AGO Senior Investigator/Analyst (Internal Only) | Medicaid Fraud & Abuse Division | Olympia

Persons requiring reasonable accommodation in the application process or requiring information in an alternative format may contact the recruitment team at [email protected]. Those with a hearing impairment in need of accommodation are encouraged to contact the Washington Relay Service at 1-800-676-3777 or www.washingtonrelay.com.

This position is open to current permanent employees of the Washington State Office of the Attorney General only.

Position and Salary 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.

Excellent benefits 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!

About the Medicaid Fraud & Abuse Division 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’s Headquarters is located in Olympia, Washington with some team members also located at the AGO's Spokane Office and Seattle Office. The Division currently has a staff of 83 FTEs, including attorneys, special agents, data scientists, clinical health investigators and professional support staff. 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. This recruitment announcement may be used to fill multiple open positions for the same classification, in addition to the position(s) listed in this announcement.

Required Qualifications - This position is open to current permanent employees of the Washington State Office of the Attorney General only. Bachelor’s degree and ten (10) years of experience conducting investigations, which include the authority to independently plan and conduct investigations in civil or criminal cases. OR Five (5) years’ experience as an AGO Investigator/Analyst. Additional qualifying investigative experience may substitute year for year for education. Conditions of Employment A background check consisting of employment history, professional references and educational verification (e.g., degree, license, or official transcript) may be conducted. Prior to any offer, the applicant selected will be required to submit to and pass a fingerprint-based criminal background check conducted by the Washington State Patrol, Criminal Records Division. The incumbent will submit to additional background checks as a condition of employment every five (5) years thereafter.

About the Washington State Office of the Attorney General The Attorney General’s Office (AGO) touches the lives of every resident in this state. We serve more than 230 state agencies, boards, commissions, colleges and universities, as well as the Legislature and the Governor. The Office is comprised of nearly 700 attorneys and 800 professional staff, all working together to deliver the highest quality professional legal services to Washington state officials, agencies, and entities. This includes:

• Economic justice and consumer protections (safeguarding consumers, protecting youth, seniors, and other vulnerable populations)
• Social justice and civil rights (addressing discrimination, environmental protection, and veteran and military resources)
• Criminal justice and public safety (investigative and prosecutorial support, financial crimes)
• And much more!

Our agency also has national reach, representing the State of Washington before the Supreme Court, the Court of Appeals and trial courts in all cases that involve the state’s interest. If you want to make a difference, we may be the perfect fit for you! Learn more about the AGO here.

Commitment to Diversity Diversity is critical to the success of the mission of the AGO. This means recognizing, respecting, and appreciating all cultures and backgrounds-- and fostering the inclusion of differences between people. Appreciating, valuing and implementing principles of diversity permits AGO employees to achieve their fullest potential in an inclusive, respectful environment.

One recent measure of the AGO's commitment to diversity can be found in its nomination for Rainbow Alliance and Inclusion Network's "Outstanding Agency Award" in 2019. Our commitment to employee wellness is reflected in earning the 2024 Zo8 Washington Wellness Award.

Application Instructions In addition to completing the online application, applicants must attach the following documents to their profile in order to be considered for this position:

• A letter of interest, describing your specific qualifications for the position;
• A current resume detailing experience and education.

Read the Following Information Completely:

• Carefully review your application for accuracy, spelling and grammar before submitting.
• You may not reapply to this posting for 30 days.
• The initial screening of applications will be solely based on the contents and completeness of the “work experience” and “education” sections of your application in www.careers.wa.gov, completeness of the application material submitted, and responses to the supplemental questionnaire.
• A resume will not substitute for completing the “work experience” section of the application.
• All information may be verified and documentation may be required.
• The Washington State Office of the Attorney General does not use the E-Verify system; therefore, we are not eligible to extend STEM Optional Practical Training (OPT). For more information, please visit www.uscis.gov.

Equal Employment Opportunity and Accommodations Requests Honoring diversity, equity and inclusion means that as an agency, and as individuals, we are committed to ensuring that all employees and volunteers enjoy a respectful, safe and supportive working environment. Only by fostering the inclusion of people from all backgrounds, cultures and attributes, can AGO employees and volunteers achieve their fullest potential and best advance the goals and mission of the AGO. The AGO is an equal opportunity employer and does not discriminate on the basis of race, creed, color, national origin, sex, marital status, sexual orientation/gender identity, age, disability, honorably discharged veteran or military status, retaliation or the use of a trained dog guide or service animal by a person with a disability. Persons requiring reasonable accommodation in the application process or requiring information in an alternative format may contact the recruitment team at [email protected]. Those with a hearing impairment in need of accommodation are encouraged to contact the Washington Relay Service at 1-800-676-3777 or www.washingtonrelay.com. For questions regarding this recruitment or assistance with the application process, please contact the recruitment team at [email protected]. If you are having technical difficulties creating, accessing or completing your application, please call NEOGOV toll-free at (855) 524-5627 or [email protected].