Fraud Investigator

Investigator Position

For more than 165 years, the Office of the Indiana Attorney General (OAG) has been committed to serving the best interests of the State and all Hoosiers. OAG employees have earned an outstanding reputation for meeting the highest professional standards, providing great service, and demonstrating courageous leadership and commitment to excellence to the people of Indiana. If you share our determination to make Indiana a better place to live and work, we invite you to join over 400 of the very best employees and seek a career with the Office of the Indiana Attorney General.

Description

Investigators are assigned cases under the direction of the Supervising Deputy Attorney General. The Indiana Medicaid Fraud Control Unit Investigator shall investigate provider fraud. The preferred Investigator candidate shall have experience in forensic accounting, or white collar crime investigations.

Examples of Duties

• Order various documentation from the fiscal intermediary;
• Obtain other documents such as bank records, medical records, patient files, business records, and other records to be used as evidence in judicial proceedings;
• Research the documentation for patterns of billing an illegal activity, and develop schedules of provider billing activities;
• Locate, conduct surveillance and interview witnesses, suspects and possible expert witnesses;
• Collaborate with other investigators on investigations;
• Regularly participate in multi-disciplinary team meetings;
• Prepare written and recorded statements and evaluate testimony for credibility;
• Conduct undercover operations;
• Prepare comprehensive investigation reports for presentation to a Deputy Attorney General or state or federal prosecutor for criminal referrals;
• Assist the Deputy Attorney General or state or federal prosecutor in preparing the case for court;
• Locate and serve subpoenas on witnesses and suspects;
• Testify in criminal and administrative proceedings;
• Draft clear and concise Probable Cause Affidavits;
• Complete any necessary component of the Indiana Law Enforcement Academy;
• Participate in investigator training and perform other work as required.
• Such travel as the assignment of duties may necessitate, usually consisting of frequent trips totaling more than 1000 miles per month, for the following purposes:
• Travel to state offices, jails, police departments, sheriff's departments, courthouses, offices of businesses contracting with healthcare providers, and such other locations as may be necessary for the purpose of obtaining documents, statements, and other evidence necessary to an investigation.
• Travel to surveillance locations and conducting surveillance from a vehicle for extended periods of time in all types of weather and at all times of day or night.
• Travel to and assist in serving search warrants and seizing evidence at such times as is best for the purposes of the investigation, including times beyond normal duty hours, and to transport to such sites the supplies and tools, including storage boxes and document scanners, as may be required.
• Travel directly from home to the office of a healthcare provider under investigation, to an office of the Medicaid Fraud Control Unit other than the assigned duty station, or to other locations required by an investigation, as may necessary to the efficient and effective completion of an investigation.

Typical Skills and Qualifications

• A four-year degree in Accounting or related fields, or four years law enforcement investigative experience is preferred but not required.
• Working knowledge of state and federal laws and court proceedings.
• Working knowledge of the laws of search and seizure, standards of identification, collection and preservation of evidence.
• Ability to write detailed, accurate and legible reports.
• Ability to organize and set priorities, work independently, stay on task.
• Preferred candidate will have experience in law enforcement and health care industry, with emphasis on health care fraud investigating experience.
• Working knowledge of health care operations, billing, coding and documentation guidelines is preferred but not required.

Supplemental Information

Work Environment

• Ability to work inside and outside of an office atmosphere.
• Ability to drive an automobile to locations inside and outside the state of Indiana for work and training purposes.
• Schedule varies depending upon the type of investigation.

Essential Functions

• Valid Indiana driver's license.
• Review and analyze documents containing writings in the English language.
• Accurately compile and calculate numeric information in applications such as, but not limited to, Microsoft Excel.

*Pay commensurate with experience

The Office of the Indiana Attorney General is an Equal Opportunity Employer.

The State of Indiana offers a comprehensive benefit package for full-time employees which includes:

• Four (4) medical plan options (including RX coverage) and vision/dental coverages
• Wellness program - earn back dollars in the form of gift cards
• Health savings account (includes bi-weekly state contribution)
• Deferred compensation account (similar to 401k plan) with employer match
• Two (2) fully-funded pension plan options
• Group life insurance
• Employee assistance program that allows for covered behavioral health visits
• Paid vacation, personal and sick time off
• Competitive leave policies covering a variety of employee needs.
• 12 paid holidays, 14 on election years
• New Parent Leave
• Qualified employer for the Public Service Loan Forgiveness Program
• Free 24/7 permit parking at an Indiana Government Center surface lot or parking garage