Job Description

Come join the State of Alaska! This job class uses Competency Based minimum qualifications (MQs). Please read the Competency Based MQ instructions below to learn more. The Department of Law, Division of Criminal is recruiting for an Investigator 1 for the Medicaid Fraud Control Unit (MFCU) within the Office of Special Prosecutions! This position is open to Alaska Residents only. Please check our residency definition to determine if you qualify.

What You Will Be Doing:

Conduct initial investigations of providers who are suspected or known to have committed Medicaid fraud, patient abuse or neglect or misappropriation of recipient assets. Receive and document all incoming allegations, interview initial complainant(s), gather background information, prepare discovery, court exhibits, various types of evidence, maintain case information in a digital case management system, maintain the unit’s inventory, including monitoring of all investigative equipment, and organize case files and evidence for closing, archiving and/or disposition. Work closely with the unit’s staff, its attorneys and with various federal and state investigators and agencies.

Mission and Values/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, and a paralegal. The mission of the unit is to investigate and prosecute fraud by healthcare providers, healthcare facilities, pharmaceutical manufacturers, pharmacies and other healthcare related providers that illegally divert Medicaid funds. The MFCU is also responsible for investigating and prosecuting abuse, neglect or financial exploitation of any patient in any licensed facility as well as abuse, neglect and financial exploitation of any Medicaid recipient.

Benefits of Joining Our Team:

There is constantly a variety of activities happening each day within the office. You will be working with other MFCU investigators, the attorneys and staff on various case projects and operations. You will have a close-up view and participate in case progression from the complaint intake to its adjudication or resolution. As a member of the MFCU you will gain self-satisfaction 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 Medicaid provider fraud, waste and abuse. As a MFCU investigator, your work directly protects vulnerable Alaskans and ensures Medicaid resources go to providers who deliver safe, ethical care.

The Working Environment You Can Expect:

The office environment is friendly and collaborative, handling a wide variety of interesting and unique cases. You will likely explore new avenues of investigation and have the opportunity to participate in a type of criminal prosecution that may have never been seen before in Alaska. The office is located downtown Anchorage at 310 K. Street, Suite 308.

Who We Are Looking For:

We are interested in candidates who possess some or all of the following position specific competencies: 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. Adaptability: adjusts planned work by gathering relevant information and applying critical thinking to address multiple demands and competing priorities in a changing environment. Criminal Law: Knowledge of state and Federal criminal laws, including procedures, regulations, guidelines, and precedents related to admissibility of evidence and prosecution.

Minimum Qualifications:

Competency Based Minimum Qualifications Instructions This job class uses competency based minimum qualifications. Please ensure your application (through work history, volunteer experience (duties summary), training, education, licenses, certifications, etc.) supports how you have gained the knowledge, skills, abilities, and behaviors (competencies) and that you possess the minimum required competencies for the job class.