Medicaid Fraud Criminal Investigator

Description:

Division Overview:

Montana's Division of Criminal Investigation is a diverse public safety team of professionals who provide a full range of criminal investigative services to state, local, and tribal law enforcement.From homicide investigations to illegal narcotics, criminal records, cybercrime, human trafficking, missing persons, or through training and certifying public safety officers, DCI serves as the hub in providing critical law enforcement support.Our diverse customer base includes protecting our vulnerable population, managing the sexual and violent offender registry, serving as the hub of communication for criminal justice information networks and the storage of criminal records, conducting arson investigations, as well as providing intelligence analysis support for local law enforcement.Many of our positions within DCI go without public recognition but remain the lifeline of support for public safety.With a doctrine of service, honor, and justice, this statewide organization provides the best in critical, accurate, and timely service to protect our citizens.

Job Overview:

This is a Criminal Investigator position in the Medicaid Fraud Control Section (MFCU) and is responsible for coordinating and conducting investigations of crimes involving fraud to the Montana Medicaid program by providers, abuse or neglect of patients or residents in health care or board and care facilities receiving payments under Medicaid, and misappropriation of funds or property of patients or residents of health care facilities receiving payments under Montana Medicaid.Criminal investigations involve allegations of fraud, drug diversion, abuse, neglect, assault, sexual assault and homicide.

Knowledge, Skills, and Abilities:

• The position requires extensive knowledge of law enforcement; investigative procedures; planning; report writing, coordinating the activities of multiple agencies and jurisdictions; developing, conducting, and presenting complex long-term cases; criminal procedures, collection and rules of evidence, criminal justice information and privacy/security regulations, family services, Social Services and Institutions and law enforcement and investigation including criminal justice information.Knowledgeable, proficient, and skilled in the use of firearms.Knowledgeable regarding proper procedures for writing and executing search warrants, investigative subpoenas, and forfeiture documents.
• Skill in using all types of complicated equipment necessary to conduct criminal investigations; conducting undercover investigations; making correct/legal and appropriate decisions in highly stressful situations; establishing and maintaining effective working relationships with employees; communicating effectively verbally and in writing; and in reviewing case plans and information.Skilled in drafting and presenting search warrants, investigative subpoenas and forfeiture documents to prosecutors and judges for review and issuance.
• Skill in examining all types of evidence to determine its relevance to the prosecution of the case and to properly document its relationship to the case and criminals.Procedures followed include standards of law enforcement and criminal investigation profession, best practices in investigation, and federal, state, and local regulations.
• Knowledge of Montana Codes Annotated (MCA) dealing with crimes (MCA, Title 45, "Crimes"), criminal procedure (MCA, Title 46, "Criminal Procedure"), rules of evidence (MCA, Title 26, Chapter 10, "Montana Rules of Evidence"), seizures related to contraband, criminal justice information and privacy/security regulations (MCA, Title 44, Chapter 5, "Criminal Justice Information"); family services (MCA, Title 52); Social Services and Institutions (MCA, Title 53); CFR 18 and 42; ARMs; and law enforcement and investigation including criminal justice information and rules of evidence.

Qualifications

If another department vacancy occurs in this job title within six months, the same applicant pool may be used for the selection.