Deputy Chief of Investigations, Medicaid Fraud

Summary of Duties and Responsibilities

Under the direction of the Director and the Chief of Investigations in the Medicaid Fraud Control Bureau, the Deputy Chief of Investigation is responsible for providing guidance and supervision to a team of personnel who are engaged in conducting both criminal and civil investigations into fraud, waste, and abuse allegations against Medicaid providers in the State of Illinois.

The Deputy Chief of Investigations provides overall direction to investigations assigned to their team. They are responsible for reviewing and evaluating investigative reports, case summaries, and criminal intelligence products to assist with target selection, case development and strategic planning; approving and overseeing surveillance and undercover operations; and overseeing the execution of search warrants and other law enforcement operations.
The Deputy Chief of Investigations coordinates joint and cross-jurisdictional investigations; acts as liaison to other administrative, regulatory and law enforcement agencies; consults with prosecuting attorneys regarding investigations; ensures staff have access to and receive required training; and provides opportunities for other related continued education as necessary.
They evaluate performance and provide feedback to staff under their direction, assist with hiring, and in the drafting, evaluation, and enforcement of policies and procedures for the MFCU.

Qualifications

This position requires a minimum of a bachelor’s degree in criminal justice, law enforcement, or a related field, at least five (5) years in a supervisory investigative role, or a minimum of seven (7) years experience in law enforcement work; or an equivalent combination of training and experience. Attendance and the ability to maintain satisfactory working relationships with other agency law enforcement personnel, OAG employees and the general public are required. Travel is required along with a valid Illinois driver’s license and a responsible driving record.

Typical Qualifications

Experience conducting criminal and civil investigations, including Qui Tam investigations; extensive state and/or federal law enforcement experience investigating complex financial and white-collar crimes; the ability to distill complex financial records, use of the grand jury and familiarity with state and federal banking law; proficiency interviewing individuals with extensive professional financial backgrounds; and knowledge of the health care industry and medical coding concepts (CPT, ICD-9/10, DRGs, HCPCS) and/or experience analyzing health care claims data.

500 S. 2nd St.

Springfield, Illinois, 62701