Financial Investigator, Medicaid Fraud Investigations

This position is located in the Raleigh Office of the Medicaid Investigations Division. It is responsible for investigation of fraudulent activity by Medicaid providers and patient abuse occurring in Medicaid funded facilities and to support criminal and civil fraud and abuse actions in state and federal court and national task forces and support the legal staff of the Medicaid Investigations Division, District Attorney’s Office and United States Attorney’s Office in all phases of litigation.

This position is not subject to the Fair Labor Standards Act.

DOJ has a competency based recruitment system and this position is posted at the Journey level, equivalent to a pay grade 73. In the event Journey level candidates are not available, management may select a Contributing level candidate. The salary range is $ 40,012.00 to $ 64,326.00.

Selected candidate will undergo and must successfully complete a comprehensive background investigation.

Knowledge, Skills and Abilities / Competencies
Knowledge of generally accepted accounting principles and financial systems. Knowledge of laws relevant to Medicaid provider fraud and patient abuse investigations. Ability to follow the flow of funds and assets through transactions. Knowledge of investigative and examination techniques. Ability to use the latest technology. Knowledge of and ability to conduct and complete complex Medicaid provider fraud and patient abuse investigations independently. Demonstrates sound judgment in making decisions and recommendations.

Ability to clearly communicate accounting principles. Ability to clearly and accurately communicate and document findings verbally and in written reports. Ability to develop and maintain professional working relationships with co-workers, supervisors, witnesses, other law enforcement personnel, attorneys, court personnel, experts, and others.

Ability to develop sound conclusions based on knowledge of accounting. Ability to identify, gather, understand, and analyze financial information. Ability to develop and execute an investigative plan to investigate financial crimes. Ability to consult with Division attorneys. Ability to interview witnesses and to obtain evidence related to a case. Ability to recognize unusual activity. Ability to develop sound conclusions and present findings. Ability to serve as a trial witness. Ability to determine if laws were violated. Ability to investigate within prescribed timeframes. Ability to maintain confidentiality.

Minimum Education and Experience Requirements
Bachelor’s degree preferably in accounting, finance, business administration, or criminal justice with eighteen credit hours of accounting coursework or a bachelor’s degree preferably in accounting, finance business administration, or criminal justice and two years of experience auditing or investigating white-collar, financial crimes; or equivalent combination of training and experience. A combination of working knowledge of accounting and financial laws and a background in law enforcement or investigations is preferred. All degrees must be received from appropriately accredited institutions. May require certification as a Law Enforcement Officer or Special Agent in accordance with the provisions of the North Carolina Criminal Justice Training and Standards Commission or the ability to achieve certification within one year of employment.

This position is not a sworn position and does not require certification as a Law Enforcement Officer or Special Agent.