Job Description

Job Description

Come join the State of Alaska!

This job class uses Competency Based minimum qualifications (MQs). Please read the Competency Based MQ instructions below to learn more.

The Department of Law Criminal Division is recruiting for an Investigator 3 in Anchorage!

This position is open to Alaska Residents only. Please check our residency definition to determine if you qualify.

What You Will Be Doing:
The MFCU investigator conducts high level complex investigations of medical professional service providers who are suspected or known to have committed Medicaid fraud patient abuse and/or misappropriation of recipient assets. The investigator is expected to develop and manage all investigative aspects of complex cases involving Medicaid fraud and any other white-collar crime that may be associated with the case. These complex cases can be difficult to prove and are generally document-intensive and often extremely voluminous in nature and typically involve multiple suspects surveillance and consultation with subject matter experts. The investigator must be able to adapt to a wide variety of investigative scenarios demonstrate good judgment be a critical thinker highly self-motivated flexible and be both a team player and an independent worker with minimum supervision and direction.

Mission and Values/Culture:
The Medicaid Fraud Control Unit (MFCU) is a federally mandated and funded investigative and prosecutorial unit consisting of attorneys criminal investigators a forensic accountant and a paralegal. The mission of the unit is to investigate and prosecute fraud by healthcare providers healthcare facilities pharmaceutical manufacturers pharmacies and other healthcare related providers that illegally divert Medicaid funds. The MFCU is also responsible for investigating and prosecuting abuse neglect or financial exploitation of any patient in any licensed facility as well as abuse neglect and financial exploitation of any Medicaid recipient.

Benefits of Joining Our Team:

As an MFCU investigator your work directly protects vulnerable Alaskans and ensures Medicaid resources go to providers who deliver safe ethical care. You will handle complex cases involving healthcare fraud patient abuse neglect and financial exploitation. The work will provide you opportunities to collaborate with attorneys auditors medical professionals and federal partners such as HHS-OIG or DOJ.

You can expect a 37.5 hour work week; 12 paid holidays; personal leave accrual starting at 6 hours per pay period (about 21 days annually) increasing with years of service. The general office hours are 8:00AM to 4:30PM but there is flexibility in establishing your regular hours around core business hours.

The Working Environment You Can Expect:
The office environment is friendly and collaborative handling a wide variety of interesting and unique cases. You will likely explore new avenues of investigation and have the opportunity to participate in a type of criminal prosecution that may have never been seen before in Alaska. The Medicaid Fraud Control Unit is located at 310 K Street Ste. 308 and has a collaborative team of 6 investigators 3 attorneys a forensic account paralegal and law office assistant.

Who We Are Looking For:
We are interested in candidates who possess some or all of the following position specific competencies:

• Criminal Investigation: Knowledge of the guidelines regulations and procedures associated with criminal investigation including evidence detection and handling and drawing appropriate factual inferences and conclusions.

• Criminal Law: Knowledge of state and Federal criminal laws including procedures regulations guidelines and precedents related to admissibility of evidence and prosecution
• Decision Making: Makes sound well-informed and objective decisions; perceives the impact and implications of decisions; commits to action even in uncertain situations to accomplish organizational goals; causes change .

To view the general description and example of duties for the position please go to the following link: you can imagine yourself in this role we encourage you to apply!

Minimum Qualifications

Competency Based Minimum Qualifications
This job class uses competency based minimum qualifications. The competency description(s) listed below have been designed to promote a common understanding of the essential elements of the job class. They highlight the more general and customary knowledge skills abilities (KSAs) tasks and behaviors used to describe the competency. They typically list expectations as opposed to specific tasks and are to be used only as parameters and guidelines. A competencys description is not intended to exclusively define every KSA task and behavior needed to successfully meet the competency but rather to provide the manager/agency with a broad reference of options as to how an applicant can meet the job expectation.

Please ensure your application (through work history training education licenses certifications etc.) supports/demonstrates you possess the minimum required competencies for the job class.

Minimum Qualifications:
Any combination of education and/or experience that provides the applicant with competencies in

• Accountability: Holds self and others accountable for measurable high-quality timely and cost-effective results. Determines objectives sets priorities and delegates work. Accepts responsibility for own actions and decisions. Complies with established control systems and rules.
• Analytical Thinking/Problem Solving: uses a logical systematic sequential approach to address problems or opportunities or manage a situation by drawing on ones knowledge and experience base and calling on other references and resources as necessary.
• Integrity/Honesty: Contributes to maintaining the integrity of the organization; displays high standards of ethical conduct and understands the impact of violating these standards on an organization self and others; is trustworthy.
• Investigation: Knowledge of the guidelines regulations and procedures associated with investigation including interviewing evidence detection locating gathering and handling and drawing appropriate factual inferences and conclusions. Provide oral or written reports of findings. Presenting evidence and providing testimony.
• Law: Knowledge of State and federal laws including legal and court procedures regulations guidelines precedents admissibility of evidence case preparation and/or settlements for applicable areas of law practiced or supported.

Equivalent to those typically gained by:

Any combination of preparatory post-secondary education and/or progressively responsible investigative work experience performing duties such as locating and gathering information evidence and/or testimony to be used in civil or criminal proceedings administrative actions or governmentally regulated activities which included preparing reports in support of attorneys or agencies engaged in administrative adjudication and/or detecting and verify suspected fraud licensing violations and other violations of state law.

Definitions:
Competencies means a combination of interrelated knowledge skills abilities and behaviors that enable a person to act effectively in a job or situation.

Typically gained by means the prevalent usual method of gaining the competencies expected for entry into the job.

Training and education in this guidance are synonyms for the process of acquiring knowledge and skills through instruction. It includes instruction through
formal and informal methods (such as classroom on-line self-study and on-the-job) from accredited and unaccredited sources and long-duration (such as a post-secondary degree) and short-duration (such as a seminar) programs.

Progressively responsible means indicating growth and/or advancement in complexity difficulty or level of responsibility.

Special Note:
Some positions in this class may require eligibility for commission as a Special Officer with the State of Alaska as a condition of hire.

Some positions require applicants pass a background investigation which includes a criminal record check for conviction of felony or misdemeanor crimes as a prerequisite to employment.

Some positions require incumbents possess an Alaska drivers license and operate a motor vehicle.

Additional Required Information

**PLEASE READ THE FOLLOWING CAREFULLY**

Members of the Criminal Division are held to high standards of professionalism even in our personal lives. The incumbent must maintain the strictest of confidences with information they will be exposed to and have access to. Applicants should be aware that due to the nature of the work being performed in this office the incumbent must have the ability to tolerate some exposure to graphic pictures coarse language and detailed descriptions of sometimes horrific criminal acts.

DISCLOSURE OF PRIOR STATE EMPLOYMENT

All employment with the State of Alaska including but not limited to full-time part-time seasonal temporary on-call etc. positions must be disclosed in your application. Failure to provide this information may result in the disqualification of your application.

REQUIRED OF ALL APPLICANTS

At the time of the interview please ensure that you provide the following materials:

• Educational transcripts if using education to meet the minimum qualifications of this position.
• List of three (3) professional references to include daytime telephone and email address. One must be a current or former supervisor .
• Last two (2) performance evaluations. If unavailable supervisory letters of recommendation can be substituted
• A writing sample of no more than five pages.
• If you have them please provide any certificates or licenses related to healthcare investigations and law enforcement (Not required).

SUPPLEMENTAL QUESTIONS

For your application to be evaluated you must answer the Supplemental Questions. The State of Alaska (SOA) uses four levels of proficiency to measure and describe an applicants level of competence in applying certain behaviors knowledge skills and abilities to accomplish a specific task. The proficiency levels are Mastery Fluency Literacy and Discovery. You will need to rate your proficiency for each competency listed in the supplemental questions.

BACKGROUND CHECK

The Alaska Public Safety Information Network (APSIN) is utilized in this position. A background check and fingerprinting will be required. The incumbent will be required to obtain APSIN access which will be done through the office.

BARGAINING UNIT

If you are a current state employee please mark the union you are a member of at the time of application.

EDUCATION

If post-secondary education is required to meet the minimum qualifications you must fill in the Education section of the application. Copies of transcripts are required to verify educational credentials and must be attached to your application upon submission. Unofficial transcripts are acceptable provided they include the URL and institution name.

SPECIAL INSTRUCTIONS FOR FOREIGN EDUCATION

If education is completed in a foreign college or university it may be used to meet the above requirements if applicable. If utilizing this education you must show that the education credentials have been submitted to a private organization that specializes in the interpretation of foreign educational credentials and that such education has been deemed to be at least equivalent to that gained in conventional U.S. education programs or an accredited U.S. state university reports the other institution as one whose transcript is given full value or full value is given in subject areas applicable to the curricula at the state university. It is your responsibility to provide such evidence when omission of the required documentation listed will result in an incomplete application and you will not receive further consideration.

WORK EXPERIENCE

If using work experience not already documented in your application also provide the employer name your job title dates of employment and whether full-or part-time. Applications will be reviewed to determine if the responses are supported and minimum qualifications are clearly met. If they are not the applicant may not advance to the interview and selection phase of the recruitment. NOTE: Attaching a resume or curriculum vitae is not an alternative to filling out the application. Noting see resume or CV or any similar response on any portion of your application may lead to a determination that your application is incomplete and removal from consideration for this job posting.

MULTIPLE VACANCIES

This recruitment may be used for more than one (1) vacancy. The applicant pool acquired during this recruitment may be used for future vacancies for up to ninety (90) days after this recruitment closes. Interested applicants are encouraged to apply to each recruitment notice to ensure consideration for all vacancies.

APPLICATION NOTICE

You can ONLY apply for this position through the Workplace Alaska website or via a hard copy application. If you accessed this recruitment bulletin through a job search portal such as AlaskaJobs or another database you MUST use a Workplace Alaska online or hard-copy application to apply successfully. Instructions on how to apply with Workplace Alaska may be found on the Workplace Alaska How to Apply webpage found here: regarding the application process can be directed to the Workplace Alaska hotline at (toll-free) or (907) 465- 4095. If you choose to be contacted by email please ensure that your email address is correct on your application and that your spam filter will permit emails from the domain. For information on allowing emails from the domains visit the Lost Password Help page at STATEMENT

The State of Alaska complies with Title I of the Americans with Disabilities Act (ADA). Individuals with disabilities who require accommodations auxiliary aids or services or alternative communication formats please call 1- in Juneau or TTY: Alaska Relay 711 or 1- or correspond with the Division of Personnel & Labor Relations at P.O. Box 110201 Juneau AK 99811-0201. The State of Alaska is an equal-opportunity employer.

WORKPLACE ALASKA APPLICATION QUESTIONS & ASSISTANCE

Questions regarding application submission or system operation errors should be directed to the Workplace Alaska hotline at 1- (toll-free) or if you are in the Juneau area. Requests for information may also be emailed to

For assistance with applying for a password please visit Information

For specific information in reference to the position please contact the hiring manager at:

Heather Nobrega Medicaid Fraud Director

Email:

Phone Number:

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