*Investigator 3 - Civil Enforcement Division (Portland)
$62,316–$95,616 year
On-sitePortland, Oregon, United States or Legal, Alberta, Canada
Job Summary
Collect, evaluate, and analyze evidence including medical records, Medicaid claims data, and financial documents from referral sources. Interview witnesses and suspects, including health care professionals and Medicaid recipients, to verify claims of suspected law violations. Research Medicaid policies and programs while presenting investigative findings that describe policy, financial, medical, and legal aspects of cases. Include recommendations for criminal or civil action or referrals to administrative agencies. Coordinate with social service agencies and local, state, and federal law enforcement entities regarding referrals. Conduct public outreach and education about the Medicaid Fraud Unit. Maintain an Oregon State driver's license and be willing to travel for investigations, court dates, and meetings.
Required Qualifications
- Four years of recent (within last ten years) full-time investigative experience
- conducting fact finding
- collecting and preserving evidence according to the rules of evidence
- examining records
- locating and interviewing witnesses to verify or disprove claims of suspected law violations
- writing investigation reports sufficient for use at administrative hearings or in court
- College-level courses in Law Enforcement, Criminal Justice, Law, Accounting, or Auditing (substitutable on a year-for-year basis for up to one year of the required experience)
- Have and be able to maintain an Oregon State driver license, throughout employment
- willing and able to travel as needed (i.e., investigations, court dates, meetings, trainings, etc.)
Desired Qualifications
- Possess excellent analytical, communication, and organizational skills
- Healthcare related background
- Experience interviewing witnesses and suspects, who are occasionally uncooperative and hostile
- Experience writing interview and investigative reports
- Experience testifying in administrative, civil, or criminal proceedings
- Experience working as part of a multidisciplinary team
- Experience reviewing and analyzing financial records
- Experience in public speaking
- Expert-level in Microsoft Excel
- experience reviewing and analyzing data a plus!
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