MFCU Investigator 1 (PCN030278)

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, Division of Criminal is recruiting for an Investigator 1 for the Medicaid Fraud Control Unit (MFCU) within the Office of Special Prosecutions! This position is open to Alaska Residents only. Please check our residency definition to determine if you qualify.

What You Will Be Doing:

• Conduct initial investigations of providers who are suspected or known to have committed Medicaid fraud, patient abuse or neglect or misappropriation of recipient assets.
• Receive and document all incoming allegations, interview initial complainant(s), gather background information, prepare discovery, court exhibits, various types of evidence, maintain case information in a digital case management system, maintain the unit’s inventory, including monitoring of all investigative equipment, and organize case files and evidence for closing, archiving and/or disposition.
• Work closely with the unit’s staff, its attorneys and with various federal and state investigators and agencies.

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: There is constantly a variety of activities happening each day within the office. You will be working with other MFCU investigators, the attorneys and staff on various case projects and operations. You will have a close-up view and participate in case progression from the complaint intake to its adjudication or resolution. As a member of the MFCU you will gain self-satisfaction knowing that you are part of a unit whose mission is to serve the public by enforcing and upholding healthcare related laws geared towards protecting Alaskans from Medicaid provider fraud, waste and abuse. As a MFCU investigator, your work directly protects vulnerable Alaskans and ensures Medicaid resources go to providers who deliver safe, ethical care.

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 office is located downtown Anchorage at 310 K. Street, Suite 308.

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.
• Adaptability: adjusts planned work by gathering relevant information and applying critical thinking to address multiple demands and competing priorities in a changing environment.
• Criminal Law: Knowledge of state and Federal criminal laws, including procedures, regulations, guidelines, and precedents related to admissibility of evidence and prosecution.

To view the general description and example of duties for the position please go to the following link: https://www.governmentjobs.com/careers/Alaska/classspecs

If you can imagine yourself in this role, we encourage you to apply! Competency Based Minimum Qualifications Instructions This job class uses competency based minimum qualifications. Please ensure your application (through work history, volunteer experience (duties summary), training, education, licenses, certifications, etc.) supports how you have gained the knowledge, skills, abilities, and behaviors (competencies) and that you possess the minimum required competencies for the job class.

Competency Description 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 competency’s 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: • Analytical Thinking/Problem Solving: uses a logical, systematic, sequential approach to address problems or opportunities or manage a situation by drawing on one’s knowledge and experience base and calling on other references and resources as necessary.

• Attention to Detail: Is thorough when performing work and conscientious about attending to detail.
• 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.
• 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
• Oral and Written Communication: Expresses information (for example, ideas or facts) to individuals or groups effectively, taking into account the audience and nature of the information (for example, technical, sensitive, controversial); makes clear and convincing oral and written presentations; listens to others, attends to nonverbal cues, and responds appropriately.

Equivalent to those typically gained by:Any combination of preparatory post-secondary education and/or experience in performing duties such as assisting in investigative work or legal research; preparing legal documents; conducting searches to locate individuals and/or assets; providing accurate interpretative information on laws and regulations; conducting administrative reviews of cases under appeal and issuing decisions; conducting interviews; locating and gathering information and data, evidence, and/or testimony to be used in civil or criminal proceedings, administrative actions, or governmentally regulated activities; conducting adjudications of claims; and/or drafting documents in support of attorneys or agencies engaged in administrative adjudication.

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.

Special Note:

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 driver's license and operate a motor vehicle.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 Please provide the following documents if selected for an interview:

• Educational transcripts if using education to meet the minimum qualifications of this position.
• If you have them, please provide any certificates or licenses related to healthcare, investigations and law enforcement (Not required).
• List of three (3) professional references to include daytime telephone and email address. One must be a current or former supervisor.
• The last two (2) performance evaluations. If unavailable, supervisory letters of recommendation can be substituted.

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 applicant's 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 applying. The 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: http://doa.alaska.gov/dop/workplace/help/

EEO 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 1-800-587-4095 in Juneau or TTY: Alaska Relay 711 or 1-800-770-8973 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 1-800-587-0430 (toll-free) or (907) 465-4095 if you are in the Juneau area. Requests for information may also be emailed to [email protected]

For assistance with applying for a password, please visit https://www.governmentjobs.com/OnlineApplication/User/ResetPassword For specific information in reference to the position please contact the hiring manager at:

Heather Nobrega, Medicaid Fraud Director Email: [email protected] Phone Number: 907-269-6279