Medicaid Program Integrity Jobs in Philadelphia, PA

Director

Investigations Division

New Jersey Office of the State Comptroller

Unclassified Division Director

Salary Range: M98 - $165,000-$175,000

Eligible for remote work up to 2 days per week

Opening Date: August 12, 2026 | Closing Date: September 12, 2026

Posting #33-26

About OSC:

The Office of the State Comptroller (OSC) is an independent state agency created to bring greater efficiency and transparency to all levels of New Jersey government. Our mission is to make the government in New Jersey more efficient, transparent, and accountable. Our office audits and investigates municipalities, school districts, counties, state colleges and universities, independent state authorities, and state agencies. We also oversee government expenditures, review public contracts, evaluate local and state programs, and oversee the integrity of New Jersey’s Medicaid program. We detect and uncover fraud, waste, and abuse and share our findings through public reports.

About the Division:

OSC’s Investigations Division (the Division) was formed in 2010 after New Jersey’s legislature consolidated the powers of the Office of the Inspector General under OSC. The Division continues to exercise the functions, powers, and duties of an inspector general, adhering to Principles and Standards for Offices of Inspector General. The Division conducts investigations and reviews to detect and prevent fraud, waste, abuse, and mismanagement in New Jersey government. Among other activities, the Division monitors the performance of government officials, public employees, and programs; uncovers waste and misconduct involving public funds; and releases reports that include findings and recommendations to promote accountability, integrity, and efficiency, and to identify cost savings within state-funded government programs and operations.

About the Role:

OSC seeks an experienced and motivated leader with a proven track record managing complex investigations and an in-depth understanding of government oversight. This role offers a unique opportunity to shape and lead the Division—a multidisciplinary team of investigators, attorneys, and analysts—as it conducts confidential and sensitive investigations of public entities, for the purpose of preventing and detecting fraud, waste, abuse and mismanagement in New Jersey government.

Responsibilities:

• Provide executive leadership for the Division, developing strategic direction and organizational priorities, and ensuring operational effectiveness.
• Lead investigative staff in the intake of tips/complaints, the planning and execution of case activities, and the reporting of findings from complex investigations into fraud, waste, abuse, and mismanagement involving public entities and government actors.
• Oversee the collection, maintenance, organization, analysis, and documentation of investigative information, ensuring confidentiality and compliance with professional standards.
• Ensure efficient utilization by staff of the Division’s case management and other tracking systems in compliance with professional standards.
• Draft comprehensive investigative reports detailing procedures, findings, and corrective action recommendations.
• Review the written work product of the division, including reports, documents requests and subpoenas, letters, alerts, training materials, and correspondence, ensuring high-quality and timely deliverables.
• Coordinate with other divisions and as needed, assist in audits and procurement reviews.
• Serve as a liaison with external agencies and entities.
• Work collaboratively with federal, state, and local partners in law enforcement and government oversight.
• Perform training activities for internal and external audiences, including those pertaining to OSC’s mitigation of fraud, waste, abuse, and mismanagement.
• Oversee a rigorous quality control process to ensure the accuracy and objectivity of investigative reports.
• Oversee and as needed, conduct investigative interviews.
• Maintain a working knowledge of applicable laws, regulations, and standards related to investigations.

Requirements:

• Bachelor's degree from an accredited college or university.
• Ten (10) years of experience in investigations, auditing, law, and/or law enforcement with responsibility conducting complex investigations.
• Five (5) years of supervisory experience with responsibility managing individuals conducting investigations.

The ideal candidate will have the following skills and experience:

• Specific experience in government oversight, conducting investigations involving fraud, waste, abuse, mismanagement and/or corruption.
• Demonstrated strength in gathering, analyzing, and evaluating facts and drawing conclusions based on varied complex sources, including but not limited to laws, policies and procedures, and financial data.
• Ability to clearly communicate complex quantitative and qualitative concepts.
• Strength in managing multiple projects, delegation, and prioritizing competing deadlines.
• Excellent writing, editing, research, and verbal skills.
• Demonstrated ethics and sound judgment.
• Experience with, and an understanding of all levels of New Jersey government.
• Certification(s) in fraud examination and/or investigations.

Interested candidates should submit a cover letter, resume, and three references to:

Mikayla Ridolfino

Office of the State Comptroller

P.O. Box 024

Trenton, NJ 08625

Email: careers@osc.nj.gov

NOTE: In accordance with N.J.S.A. 52:15C-5, OSC employees and personnel shall be deemed confidential employees and shall serve in the unclassified service of the Civil Service. Residency Requirements - Pursuant to N.J.S.A. 52:14-7 (L. 2011, Chapter 70), also known as the “New Jersey First Act,” all new- public employeesare required to obtain principal residence in the State of New Jersey within one (1) year of employment.

The Office of the State Comptroller is proud to be an equal opportunity employer. We are committed to providing a work environment that supports, inspires, and respects all individuals and in which personnel processes are based on merit, performance, and business needs. We do not discriminate on the basis of race, religion, color, national or ethnic origin, gender, sexual orientation, gender identity, gender expression, familial status, citizenship, age, or status as an individual with a disability. We believe that diversity and inclusion among our staff is critical to our success. We seek to recruit, develop and retain the most talented people from a diverse candidate pool and encourage applicants from all backgrounds and experiences to apply.

SAME Applicants: If you are applying under the “NJ SAME” program, your supporting documents (Schedule A or B letter), must be submitted along with your resume. For more information on the SAME Program visit their website at https://nj.gov/csc/same/overview/index.shtml , email: SAME@csc.nj.gov, or call CSC at (833) 691-0404.