Medicaid Fraud Control Unit Jobs in Nevada (NOW HIRING)

***THIS RECRUITMENT MAY CLOSE WITHOUT FURTHER NOTICE DEPENDING ON THE NUMBER OF APPLICATIONS RECEIVED. APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE*** Job Summary Criminal Investigators in the Attorney General's Medicaid Fraud Control Unit (MFCU) perform criminal and civil investigations involving violations of federal and/or State laws related to provider fraud within Nevada's Medicaid program, as well as the abuse and neglect of older and/or vulnerable adults. Investigations are primarily focused on healthcare providers, facilities, and caregivers.

Investigative activities include performing a substantial amount of medical claims analysis, healthcare record review, interviews with witnesses and subjects, and gathering of other evidence through methods including the use of subpoenas, surveillance, and search warrants. The MFCU uses a strike force model meaning that multiple staff are assigned and work each case together to include investigators, analysts, and prosecutors. Criminal Investigators are also responsible for providing provider education, conducting outreach training, and teaching various classes at the local police academies.

The MFCU also participates in a variety of working groups, community partnerships, and taskforces with federal, State, and local agencies. Criminal Investigators in the Attorney General's Investigations Division perform criminal investigations involving violations of federal and/or State laws pertaining to a specific program or regulatory area which includes, but is not limited to, Medicaid fraud, workers' compensation fraud, consumer protection, public integrity, human trafficking, missing children, financial fraud, alleged criminal offenses committed by State officers or employees, and all types of conflict of interest cases submitted by outside agencies, along with participating in multi-jurisdictional task forces comprised of officers from federal, State and local enforcement agencies. The investigative process is initiated following a formal request for service, upon receipt of a complaint from the public, or as a coordinated effort with federal, State or local law enforcement and criminal justice agencies.

Essential Qualifications Bachelor's degree from an accredited college or university in criminal justice, police science, or closely related field; current, at a minimum, Category II POST certification in Nevada; and one year of criminal investigation and law enforcement experience involving standard investigative and enforcement techniques utilized to enforce local, State and/or federal and agency laws, preparation of detailed investigative reports, and implementation of agency program goals and objectives; OR graduation from high school or equivalent education; current, at a minimum, Category II POST certification in Nevada; and three years of criminal investigative and law enforcement experience involving standard investigative and enforcement techniques utilized to enforce local, State and/or federal laws, statutes and regulations, preparation of investigative reports and implementation of agency program goals and objectives; OR one year of experience as an AG Criminal Investigator I or Criminal Investigator I in Nevada State service; OR an equivalent combination of education and experience as described above. Job Duties Review information received to determine possible criminal activity, validity of information and appropriate jurisdiction. Conduct interviews of witnesses, victims, suspects to obtain information regarding the alleged criminal activity in an effort to complete investigative assignments in consideration of agency priorities, goals and objectives.

Conduct research; gather and preserve evidence; take photographs and video; transport, secure, prepare and analyze evidence by following proper evidentiary procedure. Search law enforcement databases to include, but not limited to, National Crime Information Center (NCIC), National Criminal Justice Information System (NCJIS), Shared Computer Operations Protection Enforcement (SCOPE), Tiburon and the Department of Motor Vehicles. Develop case files and maintain case logs and reports; document investigative activities in order to develop and formulate facts and leads, establish patterns and trends, determine motives and support enforcement actions.

Conduct field surveillance and background investigations; participate in undercover "sting" operations in order to establish leads, solidify evidence, and develop probable cause; use electronic audio/video recording equipment or personally conduct transactions with suspects to gather evidence, develop leads and establish probable cause; establish proof of facts and evidence; review case findings with appropriate parties; and testify in court or other proceedings as required. Prepare investigative reports encompassing all significant events and facts pertaining to the case elements, outline and summarize violations committed, and submit and/or present findings to the prosecutor; prepare obtain and execute legal documents such as affidavits, search warrants, arrest warrants, and subpoenas to continue the criminal justice process and criminal prosecution. Maintain various reports such as daily activity reports, case summaries, arrest reports and vehicle reports; utilize information to develop statistical data, individual performance appraisals and to substantiate program budget expenditures.

Conduct training programs and outreach regarding agency services, specialized functions and/or programs to other law enforcement agencies, State, and local government officials, the public or community groups to develop understanding and awareness. Perform specialized investigations of complex cases that may involve multiple criminal violations, suspects and jurisdictions and may be sensitive in nature. Incumbents perform the full range of duties described above in an investigative unit at the journey level.

Incumbents conduct complex or difficult investigative assignments that may involve multiple criminal violations and or suspects. Some positions may be assigned certified peace officer training responsibilities which include Flying Armed, Use of Force, Building Entry, Search & Seizure, Preservation of Evidence, and ASP Baton. Duties are distinguished from the AG Criminal Investigator I class by greater complexity and independence in performing job assignments at the full journey level.

Perform related duties as assigned. Knowledge, Skills, and Abilities This class specification lists the major knowledge, skills and abilities of the job and is not all inclusive. Incumbent(s) will be expected to have knowledge, skills and abilities from a previous level.

Working knowledge of: applicable local, State and/or federal laws, statutes and regulations pertaining to investigations; criminal law practices and procedures; court procedures and documents; legal rights and rules of evidence; civil, criminal or administrative proceedings; chain of custody of evidence; laws of arrest, search and seizure; auditing, recordkeeping and bookkeeping techniques; interviewing and interrogation techniques; techniques of criminal investigation, identification and enforcement procedures. Ability to: read, understand and apply Nevada State statutes and federal and State regulations; communicate effectively with a wide variety of public contacts. Recruiter Contact Information: Susan Ashley - q.ashley@admin.nv.gov The State of Nevada is an equal opportunity employer dedicated to building diverse, inclusive, and innovative work environments with employees who reflect our communities and enthusiastically serve them

All applicants are considered without regard to race, color, national origin, religion or belief, age, disability, sex, sexual orientation, gender identity or expression, pregnancy, domestic partnership, genetic information (GINA), or compensation and/or wages. Please send direct Inquiries or correspondence to the recruiter listed on this announcement.