AGO Senior Investigator/Analyst, Medicaid Fraud & Abuse Division, Spokane

Full Job Description

Persons requiring reasonable accommodation in the application process or requiring information in an alternative format may contact the recruitment team at HREmployment@atg.wa.gov.

Those with a hearing impairment in need of accommodation are encouraged to contact the Washington Relay Service at 1-800-676-3777 or www.washingtonrelay.com.

Position and Salary
The Attorney General’s Office is recruiting for a permanent full time AGO Senior Investigator/Analyst in the Medicaid Fraud & Abuse Division. This position is located in Spokane, Washington, and is represented by the Washington Federation of State Employees (WFSE).

AGO Senior Investigator/Analyst Salary Range 66: $80,820 - $108,780

The base pay offered will take into account internal equity and may vary depending on the preferred candidate’s job-related knowledge, skills, and experience.

The following stipends may apply based on position requirements:

• Incumbents assigned to our Seattle office location receive an additional 5% King County Location Pay stipend.
• Incumbents assigned to a position designated as requiring dual language skills will receive a 5% Dual Language Requirement Pay stipend.

The AGO provides a workplace that is understanding of work-life balance and promotes advancement by offering a wide variety of professional development and growth opportunities.

Excellent benefitsWashington State offers one of the most competitive benefits packages in the nation, including Medical/Dental/Vision for employees & dependent(s); Vacation, Sick, and Other Leave; 11 Paid Holidays per year; Public Employees Retirement System (PERS) plans; and Life Insurance.

Beyond these traditional benefits, we offer Dependent Care Assistance, Flexible Spending Accounts, Public Service Loan Forgiveness, Tuition Waiver, Deferred Compensation, Employee Recognition Leave, and more.

With the goal of employee health and wellness, we also offer:

• Flexible schedules and part-time/hybrid telework options;
• A Wellness Program, an Infants in the Workplace Program, and the Employee Assistance Program, which provides counseling, webinar, and other cost-free support resources;
• Numerous employee-driven affinity groups to foster community and connection, including Bereavement, Elder Care, Parenting, POC, LGBTQ+, Veterans and more. The AGO is a place to belong and make a difference!

About the Medicaid Fraud & Abuse Division

The work of the Office’s Medicaid Fraud & Abuse Division (MFAD) focuses on both criminal and civil law enforcement.

The 75% federally funded MFAD‘s mission is combating provider fraud, abuse and neglect in residential facilities and involving Medicaid recipients in non-institutional settings.MFAD’s Headquarters is located in Olympia, Washington with some team members also located at the AGO's Spokane Office and Seattle Office.

The Division currently has a staff of 66 FTEs, including attorneys, auditors, special agents, data analysts, clinical health investigators and professional support staff.

MFAD involves protecting not only the Medicaid program of roughly 22.9 billion dollars per annum, but also its most vulnerable persons, typically elderly persons in residential facilities or persons abused or neglected by a Medicaid Provider.

In many of our cases, there is no precedent so MFCD is consistently on the cutting edge of legal theories and issues.

The cases range from abuse and neglect of persons in nursing homes, large scale organized individual and corporate civil and criminal fraudulent activity to national whistleblower actions.

Our staff is a highly professional, fun and seasoned analytical investigative team. MFCD is unique in that all cases have an attorney, special agent, data analyst assigned with legal support.

This, and the great people who make up the division, gives MFCD a particularly terrific team atmosphere.

Duties and Essential Functions of an AGO Senior Investigator/Analyst

This is an expert level position responsible for investigating and coordinating highly complex civil and criminal healthcare fraud which are of a serious or sensitive nature and are assigned under the oversight of the assigned AAG.

The matters range from abuse and neglect in a residential facility to National Medicaid Fraud Control Unit (NAMFCU) matters.

This position carries a case load, creates investigative plans and participates as a team member on assigned cases.

Works with federal, local and Washington State law enforcement agencies as required under 42 USC 1396(b)(q)(4), 42 USC 1007.11 and 77 FR 32645.

May lead multi-jurisdictional investigations relating to Medicaid provider fraud, abuse and neglect of vulnerable adults.

Brings together partner agencies, develops case investigation plans, as appropriate and follows up to ensure completion of assignments.

The incumbent develops sources of information relating to Medicaid fraud and abuse and neglect in residential facilities; executes search warrants; collects, preserves and handles evidence in accordance with established rules of evidence; conducts surveillance; conducts criminal and civil interviews; prepares written reports, affidavits and other investigative documents; serves as a subject matter expert in civil and criminal healthcare fraud investigations.

May rotate as a back-up Intake Officer as requested by the Intake Supervising Special Agent.

Subject Matter Expert:

The incumbent will coordinate Medicaid Fraud and Abuse and Neglect (Special Victims) Western Washington outreach program aligned with the MFCD strategic plan.

This may include liaising with AGO Internal Task Force to ensure consistency and integration of message, sharing of resources and contacts.

The incumbent will also act as one of the MFCD Subject Matter Experts providing guidance as requested by any AGO multi-divisional Task Force as it relates to investigating Medicaid Fraud and or Abuse and Neglect of Vulnerable Adults.

Develop, promote, and provide guidance, education and awareness, as a subject matter expert.

Liaison/ Task Force Officer:

The incumbent is responsible to identify, seek out, and participate in key stakeholder relationships and other multi-jurisdictional investigative task force/working groups as determined by the Director.

The incumbent will either attend (or request attendance by other SA’s) [RL2]key shareholder meetings, multi-jurisdictional law enforcement and social welfare agency task force/working group meetings.

Establish and maintain good working relationships with administrative agencies and law enforcement.

The incumbent acts as a liaison with those agencies to ensure the referral of and requests for assistance and training regarding suspected fraud and abuse violations are delivered by the MFCD.

Process Improvements Project Lead:

The incumbent will identify and lead organizational improvement projects.

These projects are designed to address process improvements of the Unit or address matters identified in the Unit Strategic Plan.

Responsible to identify projects for consideration and upon approval by the Director or the Special Agent In Charge, develop a strategy to implement and measure the effectiveness of the project.

The incumbent may be tasked with leading the implementation of such approved projects Unit-wide and conduct other duties as assigned

This recruitment announcement may be used to fill multiple positions for the same classification, in addition to the position(s) listed in this announcement.

Qualifications

Bachelor’s degree and ten (10) years of experience conducting investigations, which include the authority to independently plan and conduct investigations in civil or criminal cases.

OR

Five years’ experience as an AGO Investigator/Analyst.

Note: Additional qualifying investigative experience may substitute year for year for education.

Conditions of Employment

A background check consisting of employment history, professional references and educational verification (e.g., degree, license, or official transcript) may be conducted.

Prior to any offer, the applicant selected will be required to submit to and pass a fingerprint-based criminal background check conducted by the Washington State Patrol, Criminal Records Division.

The incumbent will submit to additional background checks as a condition of employment every five (5) years thereafter.

About the Washington State Office of the Attorney GeneralThe Attorney General’s Office (AGO) touches the lives of every resident in this state.

We serve more than 230 state agencies, boards, commissions, colleges and universities, as well as the Legislature and the Governor.

The Office is comprised of nearly 700 attorneys and 800 professional staff, all working together to deliver the highest quality professional legal services to Washington state officials, agencies, and entities.

This includes:

• Economic justice and consumer protections (safeguarding consumers, protecting youth, seniors, and other vulnerable populations)
• Social justice and civil rights (addressing discrimination, environmental protection, and veteran and military resources)
• Criminal justice and public safety (investigative and prosecutorial support, financial crimes)
• And much more!

Our agency also has national reach, representing the State of Washington before the Supreme Court, the Court of Appeals and trial courts in all cases that involve the state’s interest. If you want to make a difference, we may be the perfect fit for you! Learn more about the AGO here.

Commitment to DiversityDiversity is critical to the success of the mission of the AGO.

This means recognizing, respecting, and appreciating all cultures and backgrounds-- and fostering the inclusion of differences between people.

Appreciating, valuing and implementing principles of diversity permits AGO employees to achieve their fullest potential in an inclusive, respectful environment.

One recent measure of the AGO's commitment to diversity can be found in its nomination for Rainbow Alliance and Inclusion Network's "Outstanding Agency Award" in 2019.

Our commitment to employee wellness is reflected in earning the 2024 Zo8 Washington Wellness Award.

Application Instructions

In addition to completing the online application, applicants must attach the following documents to their profile in order to be considered for this position:

• A letter of interest, describing your specific qualifications for the position;
• A current resume detailing experience and education.

Read the Following Information Completely:

• Carefully review your application for accuracy, spelling and grammar before submitting.
• You may not reapply to this posting for 30 days.
• The initial screening of applications will be solely based on the contents and completeness of the “work experience” and “education” sections of your application in www.careers.wa.gov, completeness of the application material submitted, and responses to the supplemental questionnaire.
• A resume will not substitute for completing the “work experience” section of the application.
• All information may be verified and documentation may be required.
• The Washington State Office of the Attorney General does not use the E-Verify system; therefore, we are not eligible to extend STEM Optional Practical Training (OPT). For more information, please visit www.uscis.gov.

Equal Employment Opportunity and Accommodations Requests

Honoring diversity, equity and inclusion means that as an agency, and as individuals, we are committed to ensuring that all employees and volunteers enjoy a respectful, safe and supportive working environment.

Only by fostering the inclusion of people from all backgrounds, cultures and attributes, can AGO employees and volunteers achieve their fullest potential and best advance the goals and mission of the AGO.

The AGO is an equal opportunity employer and does not discriminate on the basis of race, creed, color, national origin, sex, marital status, sexual orientation/gender identity, age, disability, honorably discharged veteran or military status, retaliation or the use of a trained dog guide or service animal by a person with a disability.

Persons requiring reasonable accommodation in the application process or requiring information in an alternative format may contact the recruitment team at HREmployment@atg.wa.gov.

Those with a hearing impairment in need of accommodation are encouraged to contact the Washington Relay Service at 1-800-676-3777 or www.washingtonrelay.com.

For questions regarding this recruitment or assistance with the application process, please contact the recruitment team at HREmployment@atg.wa.gov.

If you are having technical difficulties creating, accessing or completing your application, please call NEOGOV toll-free at (855) 524-5627 or support@neogov.com.