Medicaid Fraud Attorney - Civil Litigation

Job Description and Duties

Are you interested in fighting Medicaid fraud committed by hospitals, pharmaceuticals, pharmacies, nursing facilities, medical equipment providers, and other healthcare providers and recovering millions of taxpayers’ dollars?

The Division of Medi-Cal Fraud and Elder Abuse (DMFEA), the Department of Justice’s fastest growing Division, is seeking a Deputy Attorney General (DAG) in its Civil Section. The DAG investigates and litigates matters in state and federal courts nationwide involving fraud committed by medical providers at the expense of California’s Medicaid program, Medi-Cal, including violations of the state False Claims Act (FCA).

Duties include:

• independently develop strategic case plans;
• litigate state FCA violations and other violations of California's Medi-Cal program;
• manage and shepherd investigations;
• handle informal and formal document-intensive and data-driven discovery;
• identify, interview, and evaluate witnesses;
• perform legal research in the areas of health care fraud and False Claims Act law;
• guide paralegals and investigative auditors;
• analyze claims data and develop damage models;
• communicate effectively orally and in writing; and
• coordinate enforcement efforts with multidisciplinary teams involving personnel from other state agencies, states' Attorneys General's offices, U.S. Attorney's Offices, and other federal offices in joint investigations and actions.

Experience in and/or knowledge of the Medi-Cal Program, the health care and pharmaceutical industries, health care fraud, managed care, and FCA litigation is helpful but not required. A successful applicant will have a demonstrated ability to perform assignments consisting of the more complex and sensitive legal work of the Office of the Attorney General. While the DAG will handle their own caseload, they will be a member of a small team of attorneys, paralegals and secretaries and would interact with their team regularly, and may act as the lead attorney in certain matters.

Unless case work, operational needs, or other circumstances require, the current work posture involves 1-2 set days per week in the office, with the remaining 3-4 days done via telework. The office is located in Mission Valley at Highway 163, and offers ample free parking.

You will find additional information about the job in the .

Working Conditions

This is a hybrid position under current DOJ telework policy, which is subject to modification. The position provides the opportunity to work remotely or in-office most days, but at least one day per week (or more) of in-office attendance is required. Travel and additional in-person attendance is required for court appearances, meetings, or other operational needs.

Special Requirements

• A fingerprint check will be required.
• Deputies must be active members of the California State Bar.

• If you submit your application by mail, please contact the HR consultants to confirm it has been received.

• Clearly indicate the Job Control Code ( JC-531167) and the title of this position in the “Examination or Job Title for Which You Are Applying” section located on the first page of your STD 678 State Application.

• Individuals who are new to State service must have list eligibility in order to gain employment with the Office of the Attorney General. The process is described at: 

• Please note that appointment to the DAG classifications will be made using the following examinations:
  • DAG III exam– at least 5 years of legal experience: DAG III Examination
  • DAG IV exam– at least 6 years of legal experience: 

    You do not have to take an exam before you apply for a job. However, you must complete and pass the exam to be eligible for hire.

Desirable Qualifications

In addition to evaluating each candidate's relative ability, as demonstrated by quality and breadth of experience, the following factors will provide the basis for competitively evaluating each candidate:

Complex civil plaintiff or defense trial experience is helpful but not required; demonstrated ability and experience in developing case plans, managing caseloads, and coordinating investigative activities, including civil case preparation and witness management. Experience in health care law, false claims act (federal or state) experience, knowledge of the health care industry and the Medi-Cal program would be helpful. Demonstrated success as a team player who works well with others. Proven self-starter and possesses an excellent work ethic. Highly positive attitude; exercises a strong sense of professionalism; and is able to work independently and diligently.

Benefits

Benefit information can be found on the CalHR website and the CalPERS website.

Additional Application Filing Information

Please note, if using the United States Postal Service for delivery, there is no guarantee that your application will be date stamped and will arrive by the final filing date. If your application does not have a postmark or date stamp and arrives after the final filing date, your application will not be accepted. Therefore, to ensure timely delivery of your application, it is recommended that you use either electronic delivery, parcel service, or certified mail. Using one of these options will provide proof of delivery prior to the final filing date.

Required Application Package Documents

The following items are required to be submitted with your application. Applicants who do not submit the required items timely may not be considered for this job:

• Current version of the State Examination/Employment Application STD Form 678 (when not applying electronically), or the Electronic State Employment Application through your Applicant Account at All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to demonstrate how you meet the Minimum Qualifications for the position.
• Resume is required and must be included.
• Other - Cover letter is required and must be included.
• Other - Writing sample consisting of a dispositive motion, pretrial motion or appellate brief preferably written in the prior year.