AGO Senior Investigator/Analyst | Medicaid Fraud & Abuse Division | Olympia

AGO Senior Investigator/Analyst (Senior Special Agent – Intake) The Attorney General's Office is recruiting for a permanent full time AGO Senior Investigator/Analyst (Senior Special Agent - Intake) in the Medicaid Fraud & Abuse Division. This position is located in Olympia, Washington, and is represented by the Washington Federation of State Employees (WFSE).AGO Senior Investigator/Analyst Salary Range 66: $82,440 - $110,952. 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 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. Washington 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! The work of the Office's Medicaid Fraud & Abuse Division (MFA) focuses on both criminal and civil law enforcement. The 75% federally funded MFA's mission is combating provider fraud, abuse and neglect in residential facilities and involving Medicaid recipients in non-institutional settings. MFA involves protecting not only the Medicaid program of roughly $24 billion 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 MFA is consistently on the cutting edge of legal theories and issues. The cases range from abuse and neglect of people 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. MFA 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 MFA a particularly terrific team atmosphere. Duties and Essential Functions of an AGO Senior Investigator/Analyst (Senior Special Agent – Intake) Allegation Intake: Coordinate and process all allegations received by MFA. This does not include Qui Tam allegations received by and coordinated by the Deputy Director, Civil. This position will: 1. review all allegations to determine whether the matter alleged falls within the jurisdiction of MFA; 2. work with a Managing AAG to provide further review and consultation; and 3. process each allegation pursuant to the MFA Intake Policy. This position reports to the Supervising Special Agent – Intake and acts as a liaison with RCS and APS Referral sources providing training, information, and guidance regarding referrals. This position will also be responsible for capturing and reporting metrics relating to allegations. This position will ensure the intake team desk reference manual and relevant operational policies are current and address the MFA allegation processing requirements in a timely and efficient manner. Additionally, this position will develop and deliver training and outreach. Investigation: This is an expert level position responsible for investigating and coordinating highly complex civil and criminal healthcare fraud matters 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 an intake and assessment investigative case load and joining open investigative teams as needed, follows up with local law enforcement, other agencies and the public on allegations, creates investigative plans and participates as a team member on these assigned cases working with the assigned assessment AAG and medical services section/data scientists team members. Works with federal, local and Washington State law enforcement agencies as required under 42 USC §1396(b)(q), 42 USC §1007 et seq. May lead multi-jurisdictional investigations relating to Medicaid provider fraud, abuse and neglect of vulnerable adults. 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. Liaison/Task Force Officer: The incumbent is responsible for identifying, seeking out and participating in key stakeholder relationships and other multi-jurisdictional investigative task force/working groups as determined by the Director. The incumbent will either attend 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 are delivered by the MFA.