Financial Investigator

Financial Investigator I (NS)

The primary purpose of this position is to perform investigations in the area of criminal and civil Medicaid fraud schemes, patient abuse or neglect, and misappropriation of recipient funds by conducting and participating in a wide variety of case investigations involving financial analysis. Work requires knowledge of applicable state and Federal laws and regulations.

Position manages investigative assignments and/or projects by:

• Conducting complex criminal and civil investigations involving Medicaid provider fraud and patient abuse and neglect.
• Data analysis of Medicaid claims.
• Reviewing financial documents, including bank statements, cancelled checks, corporate and individual income tax returns, etc.
• Reviewing medical records and service notes of Medicaid Recipients.
• Interviewing witnesses, including Medicaid Recipients, current and former employees, Medicaid Policy administrators, DHHS employees, DSS employees, etc.
• Interviewing individuals suspected of committing Medicaid provider fraud and patient abuse and neglect.
• Preparing detailed reports from the results of interviews conducted.
• Working with Federal, State and local law enforcement agencies, including AUSAs.
• Testifying in State and/or Federal court.
• Understanding of the Rules of Evidence in criminal investigations.

Some travel, including some occasional overnight stays are required. The selected candidate is subject to a background investigation.

Knowledge Skills and Abilities/Management Preferences:

• Law enforcement background.
• Ability to maintain confidentiality & discretion while conducting criminal & civil investigations.
• Ability to clearly communicate verbal & written information in a clear & concise manner.
• Advanced skills involving Microsoft Office Products, especially Excel.

Minimum Education and Experience:

Bachelor's degree in accounting, finance, business administration or criminal justice from an appropriately accredited institution, with eighteen credit hours of accounting coursework and two years of experience in auditing and/or investigating tax, financial, or securities crimes; or equivalent combination of education and experience.

Necessary Special Requirements: May require certification as a Law Enforcement Officer or Special Agent in accordance with the provisions of the North Carolina Criminal Justice Training and Standards Commission or the ability to achieve certification within one year of employment.