a criminal background check to access confidential criminal justice data banks (e.g. APSIN, NCIC, NLETS). See 13.AAC 68.215
• Applicants should be aware that due to the nature of the work being performed in this office, the incumbent must have the ability to tolerate some exposure to graphic pictures, coarse language, and detailed descriptions of sometimes horrific criminal acts.
• Possession of valid Alaska driver`s license to conduct on-site investigation.

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.

Special Instructions for Foreign Education

Education completed in foreign colleges or universities may be used to meet the minimum qualifications listed above. If utilizing this education, you must show that the education credentials have been submitted to a private organization that specializes in the interpretation of foreign educational credentials and that such education has been deemed to be at least equivalent to that gained in conventional U.S. education programs; or an accredited U.S. post-secondary institution reports the other institution as one whose transcript is given full value. It is your responsibility to provide such evidence when applying.

Work Experience

If using work experience not already documented in your application, also provide the employer's 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-###-#### or 465-4095 in Juneau or (907) ###-#### (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.

Workplace Alaska Application Questions & Assistance

Questions regarding application submission or system operation errors should be directed to the Workplace Alaska hotline at 1-800-###-#### or (907) ###-#### if you are in the Juneau area. Requests for information may also be emailed to ...@alaska.gov. For applicant password assistance, please visit the reset password page.

Contact for this position

Quinten Warren
Medicaid Fraud Chief Investigator
(907) ###-####
...@alaska.gov