Health Care Fraud Special Agent-AG

1 day ago

Columbus, OH, United States Ohio Department of Commerce Full time

The Ohio Attorney General's Office is currently seeking a Health Care Fraud Special Agent for a vacancy in the Health Care Fraud Section. The position will work a hybrid in-person/remote schedule. There may be changes to this schedule based on training and operational needs. The headquarter location is Columbus.

The successful candidates will conduct criminal investigations of alleged provider fraud, patient abuse and neglect, misappropriation of care facility resident funds/property, and related crimes.

The duties include but are not limited to:

-Locates and interviews witnesses, victims, and suspects

-Collects, inventories, preserves and examines evidence

-Manipulates and analyzes data

-Prepares investigative reports and memoranda

-Performs physical surveillance

-Engages in undercover operations, posing as a Medicaid beneficiary seeking medical treatment, goods, or services

-Assists prosecutors in preparing witnesses and evidence for trial

-Serves subpoenas

-Executes search warrants in conjunction with law enforcement officers

-Testifies in grand jury and court

-Coordinates activities with other law enforcement agencies and acts as a liaison with administrative and regulatory agencies

-Participates in in-service training

-Participates in meetings

-Maintains security of evidence

-Photographs activities, scenes, and physical evidence

-Other duties as assigned

At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website Our benefits package includes:

  • Medical Coverage
  • Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period
  • Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
  • Childbirth, Adoption, and Foster Care leave
  • Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)
  • Public Retirement Systems ( such as OPERS, STRS, SERS, and HPRS ) & Optional Deferred Compensation ( Ohio Deferred Compensation )
*Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.

Qualifications

Sixty (60) months of audit/investigation experience in another governmental jurisdiction.

-Or Bachelor's Degree in criminology, criminal justice, computer science, accounting, finance or related field, & twelve (12) months of audit/investigation experience.

-Or Master's Degree in criminology, criminal justice, computer science, accounting, finance, or related field, & three (3) months of audit/investigation experience.

-Or equivalent of Minimum Class Qualifications For Employment noted above

Job Skills: Investigation, Analyzation, Interpreting Data, Confidentiality, Critical Thinking, Verbal communication

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