SPECIAL AGENT, Division of Medi-Cal Fraud & Elder Abuse

About the role

As the state’s federally mandated Medicaid Fraud Control Unit (MFCU), the Division of Medi-Cal Fraud and Elder Abuse (DMFEA) works aggressively to investigate and prosecute fraudulent activities and the illegal diversion of health care resources from California’s most vulnerable citizens. Under the direction of a Special Agent Supervisor, the Special Agent conducts criminal investigations involving allegations of fraud against the California Medical Assistance Program (Medi‑Cal) by providers of medical and related services, patient abuse and neglect in Medicaid‑certified facilities, and the diversion of pharmaceutical drugs by Medi‑Cal providers.

Responsibilities

• Conduct criminal investigations
• Conduct undercover operations
• Prepare written investigative reports
• Prepare and serve search warrants
• Gather evidence including computer hardware and data
• Use and maintain investigative and protective equipment
• Use and maintain computer hardware and software for data analysis and case preparation
• Coordinate investigations with other law enforcement agencies
• Work closely with prosecutors in preparing cases for court
• Testify in court and make arrests as a result of investigations
• Perform other duties as required
• Conduct duties with an emphasis on community interaction and collaborative problem solving (per Penal Code Section 13651)

Skills

• Criminal investigation techniques
• Undercover operations
• Investigative report writing
• Search warrant preparation and service
• Evidence collection and preservation (including digital evidence)
• Operation and maintenance of investigative and protective equipment
• Use of computer hardware and software for data analysis and case preparation
• Interagency law enforcement coordination
• Collaboration with prosecutors for case preparation
• Court testimony and arrest procedures
• Community interaction and collaborative problem solving

Benefits

• Work‑life balance
• 11 paid holidays
• Flexible paid leave options
• Consistent wage increases
• Pension retirement
• Job stability
• Health/Dental/Vision Insurance
• Public Service Loan Forgiveness (PSLF)
• Additional state employee benefits

Pay

Range A: $7,454.00 – $10,351.00 per month. Range B: $8,592.00 – $12,834.00 per month. New‑to‑State candidates are hired at the minimum of Range A unless they meet Alternate Range Criteria 175 (24 months of satisfactory experience in Range A or equivalent peace‑officer duties). Current state employees and those with reinstatement rights will have their salary determined per applicable laws, rules, and regulations.

Schedule

Work Shift: Day. Work Week: Monday – Friday. Work Location: Riverside County (Telework/In‑office hybrid).