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Medicaid Fraud Investigator job

Oregon Department of Justice jobs

Company

Benefits

Company Description

The Oregon Department of Justice under the umbrella of the state government serves the safe and healthy communities of Oregon by providing essential justice services to the people. It is headed by Attorney General Ellen F. Rosenblum, and the DOJ also serves as the state’s law firm. Headquartered in Salem, Oregon, the agency employs around 1300 individuals throughout the state and has a two-year budget of $550 million. Also, the agency has 13 child support and 10 legal offices located across the state. Aside from representing the state government, the DOJ protects all Oregonians, especially the segments of society that are most vulnerable like seniors and children. The DOJ as well as its nine sub-divisions perform various functions such as consumer protection, crime victim compensation, child support, charitable activities, and district attorney assistance. The job openings at DOJ include law clerks, attorneys, and other administrative and legal vacancies.

Job Description

Description
  • These terms, conditions, and notices (the “Terms”) govern Job Seeker, visitor, and certain Customer(s), access to and use of Governmentjobs.com, Inc. (dba “NEOGOV” and referred herein as “Company”) products, services, and websites under Company control, whether partial or otherwise, and of which are owned and operated by Company (including, without limitation, neogov.com, governmentjobs.com, websites with a governmentjobs.com resource domain, Career Pages, and the website(s) from which these Terms were accessed from) (collectively referred to as the “Services”). These terms include the Governmentjobs.com Privacy Policy, which is incorporated into these Terms by reference. These Terms, the Governmentjobs.com Privacy Policy, and such other Company policies that may be amended from time to time, shall collectively be referred to as the “Agreement”. Any and all rights not expressly granted in this Agreement are reserved by Company.
  • This recruitment has been extended - we now have 2 (two) positions to fill, and all applications are still under consideration!
  • Certain terms, such as Section 7 or restrictions on job postings, will only apply to you if you are a Customer of Company. A Customer is defined an organization, government, state or provincial government, city, county, government agency, municipality, federal government, K-12, special district, law enforcement, college, university, academy, or institute of technology, of which is located in the United States and utilizes Company Services to post job opportunities, search for, recruit, evaluate and select Job Seekers. A Job Seeker is a natural person who accesses, uses, or creates an account on a Company controlled Service to search for and apply to jobs advertised by Customers.
  • Analytical. Resourceful. Knowledgeable in building a rock-solid
  • If you will be using the Services on behalf of a Customer, you agree to these Terms on behalf of that organization and you represent that you have the authority to do so. In such case, “you” and “your” will refer to that organization. Where these Terms conflict with either pre-existing additional terms of which were mutually and explicitly agreed to between Company and you (collectively referred to as the “Parties”), or where the Parties explicitly agreed otherwise, those additional terms shall control to the extent of the conflict.
  • WHAT'S IN IT FOR YOU?
  • Permanent, full-time employment in beautiful Portland, Oregon.
  • Opportunity to expand your investigative skills in public service.
  • Job satisfaction as part of a team whose mission is to serve Oregon's public and government agencies.
  • Health, dental, and vision insurance benefits for you and your family.
  • If you do not agree to all of terms and conditions set forth in this Agreement, you may not use the Services. You indicate your agreement to this Agreement by clicking or tapping on a button indicating your acceptance of these Terms, by executing a document that references them, or by using the Services; therefore, this Agreement is a legally binding contract between you and Company (also referred to as “we”, or “us”). Also, by agreeing to this Agreement you waive, to the extent permitted under applicable law, any rights or legal requirements that require an original (non-electronic) signature or the delivery or retention of non-electronic records in order for a contract to be legally binding.
  • Vacation, sick leave, paid holidays, and special days off.
  • A workplace where individual contribution matters and is recognized, where creativity and accomplishment are rewarded.
  • Advancement opportunity within DOJ and other State agencies.
  • An agency committed to equal opportunity and workforce diversity.
  • Representation and support by the Service Employees International Union (SEIU).
  • HELP US ACHIEVE OUR MISSION: The Mission of the Oregon Department of Justice is to serve state government and to support safe and healthy communities throughout Oregon by providing essential justice services. The Attorney General and our nine divisions are dedicated to:

    HELP US ACHIEVE OUR MISSION:
  • Company reserves the right to modify this Agreement at any time, at its sole discretion, by posting an updated version to this web page. If you are a Customer with a subscription, changes to this Agreement shall be effective upon renewal of your subscription. If you are a Job Seeker, changes to this Agreement are effective immediately. You will be notified if there is a material change (as determined in the sole discretion of Company) to this Agreement.
  • Providing ethical, independent and high quality legal services to state government;
  • Safeguarding consumers from fraud and unfair business practices;
  • Fighting crime and helping crime victims;
  • Advocating for vulnerable children;
  • Supporting families through the collection of child support;
  • Enforcing environmental protections;
  • Defending the civil rights of all Oregonians;
  • Pursuing justice and upholding the rule of law.
  • Duties & Responsibilities
  • All marks contained herein, including but not limited to organization logos, trademarks, and related intellectual property of which are implemented into the Services by you, are the property of their respective owners. Company does not claim ownership of any Customer marks or property.
  • Medicaid Fraud Investigator positions are non-sworn.Primary duties and responsibilities include, but are not limited to:

    Medicaid Fraud Investigator positions are non-sworn.
  • Except as otherwise expressly set forth herein, Company is the owner of all intellectual property rights (including copyrights) in the Services, including but not limited to designs, text, graphics, images, video, information, logos, button icons, software, and audio files (collectively, “Company Content”). Material published by Company may contain other proprietary notices or describe products, services, processes, or technologies owned by Company or third parties. Nothing in these Terms shall be construed as granting to you a license to Company Content under any copyright, trademark, patent, or other intellectual property right except as expressly set forth herein.
  • Procure, analyze and interpret computerized data, financial records, billing records, medical records, social service records, legal documents and other material in the pursuit of evidence for Unit cases.
  • Research program rules.
  • Develop investigative plans (frequently requiring multi-agency collaboration).
  • Identify and interview suspects and witnesses (including but not limited to health care professionals, state and county workers and Medicaid recipients).
  • Draft interview and investigative reports and memos.
  • “NEOGOV,” “GovernmentJobs.com,” “CareerNow,” “Career Pages,” and certain other names or logos are trademarks of Company, and all related product and service names, design marks, and slogans are the trademarks or service marks of Company. Company also retains the rights in the designated color schemes and column names provided within the Services. The “look” and “feel” of the Services (including color combinations, button shapes, layout, design, and all other graphical elements not uploaded or implemented by Customers) are also Company’s trademarks or copyrights. The deletion or alteration of any copyright or other proprietary notices from the Services is strictly forbidden.
  • Ensure all physical and documentary evidence is obtained and secured in compliance with state and federal criminal procedural and evidentiary rules.
  • Perform complex criminal investigations into allegations of fraud committed by Medicaid providers and allegations of abuse and neglect in long term care facilities.
  • Prepare legally admissible charts/graphs.
  • Testify at trial and other hearings.
  • WORKING CONDITIONS: Daily exposure to office environment with noise from ringing telephones, printers, copiers, telephone conversations and other office equipment. Daily use of computers. Daily juggling of multiple tasks with varying and changing deadlines with limited general supervision. Occasional demands to work overtime, weekends and evenings. Frequent contact/interviews with uncooperative and potentially hostile witnesses/suspects. Frequent in-state driving/traveling for investigations, court dates, meetings and trainings. Occasional out-of-state travel related to investigations, meetings or training. Daily requirement to exercise discretion and confidentiality. Daily interaction with other professionals.

    WORKING CONDITIONS:
  • All editorial content and graphics on this site, as well as the HTML based computer programs used to generate pages and the Services, are protected by U.S. copyright laws and international treaties and may not be copied without the express permission of Company. Any code that Company creates to generate or display any Services content or the pages making up any Company Services is also protected by Company copyright and you may not copy or adapt such code. Re-use of any of Company’s editorial content and graphics for any purpose is strictly prohibited without Company’s prior written permission. Please direct any requests for permission to support@GovernmentJobs.com.
  • CONDUCT EXPECTATIONS: The role of the Oregon Department of Justice is to provide justice and uphold the rule of law. Employees of the Department are required to meet the highest standards of professional conduct and ethics while on the job, and also to maintain those same high standards when taking actions in their personal lives that could reflect on the Department.

    CONDUCT EXPECTATIONS
  • Please be aware that the information, software, products, and services published within these Services may include inaccuracies, typographical errors, or out-of-date information. Changes and items are made and added to the Services and the information on it from time to time. Company may make such changes or additions at any time at its sole discretion.
  • Qualifications, Required & Requested Skills MINIMUM QUALIFICATIONS:
  • These Terms will remain in full force and effect during your subscription, while you access or make use of the Services, or while you have an active account if you are a Job Seeker.
  • Four years of recent (within last ten years) full-time investigative experience which included conducting fact finding; collecting and preserving evidence according to the rules of evidence; examining records; locating and interviewing witnesses to verify or disprove claims of suspected law violations; and writing investigation reports sufficient for use at administrative hearings or in court.
  • You may terminate your Services at any time by deleting your account. Upon termination, you must destroy all copies of any aspect of Services in your possession.
  • Examples of qualifying investigation experience are in areas such as law enforcement investigation, insurance investigation, investigative trial support, or financial fraud investigation.College-level courses in Law Enforcement, Criminal Justice, Law, Accounting, or Auditing may be substituted on a year-for-year basis for up to one year of the required experience.REQUESTED SKILLS AND COMPETENCIES:

  • Company reserves the right, at its sole discretion, to pursue all of its legal remedies, including but not limited to removal of some or all of your content from the Services, issuance of a warning, or immediate termination of your ability to access the Services. Company may also terminate your account and access upon any breach by you of these Terms or in order to protect its name and goodwill, its business, and/or other users. Such termination may be effective without notice. If at any time during your use of the Services, you made a misrepresentation of fact to Company or otherwise mislead Company in regard to the nature of your business activities, Company will have grounds to terminate your use of the Services.
  • Examples of qualifying investigation experience are in areas such as REQUESTED SKILLS AND COMPETENCIES:
  • Law enforcement experience that includes conducting formal criminal investigations.
  • Upon expiration or any termination of this Agreement, you shall cease all use and refrain from all further use of the Services and other Company Intellectual Property.
  • Experience conducting Social Service Fraud investigations and/or abuse and neglect investigations involving elderly or dependent individuals.
  • Experience investigating complaints of financial abuse of elderly or dependent individuals.
  • In addition to the Miscellaneous section below, the provisions concerning Company’s proprietary rights, feedback, indemnity, disclaimers, limitation of liability, Company monitoring and pre-screening, information collection, your responsibilities, governing law, and any other section herein that by its nature is intended to survive termination, will survive the termination of this Agreement for any reason.
  • Experience investigating white collar crimes.
  • Experience investigating fraud involving health care programs, such as Medicaid, Medicaid, or other private health insurance programs.
  • Paid Holidays
    Vacation & Paid Time Off
    Sick Days

    Oregon Department of Justice

    Type

    Government

    Size

    Large

    Revenue

    $500M to $1B

    Location

    Multiple locations

    Industry

    Government/Civil Service/Military

    Job Filters

    The Oregon Department of Justice (DOJ) is the state's largest law firm, employing over 1,300 individuals statewide with a biennial budget of approximately $550 million. The agency is headquartered in Salem, with ten legal and thirteen child support offices...Read more

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