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Supervising Special Agent, Medicaid Fraud Control Division

State of Washington Spokane County – Spokane, WA, WA
supervising medicaid fraud legal neglect accommodation people analyst attorneys law enforcement data
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Persons requiring reasonable accommodation in the application process or requiring information in an alternative format may contact Kalea Muigai at 360-586-7698.  Those with a hearing impairment in need of accommodation are encouraged to contact the Washington Relay Service at 1-800-676-3777 or www.washingtonrelay.com.

The Attorney General's Office (AGO) is the chief legal officer for the state of Washington, serving more than 230 state agencies, boards, commissions, colleges and universities, as well as the Legislature and the Governor. In furtherance of its mission to deliver the highest quality professional legal services to officials, agencies, and people of the state of Washington, the AGO covers a remarkably diverse legal landscape, including consumer protection, civil and administrative litigation, environmental law, torts, tribal law, labor law, appellate practice, criminal prosecution and employment law.
 
The agency is highly respected for the quality of its legal work and the professionalism and ethical standards of its staff and leadership. The AGO's dedicated team of more than 600 attorneys and 600 professional staff often cite the AGO's broad mandate, offering challenging, diverse work in the public interest as reasons to join the office -- and opportunities for professional growth, along with a collegial atmosphere, as reasons to stay. The AGO greatly encourages, celebrates and values diversity, appreciating that a workforce composed of those from different backgrounds and experiences creates an inclusive environment, strengthens positive relationships with the local community and brings new perspectives and approaches to fulfill its mission of providing excellent, independent and ethical legal services to the State of Washington and protecting the rights of its people.
 
For more information about the AGO, we encourage you to review the Office's newest Annual Report which can be found HERE and view THIS VIDEO.
 
The Attorney General’s Office is recruiting for a permanent full time Supervising Special Agent (AGO Investigator/Analyst Supervisor) in the Medicaid Fraud Control Division. This position is located in Spokane, Washington. This position is represented by the Washington Federation of State Employees (WFSE).
 
This recruitment announcement may be used to fill multiple open positions for the same classification, in addition to the position(s) listed in this announcement.
  
The work of the Office’s Medicaid Fraud Control Division (MFCD) focuses on both criminal and civil law enforcement. The 75% federally funded MFCD‘s mission is combating provider fraud, abuse and neglect in residential facilities and involving Medicaid recipients in non-institutional settings.
 
MFCD’s Headquarters is located in Olympia, Washington with some team members also located at the AGO's Spokane Office and Seattle Office.  The Division currently has a staff of 58 FTEs, including attorneys, auditors, Special Agents, data analysts and professional support staff.
 
MFCD involves protecting not only the Medicaid program of roughly 13 billion dollars per annum, but also its most vulnerable persons, typically elderly nursing home patients and Medicaid recipients in any setting.  In many of our cases, there is no precedent so MFCD is consistently on the cutting edge of legal theories and issues.  The cases range from abuse and neglect of persons in nursing homes, large scale organized individual and corporate civil and criminal fraudulent activity to national whistleblower actions.  Our staff is a highly professional, fun and seasoned analytical investigative team.    MFCD is unique in that all cases have an attorney, special agent, data analyst assigned with legal support.    This, and the great people who make up the unit, gives MFC a particularly terrific team atmosphere.This is an expert level position that is responsible for investigating and coordinating highly complex civil and criminal healthcare fraud cases which are of a serious or sensitive nature which are assigned at the highest levels within the AGO under the oversight of the assigned AAG. The matters range from abuse and neglect in a residential facility to National Medicaid Fraud Control Unit (NAMFCU) national matters. This position carries a case load, creates investigative plans and participates as a team member on assigned cases.
 
Works with and oversees the work of others working with federal, local and Washington State law enforcement agencies as required under 42 USC 1396(b)(q)(4), 42 USC 1007.11 and 77 FR 32645. Act as MFCU Lead in multi-jurisdictional investigations relating to Medicaid provider fraud, abuse and neglect of vulnerable adults. Brings together partner agencies, develops case investigation plans, delegates duties as appropriate and follows up to ensure completion of assignments.
 
The incumbent: develops sources of information relating to Medicaid fraud and abuse and neglect in residential facilities; executes search warrants; collects, preserves and handles evidence in accordance with established rules of evidence; conducts surveillance; conducts criminal and civil interviews; prepares written reports, affidavits and other investigative documents; serves as a subject matter expert in civil and criminal healthcare fraud investigations.

Coordinates investigative activities with other Special Agents and Supervisors. Assigns and/or coordinates work and tasks assigned to Special Agents. Act as "Catching Agent" for the complaints Intake Process and act as one of four Back-up Catching Agents.
 
Review and edit supervised Special Agent's work product. Provide guidance to Special Agents relating to healthcare fraud as well as abuse and neglect investigative practices, activities and actions.
 
Identify training needs of staff assigned to that team and relay those needs to the Special Agent in Charge as well as the respective Section Chief.
 
Facilitate team meetings designed to ensure safe, efficient and timely investigative strategies and activities are developed, implemented, and communicated routinely with other team members: Assistant Attorneys General, the Data Analyst.

Review and approve personnel leave requests made by Special Agents this position supervises. Complete personnel evaluations in accordance with AGO policy and guidelines.

This position will serve as a liaison agent, coordinating with local, state and federal law enforcement, industry partners and stakeholders, community organizations and the U.S. Attorney's Office in matters relating to both routine and sensitive topics. In this capacity, the position is tasked with ensuring these relationships are maintained to the level that a seamless dialog can occur with these entities by other MFC staff, including, but not limited to, the Director, Civil and Criminal Section Chief, and Special Agent in Charge.
 
Bachelor’s degree and ten years of experience conducting investigations, which include the authority to independently plan and conduct investigations in civil or criminal cases. At least two of these years must include supervision of investigators.
 
Additional qualifying investigative experience may substitute year for year for education.
 
OR
 
Five years’ experience as an AGO Senior Investigator/Analyst.
APPLICATION INSTRUCTIONS
 
In addition to completing the online application, applicants must attach the following documents to their profile in order to be considered for this position:
  • A letter of interest, describing your specific qualifications for the position;
  • A current resume detailing experience and education.
 
READ THE FOLLOWING INFORMATION COMPLETELY:
  • Carefully review your application for accuracy, spelling and grammar before submitting.
  • You may not reapply to this posting for 30 days.
  • The initial screening of applications will be solely based on the contents and completeness of the "work experience" and "education" sections of your application in www.careers.wa.gov, completeness of the application material submitted, and responses to the supplemental questionnaire.
  • A resume will not substitute for completing the "work experience" section of the application.
  • All information may be verified and documentation may be required.
 
Honoring diversity, equity and inclusion means that as an agency, and as individuals, we are committed to ensuring that all employees and volunteers enjoy a respectful, safe and supportive working environment.  Only by fostering the inclusion of people from all backgrounds, cultures and attributes, can AGO employees and volunteers achieve their fullest potential and best advance the goals and mission of the AGO.
 
The AGO is an equal opportunity employer and does not discriminate on the basis of race, creed, color, national origin, sex, marital status, sexual orientation/gender identity, age, disability, honorably discharged veteran or military status, retaliation or the use of a trained dog guide or service animal by a person with a disability. Persons requiring reasonable accommodation in the application process or requiring information in an alternative format may contact Tracy Robinson at 360-586-7693.  Those with a hearing impairment in need of accommodation are encouraged to contact the Washington Relay Service at 1-800-676-3777 or www.washingtonrelay.com.
 
For questions regarding this recruitment or assistance with the application process, please contact Judith Vandergeest at (360) 586-7691 or [email protected].

If you are having technical difficulties creating, accessing or completing your application, please call NEOGOV toll-free at (855) 524-5627 or [email protected].

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