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Minimum Qualifications Six years of experience in a field investigative position conducting interviews of witnesses and others, taking written statements and affidavits, collecting and analyzing physical and documentary evidence, and preparing detailed written reports of investigative findings.
Substitutions: an associate’s degree in criminal justice or related field may substitute for two years of qualifying experience. A bachelor’s degree in criminal justice or a related field may substitute for four years of qualifying experience. Related fields include: law enforcement, police science, criminal justice administration, criminology, criminal investigation, police studies, public justice, forensic accounting, forensic psychology, forensic science, and economic crime management.
Preferred Qualifications: Excellent verbal and written communication skills. Proficiency with Microsoft Office Suite and ability to learn new data systems. Regular travel, including to areas not served by public transportation, is required. Must have a valid driver’s license or otherwise demonstrate the ability to meet the transportation requirements of the position.
Duties Description The Division of Medicaid Investigations ensures the integrity of the Medicaid program by conducting investigations, recovering over payments and implementing administrative sanctions against providers. Duties of the position will include, but not be limited to:
Investigate allegations of Medicaid fraud or abuse.
Conduct fieldwork, including on-site inspections.
Operate various data systems; analyze information; and draw appropriate conclusions.
Obtain sufficient information and documentation to support investigative findings.
Draft correspondence, reports, and notices for public issuance in connection with administrative actions seeking to recoup Medicaid overpayments and impose sanctions.
Testify at administrative hearings as necessary.
Collaborate with other regulatory oversight agencies and law enforcement and conduct joint investigations as appropriate.
Serve as liaison with Managed Care Organizations and participate in regular meetings with their Special Investigation Unit representatives.
Additional Comments Non-Competitive, permanent and full-time, fingerprinting and background check required. Routine travel is required in order to conduct fieldwork necessary to complete investigations. Must have a valid driver’s license or otherwise demonstrate the ability to meet the transportation requirements of the position. There may be minimal mandatory overtime. Appointment is subject to completion of the appropriate fingerprinting and background check. Retirees from public employment will need to specify if they would consider returning to work under Section 212 of the Retirement and Social Security Law. Under Section 212, a retiree may return to public employment, earn up to $30,000, as set by law, and continue to receive his/her retirement benefit. Filling of this position is contingent upon Division of Budget waiver approval.
Free parking is available.
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