Medicaid Fraud Attorney - Civil Litigation

Job Description and Duties

Are you interested in investigating complex healthcare fraud schemes, holding healthcare providers accountable, and recovering millions of taxpayer dollars for California’s Medi-Cal program?

The Division of Medi-Cal Fraud and Elder Abuse (DMFEA), the California Department of Justice’s fastest-growing Division, is seeking a Deputy Attorney General (DAG) for its Civil Section. Civil Section attorneys investigate and litigate complex healthcare fraud matters involving hospitals, pharmaceutical companies, pharmacies, hospices, nursing facilities, medical equipment providers, and other healthcare entities. Cases are investigated and litigated in both state and federal courts and frequently involve violations of the California False Claims Act.

This role allows attorneys to build cases from the ground up, developing investigative strategy, working closely with auditors and investigators, interviewing witnesses, analyzing claims data, and determining the best path toward resolution, whether through settlement or litigation.

Duties include, but are not limited to:

• Independently developing and executing strategic investigative and litigation plans from intake through resolution

• Conducting document-intensive and data-driven investigations

• Obtaining evidence through informal investigative techniques and formal legal process

• Identifying, interviewing, and evaluating witnesses

• Performing legal research, particularly involving healthcare fraud and False Claims Act issues

• Directing and coordinating the work of paralegals and investigative auditors assigned to matters

• Analyzing healthcare claims data and developing damages models to support settlement negotiations and litigation

• Litigating complex healthcare fraud matters in state and federal courts, when necessary

• Working collaboratively with multidisciplinary teams that include auditors, investigators, attorneys from other states, U.S. Attorneys’ Offices, and other federal and state enforcement agencies

• Communicating effectively, both orally and in writing

Experience with the Medi-Cal program, healthcare law, the pharmaceutical industry, managed care, healthcare fraud, or False Claims Act litigation is helpful but not required. The successful applicant will demonstrate the ability to perform complex, sensitive legal work independently while collaborating effectively within a small, highly engaged team of attorneys, paralegals, auditors, and support staff. Attorneys manage their own caseloads and may serve as lead counsel on significant investigations and litigation.

Unless case work, operational needs, or other circumstances require otherwise, attorneys currently work one designated day per week in the office, with the remaining days teleworking. This schedule is subject to change. The office is located in Sacramento, off Garden Highway, 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-526133) 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:

• Demonstrated ability to develop investigative and litigation strategies, manage complex caseloads, and coordinate investigative activities

• Strong analytical and problem-solving skills

• Demonstrated success working collaboratively as part of a multidisciplinary team

• Civil litigation experience, including plaintiff or defense practice; trial experience is helpful but not required

• Experience with healthcare law, healthcare fraud, False Claims Act litigation, managed care, or the Medi-Cal program is desirable but not required

• Proven self-starter with excellent judgment, initiative, and organizational skills

• Excellent written and oral advocacy skills

• Strong professionalism, integrity, and work ethic

• Positive attitude and commitment to public service

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.