Insurance Fraud Investigation Jobs (NOW HIRING)

Requisition No: 880479
Agency: Office of the Attorney General
Working Title: SENIOR INVESTIGATOR - 41001289
Pay Plan: Career Service
Position Number: 41001289
Salary: $47,434.14 - $50,744.20 annually
Posting Closing Date: 08/18/2026
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Our Organization and Mission:The Office represents the State of Florida in state and federal civil and criminal courts, from trial courts to the Supreme Court of the United States.
Position Summary: This Senior Investigaror position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Orlando, Florida.
Pay:$47,434.14 - $50,744.20 Annually
Qualifications:
Seven (7) years of investigative or law enforcement experience conducting criminal, civil, or administrative investigations or examinations. Investigative experience must include a minimum of two (2) years of experience with any of the following: financial crimes investigations, financial examinations, health care fraud and/or insurance fraud investigations, analysis or other related investigative experience, or complex organized crime investigative experience.
OR
A bachelor's degree from an accredited college or university and three (3)years of investigative or law enforcement experience conducting criminal, civil, or administrative investigations or examinations. Investigative experience must include a minimum of two (2) years of experience with any of the following: financial crimes investigations, financial examinations, health care fraud and/or insurance fraud investigations, analysis or other related investigative experience, or complex organized crime investigative experience.
Preference may be given to candidates who have a Bachelor's Degree from an accredited college or university or who have prior investigative work experience in a Medicaid Fraud Control Unit and/or 5 years of work experience conducting health care fraud investigations.
The Work You Will Do: The responsibilities of this position are included, but are not limited to the following:
This position is in the Medicaid Fraud Control Unit enforcing all matters addressed in 409.920, Florida Statutes. This is independent work conducting investigations of alleged violations of applicable laws pertaining to Medicaid fraud in the administration of the Medicaid program and/or the alleged abuse or neglect of patients in health care facilities governed by the State Medicaid program. An employee in this position of Senior Investigator performs work which may include performing all aspects of Medicaid fraud investigations as well as initiating investigative leads. This work includes but is not limited to, collecting of evidence, analyzing evidence, conducting interviews, preparing reports and exhibits to include testimony in courts.
65% Conducts routine and complex investigations of possible Medicaid fraud and/or patient abuse,
including interviews with witnesses and possible criminal violators.
20% Review records collected during investigation and prepare reports pertaining to all aspects of the investigation for use in criminal prosecution, civil actions and administrative referrals.
10% Assist in the prosecution of Medicaid fraud and/or patient abuse to include testimony in courts of law pertaining to the investigation.
5% Perform other duties as assigned.
Candidate Profile (application) must be completed in its entirety.

• Include supervisor names and phone numbers for all periods of employment.
• Account for and explain any gaps in employment so that the hiring process is not delayed.
• Experience, education, training, knowledge, skills and/or abilities as well as responses to pre-qualifying questions must be verifiable to meet the minimum qualifications.
• It is unacceptable to use the statement "See Resume" in place of entering work history.
• If you experience problems applying online, please call the People First Service Center at (877) 562-7287.

The Benefits of Working for the State of Florida:Working for the State of Florida is more than a paycheck. The State's total compensation package for employees features a highly competitive set of employee benefits including:

• Annual and Sick Leave benefits.
• Nine paid holidays and one Personal Holiday each year.
• State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options.
• Retirement plan options, including employer contributions (For more information, please click www.myfrs.com).
• Flexible Spending Accounts
• Tuition waivers.
• And more! For a more complete list of benefits, visit www.mybenefits.myflorida.com.

IMPORTANT NOTICE:To be considered for the position, all applicants must:
Submit a complete and accurate application profile necessary for qualifying such as dates of service, reason for leaving, etc. In addition, all applicants must ensure all employment and/or detailed information about work experience is listed on the application (including military service, self-employment, job-related volunteer work, internships, etc.) and that gaps in employment are explained.
NOTE: Any required experience and/or preferences listed in the advertisement must be verified at the time of application.

• Ensure that applicant responses to qualifying questions are verifiable by skills and/or experience stated on the employment application and/or resume. Applicants who do not respond to the qualifying questions will not be considered for this position.
• The elements of the selection process may include a skill assessment exercise.
• Current and future vacancies may be filled from this advertisement for a period of up to six months. Following the six-month period, a new application must be submitted to an open advertisement to be considered for that vacancy.
• OAG employees are paid biweekly. All state employees are required to participate in the direct deposit program pursuant to s. 110.113, F.S.

CRIMINAL BACKGROUND CHECKS/ DRUG FREE WORKPLACE:All OAG positions are "sensitive or special trust" and require favorable results on a background investigation including fingerprinting, pursuant to s. 110.1127(2)(a), F.S. The State of Florida supports a Drug-Free Workplace, all employees are subject to reasonable suspicion or other drug testing in accordance with section 112.0455, F.S., Drug-Free Workplace Act. We hire only U.S. citizens and those lawfully authorized to work in the U.S.
E-VERIFY STATEMENT:The Office of the Attorney General participates in the U.S. government's employment eligibility verification program (e-verify). E-verify is a program that electronically confirms an employee's eligibility to work in the United States after completion of the employment eligibility verification form (i-9).
PERSONS WITH DISABILITY/ADA STATEMENT: The OAG supports the employment of individuals with disabilities and encourages them to seek employment within our agency. If you need an accommodation because of a disability, as defined by the Americans with Disabilities Act, in order to participate in the application process, please notify the people first service center at 877-562-7287. If you need an accommodation during the selection process, please notify the hiring authority in advance to allow sufficient time to provide an accommodation.
REMINDERS:Male applicants born on or after October 1, 1962, will not be eligible for hire or promotion unless they are registered with the Selective Service System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from SSS. For more information, please visit the SSS website at: https: //www.sss.gov. If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida. If you return to FRS employment before satisfying the required waiting period, your retirement may be voided, and you may have to repay all benefits you have received, including any Deferred Retirement Option Program (DROP) payout.
Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.
The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.
VETERANS' PREFERENCE. Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans' Preference will receive preference in employment for Career Service vacancies and are encouraged to apply. Certain service members may be eligible to receive waivers for postsecondary educational requirements. Candidates claiming Veterans' Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Veterans' Preference documentation requirements are available by clicking here. All documentation is due by the close of the vacancy announcement.
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