*Investigator 3 - Civil Enforcement Division (Portland)

Permanent, full-time position with the Oregon Department of Justice (DOJ) – Civil Enforcement Division in Portland. Hybrid work schedule as business needs allow.

About the role

The Medicaid Fraud Unit investigates and prosecutes fraud by Medicaid providers and allegations of abuse, neglect, and financial exploitation of residents in long-term care facilities. As a Referral Investigator, you will join a dynamic, multi-disciplinary team charged with investigating and prosecuting health care fraud statewide.

Responsibilities

• Collect, evaluate, and analyze computerized and other evidence (e.g., medical records, Medicaid claims data, social service, financial, and legal records) from referral sources.
• Interview witnesses and suspects, including health care professionals, Medicaid agency personnel, and Medicaid recipients.
• Research Medicaid policies and programs.
• Present investigative findings on referrals, describing policy, financial, medical, and legal aspects of the case. Include recommendations for criminal or civil action or referral to appropriate administrative agencies.
• Coordinate with social service agencies and local, state, and federal law enforcement entities about referrals.
• Public outreach and education about the Medicaid Fraud Unit.

Requirements

• Four years of recent (within the last ten years) full-time investigative experience, including:
  • Conducting fact-finding.
  • Collecting and preserving evidence according to the rules of evidence.
  • Examining records.
  • Locating and interviewing witnesses to verify or disprove claims of suspected law violations.
  • Writing investigation reports sufficient for use at administrative hearings or in court.

  Examples of qualifying experience include law enforcement investigation, insurance investigation, investigative trial support, or financial fraud investigation.

• College-level courses in Law Enforcement, Criminal Justice, Law, Accounting, or Auditing may substitute for up to one year of the required experience.
• Possess and maintain an Oregon State driver license throughout employment.
• Willing and able to travel as needed (e.g., investigations, court dates, meetings, trainings).

Skills

• Excellent analytical, communication, and organizational skills.
• Healthcare-related background.
• Experience interviewing witnesses and suspects, including those who are occasionally uncooperative and hostile.
• Experience writing interview and investigative reports.
• Experience testifying in administrative, civil, or criminal proceedings.
• Experience working as part of a multidisciplinary team.
• Experience reviewing and analyzing financial records.
• Experience in public speaking.
• Expert-level proficiency in Microsoft Excel; experience reviewing and analyzing data is a plus.

Benefits

• Work/life balance with 11 paid holidays per year, vacation, sick leave, and personal business leave.
• Competitive benefits package, including:
  • Excellent medical, dental, and vision benefits.
  • Pension and retirement programs.
• Representation by the Service Employees International Union (SEIU).
• Endless peer and management support.
• Opportunity to expand government auditing and data analysis skills.

Pay

$5,193 – $7,968 per month.