Medicaid FANS Investigator

About the role

This is a full-time position with the Office of the Attorney General. The Office of Attorney General is looking for a highly motivated and dedicated Investigator who is ready to make the commitment to protect South Dakotans from Medicaid fraud, abuse, and neglect. As a MFANS Investigator, you will play a vital part in safeguarding taxpayer dollars by investigating and prosecuting healthcare provider fraud that undermines our healthcare system. This critical work focuses on protecting patients in healthcare settings — including nursing homes, hospitals, and pharmacies — where fraud deprives them of quality care and wastes public resources. MFANS also protects the most vulnerable by investigating and prosecuting abuse, neglect, and exploitation in healthcare environments.

Responsibilities

• Conduct investigations into Medicaid provider fraud cases, drug diversion within the healthcare industry, and elder abuse, neglect, and exploitation.
• Improve patient safety and uphold the integrity of the healthcare system.

Requirements

• State of South Dakota law enforcement certification, or ability to become a South Dakota certified law enforcement officer.
• Applicants must be able to meet all minimum standards for law enforcement employment and certification at the time of appointment.
• Applicants who are not law enforcement certified must complete a thirteen-week basic law enforcement certification course.
• Bachelor’s degree from an accredited four-year college or university.
• Minimum of three years of criminal or law enforcement experience.
• Special consideration will be given to applicants with a background in healthcare, law enforcement, accounting, or auditing.

Knowledge, Skills, and Abilities

• Demonstrated knowledge of investigative techniques and criminal law procedures.
• Strong analytical and research skills.
• Read, comprehend, retain, and apply written factual information obtained in interviews and factual information into clear reports.
• Demonstrated proficiency in interview and interrogation skills.
• Working knowledge of state and federal law, search/seizure, and evidence standards.
• Analyze situations quickly and objectively; observe and recall detail.
• Confront a variety of problems and situations relating to theft of Medicaid funds, patient abuse/neglect, and financial exploitation.
• Strong interpersonal skills; strong written and verbal communication skills.
• Dependability and sound work habits; impeccable integrity, truthfulness, and credibility.
• Self-motivation and the ability to work independently and collaborate with analysts and attorneys in preparing cases.
• Must be able to safely operate a motor vehicle.

Benefits

• $0 premium employee health insurance option.
• Eleven paid holidays.
• Generous vacation and sick leave accrual.
• Dental, vision, and other insurance options.
• Retirement benefits; position is a member of Class A retirement under SDRS.