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State Investigator (HCA/OIG #7182)
Posting Details
This job posting may be used to fill multiple vacancies.
Interviews are anticipated to conducted within two weeks of the closing date.
Our Vision
Every New Mexican has access to affordable health care coverage through a coordinated and seamless health care system.
Our Mission
We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.
Our Goals
Leverage purchasing power and partnerships to create innovative policies and models of comprehensive health care coverage that improve the health and well-being of New Mexicans and the workforce.
Achieve health equity by addressing poverty, discrimination, and lack of resources, building a New Mexico where everyone thrives.
Implement innovative technology and data-driven decision-making to provide unparalleled, convenient access to services and information.
Build the best team in state government by supporting employees' continuous growth and wellness.
Why does the job exist?
The State Investigator will:
Investigate white collar crimes, public assistance crimes for the New Mexico Health Care Authority (HCA), Office of the Inspector General (OIG) Investigations Bureau (IB).
How does it get done?
The State Investigator is responsible for:
Determining applicable policy;
Determining what policies and laws have been violated;
Determining criminal or administrative course of action;
Providing case management of special inquiries, Medicaid client fraud, Medicaid provider fraud, and public assistance fraud investigations under the jurisdiction of the Health Care Authority (HCA) Office of Inspector General (OIG).
Who are the customers?
Residents of the State of New Mexico.
Ideal Candidate
Residents of the State of New Mexico.
Minimum Qualification
Bachelor's degree from an accredited college or university in Accounting, Business Administration, Finance, Public Administration, Criminology, or other related field, with two (2) years of experience in accounting, auditing, and investigation, or insurance adjusting and investigating or investigative report writing. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling six (6) years may substitute for the required education and experience.
Employment Requirements
Must possess and maintain a valid New Mexico Driver's License.
Must Possess and maintain a current Defensive driving Course Certificate from the State of New Mexico or must pass and receive Defensive Driving Course Certification as a condition of continued employment.
Employment is subject to a pre-employment criminal background investigation and is conditional pending results.
Working Conditions
Work is performed in an office setting with exposure to Visual/Video Display Terminal (VDT) and extensive personal computer and phone usage. Some sitting, standing, bending and reaching may be required.
Supplemental Information
Do you know what Total Compensation is? Click here
Agency Contact Information: Ashtyn Lopez, (505) 695-8977. Email
For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.
Bargaining Unit Position
This position is not covered by a collective bargaining agreement.
This job posting may be used to fill multiple vacancies.
Interviews are anticipated to conducted within two weeks of the closing date.
Our Vision
Every New Mexican has access to affordable health care coverage through a coordinated and seamless health care system.
Our Mission
We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.
Our Goals
Leverage purchasing power and partnerships to create innovative policies and models of comprehensive health care coverage that improve the health and well-being of New Mexicans and the workforce.
Achieve health equity by addressing poverty, discrimination, and lack of resources, building a New Mexico where everyone thrives.
Implement innovative technology and data-driven decision-making to provide unparalleled, convenient access to services and information.
Build the best team in state government by supporting employees' continuous growth and wellness.
Why does the job exist?
The State Investigator will:
Investigate white collar crimes, public assistance crimes for the New Mexico Health Care Authority (HCA), Office of the Inspector General (OIG) Investigations Bureau (IB).
How does it get done?
The State Investigator is responsible for:
Determining applicable policy;
Determining what policies and laws have been violated;
Determining criminal or administrative course of action;
Providing case management of special inquiries, Medicaid client fraud, Medicaid provider fraud, and public assistance fraud investigations under the jurisdiction of the Health Care Authority (HCA) Office of Inspector General (OIG).
Who are the customers?
Residents of the State of New Mexico.
Ideal Candidate
Residents of the State of New Mexico.
Minimum Qualification
Bachelor's degree from an accredited college or university in Accounting, Business Administration, Finance, Public Administration, Criminology, or other related field, with two (2) years of experience in accounting, auditing, and investigation, or insurance adjusting and investigating or investigative report writing. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling six (6) years may substitute for the required education and experience.
Employment Requirements
Must possess and maintain a valid New Mexico Driver's License.
Must Possess and maintain a current Defensive driving Course Certificate from the State of New Mexico or must pass and receive Defensive Driving Course Certification as a condition of continued employment.
Employment is subject to a pre-employment criminal background investigation and is conditional pending results.
Working Conditions
Work is performed in an office setting with exposure to Visual/Video Display Terminal (VDT) and extensive personal computer and phone usage. Some sitting, standing, bending and reaching may be required.
Supplemental Information
Do you know what Total Compensation is? Click here
Agency Contact Information: Ashtyn Lopez, (505) 695-8977. Email
For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.
Bargaining Unit Position
This position is not covered by a collective bargaining agreement.
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