Medicaid Fraud Investigations Supervisor
North Carolina Office of State Personnel - Wake County, NC

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This position is responsible for supervising a team of financial investigators and the investigation of fraudulent activity by Medicaid providers and patient abuse occurring in Medicaid-funded facilities. The position is also responsible for the initial investigation and development of financial and physical abuse cases, obtaining evidence to support criminal and civil False Claims Act actions, and support of the legal staff of the Medicaid Investigations Division, District Attorney's Office and United States Attorney's Office in all phases of litigation. DOJ has a competency based recruitment program; for those purposes recruitment for this position is at Journey level, equivalent to pay grade 77. This is a Financial Investigating Manager, posted pending OSP approval.

If a Journey level candidate is not available, management reserves the right to select a Contributing level candidate. This position is not subject to the Fair Labor Standards Act.

Knowledge, Skills and Abilities / Competencies:

Thorough knowledge of accounting and auditing principles and practices. Thorough knowledge of the legal principles and techniques of conducting criminal and civil fraud investigations. Thorough knowledge of Medicaid rules and regulations that pertain to cost reimbursement. Considerable knowledge of the administrative operation of health care facilities and professional medical offices. Ability to deal effectively with management and employees of these organizations. Ability to deal effectively with attorneys and the judiciary in all stages of Medicaid fraud litigation. Ability to communicate effectively on financial matters, including before a jury; and ability to prepare financial briefs and exhibits. Ability to supervise, assign tasks and resources, develop investigative and work plans, review work, develop and counsel financial investigators, and support unit policy and procedures.

Minimum Education and Experience Requirements:

Masters degree in accounting and two years of professional financial or accounting experience, and/or experience conducting financial criminal investigations; or a four-year degree in accounting and three years of professional financial or accounting experience, and/or experience conducting financial criminal investigations; or a four year degree, 18 semester hours in accounting and four years of professional financial or accounting experience, and/or experience in conducting financial criminal investigations; or an equivalent combination of training and experience.

Management prefers 18 hours in accounting and prior experience related to the identification, investigation, and prosecution of Medicaid provider fraud.

Supplemental and Contact Information:

Computer literacy is an important component of all DOJ jobs, we encourage you to apply electronically. All applicants must complete and submit a State application for employment using the new NEOGOV Online Job Application System ( ) for the State of North Carolina. To receive credit for your work history and credentials, you must list the information on the online application form. Any information not included on the application form cannot be considered for qualifying credit. Any licenses or certificates must be included in the appropriate section of the application form. Attached or incorporated resumes will be accepted, but will not be used for qualifying credit. Other attachments will also be accepted, but not used in screening for qualifying credit. Applicants are required to attach a copy of their DD-214 or discharge orders if they wish to obtain veterans preference.

The NC Department of Justice is an Equal Opportunity Employer. The NC Department of Justice uses Merit-Based Recruitment to select from among the most qualified applicants to fill positions subject to the State Personnel Act. Applicants are asked to document competencies related to the position for which you apply on the State application. A competency is defined as a set of behaviors or duties that reflect skills, knowledge and abilities.

Once the position has been filled, all on-line applicants will be notified via the e-mail provided at the time of application.

NC Department of Justice
Human Resources Management Office
Lisa Sasser, Recruitment Specialist
114 W. Edenton Street
Raleigh, NC 27603


North Carolina Office of State Human Resources - 2 years ago - save job