Criminal Investigator (MFCU)
Location: Washington, DC
Job ID: 22683
Salary: $80,783 - $103,333
Closing Date: July 27, 2023
This position is a Criminal Investigator (Healthcare) in the Medicaid Fraud Control Unit (MFCU).
The MFCU is a Unit responsible for investigating and prosecuting cases involving healthcare fraud by providers in the District Medicaid program and abuse, neglect, or financial exploitation of individuals residing in Medicaid-funded healthcare facilities.
The Criminal Investigator is expected to have a full range of experience in handling all aspects of complex criminal investigations and extensive experience in handling commercial and financial fraud investigations.
The MFCU is a Unit responsible for investigating and prosecuting cases involving healthcare fraud by providers in the District Medicaid program and abuse, neglect, or financial exploitation of individuals residing in Medicaid-funded healthcare facilities.
The Criminal Investigator is expected to have a full range of experience in handling all aspects of complex criminal investigations and extensive experience in handling commercial and financial fraud investigations.
Major Duties:
- The Cl's primary duties are to investigate criminal and noncriminal cases of importance to the DC OIG and District government.
- Consults with senior investigator and/or supervisor in initiating investigations, formulating investigative plans and violation matrix, investigating, and providing work products in a timely manner.
- Develops schedule of investigative "milestones" relevant to conduct of individual work assignments.
- Receives complaints/allegations under procedures identified in the Investigations Unit Standard Operating Procedures (SOP) for the criminal investigations program.
- Analyzes complaints/allegations against applicable laws, regulations, and policies in terms of potential credibility.
- Secures facts and develops evidence from all sources to establish the extent and nature of violations.
- Prepares and maintains case files, to include completing all required actions in the electronic case management system and placing all documents file in the electronic case management system.
- Properly seizes and safeguards evidence to preserve the integrity of the chain of custody.
- Conducts interviews and ensures that all District employees and non-employees interviewed during an official investigation are provided all requisite warnings, as the circumstances of the investigation warrant.
- Creates an accurate, clear, and well-written record of events associated with all interviews and investigative activity. For administrative cases, draft reports of investigations for responsible management officials to take any necessary corrective action.
- Conducts all investigative responsibilities and duties, such as executing search warrants and subpoenas, under established investigative policies and procedures.
- Assists the Department of Justice and United States Attorneys Office to prepare cases for presentation to Federal grand juries.
- Assists the District of Columbia Office of the Attorney General to prepare cases for criminal, civil and/or administrative actions.
- Testifies in court as required.
- Participates in routine surveillance activities.
- Keeps appropriate supervisory personnel timely informed on investigative plans and activities.
- Conducts administrative investigations involving payroll, travel, personnel management, waste, or mismanagement of resources (e.g., funds, material and personnel), procurement, contracting issues, and standards of conduct violations.
- Performs other related duties as assigned.
