MFCU Investigator PCN 031310

JOB
This recruitment is exempt from the Hiring Freeze (Administrative Order 358).This recruitment is open to Alaska Residents only. Applicants must meet Alaska Residency Requirements to be considered for employment at this time.What You Will Be DoingThe MFCU investigator conducts high level, complex investigations of medical professional service providers who are suspected or known to have committed Medicaid fraud, patient abuse and/or misappropriation of recipient assets. The investigator is expected to develop and manage all investigative aspects of complex cases involving Medicaid fraud and any other white-collar crime that may be associated with the case. These complex cases can be difficult to prove and are generally document-intensive and often extremely voluminous in nature and typically involve multiple suspects, surveillance and consultation with subject matter experts.Mission and CultureThe Medicaid Fraud Control Unit (MFCU) is a federally mandated and funded investigative and prosecutorial unit consisting of attorneys, criminal investigators, a forensic accountant, a paralegal, and a law office assistant. The mission of the unit is to investigate and criminally or civilly prosecute fraud by healthcare providers, health care facilities, pharmaceutical manufacturers, pharmacies and other healthcare related provider types that illegally divert Medicaid funds. The MFCU is responsible for investigating and prosecuting abuse, neglect or financial exploitation of patients in any licensed facility and abuse, neglect and financial exploitation of any Medicaid Recipient by their caregiver. The MFCU investigator is expected to work closely with the unit’s staff along with both state and federal investigators from various agencies. The investigator must be able to adapt to a wide variety of investigative scenarios, demonstrate good judgment, be a critical thinker, highly self-motivated, flexible and be both a team player and an independent worker with minimum supervision and direction.Benefits of Joining Our TeamThere is constantly a variety of activities happening each day within the office. Along with your own caseload, you will be working with other MFCU investigators and staff on various other case projects and operations. You will participate and have a close-up view of case progression from the complaint intake to it’s adjudication or resolution.As a member of the MFCU you will gain self-satisfaction in 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 fraud, waste and abuse by Medicaid providers. Medicaid has a limited funding source and the efforts put forth by the MFCU ensure that less fortunate Alaskans continue to get the health care services they need and deserve.The Working Environment You Can ExpectThe office environment is friendly, fast paced, with cases that are almost always interesting. Although our primary mission is Medicaid Fraud Prosecutions, many of these cases are unique. In fact, most likely you would explore avenues of investigation that you have never done before and will have the opportunity to participate in a type of criminal prosecution that may have never been seen before in Alaska. The Medicaid Fraud Control Unit is in downtown Anchorage near 3rd and K Street. Parking is provided. The downtown location provides a variety of eating options, entertainment, and various seasonal activities, such as Fur Rondy and various street festivals and fairs. The downtown location also provides easy access to parks, walking and biking trails.Who We Are Looking ForCriminal Investigation: Knowledge of the guidelines, regulations, and procedures associated with criminal investigation, including evidence detection and handling and drawing appropriate factual inferences and conclusions. Creative Thinking: Uses imagination to develop new insights into situations and applies innovative solutions to problems; designs new methods where established methods and procedures are inapplicable or are unavailable.Criminal Law: Knowledge of state and Federal criminal laws, including procedures, regulations, guidelines, and precedents related to admissibility of evidence and prosecution

EXAMPLE OF DUTIES
Any combination of education and/or experience that provides the applicant with competencies in Accountability: Holds self and others accountable for measurable high-quality, timely, and cost-effective results. Determines objectives, sets priorities, and delegates work. Accepts responsibility for own actions and decisions. Complies with established control systems and rules. Analytical Thinking/Problem Solving: uses a logical, systematic, sequential approach to address problems or opportunities or manage a situation by drawing on one’s knowledge and experience base and calling on other references and resources as necessary. Integrity/Honesty: Contributes to maintaining the integrity of the organization; displays high standards of ethical conduct and understands the impact of violating these standards on an organization, self, and others; is trustworthy. Investigation: Knowledge of the guidelines, regulations, and procedures associated with investigation, including interviewing, evidence detection, locating, gathering, and handling, and drawing appropriate factual inferences and conclusions. Provide oral or written reports of findings. Presenting evidence and providing testimony. Law: Knowledge of State and federal laws, including legal and court procedures, regulations, guidelines, precedents, admissibility of evidence, case preparation, and/or settlements for applicable areas of law practiced or supported. Equivalent to those typically gained by: Any combination of preparatory post-secondary education and/or progressively responsible investigative work experience performing duties such as locating and gathering information, evidence and/or testimony to be used in civil or criminal proceedings, administrative actions, or governmentally regulated activities which included preparing reports in support of attorneys or agencies engaged in administrative adjudication, and/or detecting and verify suspected fraud, licensing violations, and other violations of state law.Definitions: “Competencies” means a combination of interrelated knowledge, skills, abilities, and behaviors that enable a person to act effectively in a job or situation. “Typically gained by” means the prevalent, usual method of gaining the competencies expected for entry into the job. “Training” and “education” in this guidance are synonyms for the process of acquiring knowledge and skills through instruction. It includes instruction through formal and informal methods (such as classroom, on-line, self-study, and on-the-job), from accredited and unaccredited sources, and long-duration (such as a post-secondary degree) and short-duration (such as a seminar) programs. “Progressively responsible” means indicating growth and/or advancement in complexity, difficulty, or level of responsibility. Special Note: Some positions in this class may require eligibility for commission as a Special Officer with the State of Alaska as a condition of hire. Some positions require applicants pass a background investigation, which includes a criminal record check for conviction of felony or misdemeanor crimes, as a prerequisite to employment. Some positions require incumbents possess an Alaska driver's license and operate a motor vehicle.

SUPPLEMENTAL INFORMATION
For specific information about this position, please contact the hiring manager at the following: Quinten WarrenMedicaid Fraud Chief Investigator(907) 269-6250quiten.warren@alaska.gov