Job Description

Job Description and Duties

As the state's federally mandated Medicaid Fraud Control Unit (MFCU), the Division of Medi-Cal Fraud and Elder Abuse (DMFEA) works aggressively to investigate and prosecute fraudulent activities and the illegal diversion of health care resoures from California's most vulnerable citizens. 

Under the direction of the Special Agent In-Charge (SAC), the Special Agent Supervisor (SAS) is responsible for supervising and directing a team of Special Agents (SA) and professional staff engaged in Medi-Cal provider fraud, patient abuse, and drug diversion investigations. Specific duties include planning, assigning, and directing criminal, civil, and special investigations; organizing and conducting the more difficult, complex, or sensitive investigations; reviewing time and task accounting systems, ProLaw database updates, investigative reports, and search and arrest warrant affidavits; serve search and arrest warrants and conduct covert and surveillance operations; responsible for coordinating the casework of team members with the assigned Deputy Attorney General (DAG) and Special Investigator (SI). Other duties include: obtaining an expert level of knowledge of the laws and regulations of the Medi-Cal Program and payment systems, elder abuse laws, and regulations of the Licensing and Certification Division of the Department of Health Care Services; understanding and utilizing complex automated payment and information systems; developing productive working relationships with allied law enforcement agencies at the federal, state, and local levels; providing specialized expertise and training to law enforcement; providing expert testimony; coordinating multi-jurisdictional enforcement efforts; conducting frequent review and monitoring of assigned investigations with team members, assigned prosecutors, Special Investigators, and effectively managing the investigations assigned to team members where there are several chains of command present.

You will find additional information about the job in the .

Working Conditions

Telework is available but is contingent on DMFEA's operational needs. DMFEA’s current telework agreement for the Special Agent Supervisor classification is Office-Centered. Office-Centered is defined as employees who work more than 50% within a month in the office. Telework requires California residency.

This position may require travel to conduct investigations and attend meetings and training.

Special Requirements

• The position(s) require(s) a Drug Screening be passed prior to being hired.
• The position(s) require(s) a Background Investigation be cleared prior to being hired.
• The position(s) require(s) Medical Clearance prior to being hired.
• The position(s) require(s) Psychological Evaluation clearance prior to being hired.

• Clearly indicate the Job Control JC-533673 and the title of this position in the “Examination or Job Title(s) For Which You Are Applying” section located on the first page of your State Application.

• If you are using education to meet the minimum qualifications for this position, you must submit a copy of your transcript or diploma. Unofficial school transcripts may be accepted during the application process; however, submission of official transcripts or your diploma is required prior to appointment.

Desirable Qualifications

In addition to evaluating each candidate's relative ability, as demonstrated by quality and breadth of experience, the following factors will provide the basis for competitively evaluating each candidate:

Experience conducting complex investigations in fraud, patient abuse, or drug diversion. Demonstrated ability to work closely with assigned prosecutors and Supervising Deputy Attorneys General, and effectively organize a team of Special Agents to be high producers; effectively lead a team where there are several chains of command present; and take leadership assignments. Must possess good judgment and leadership skills. Ability to communicate effectively (written and oral), work under pressure while assisting prosecutors to prepare cases for court and meet deadlines. Experience in the collection and analysis of electronic evidence; understanding and utilizing complex automated Medi-Cal claims data systems; and establishing close working relationships with all levels of DOJ, including legal divisions and law enforcement. Experience with database timekeeping and case management. Knowledge of supervision principles and the Department's equal employment opportunity objectives.

Benefits

Benefit Information - Please access this link for information on benefits afforded to employees who work for the State of California -

Additional Application Filing Information

Please note, if using the United States Postal Service for delivery, there is no guarantee that your application will be date stamped and will arrive by the final filing date. If your application does not have a postmark or date stamp and arrives after the final filing date, your application will not be accepted. Therefore, to ensure the timely delivery of your application, it is recommended that you use either electronic delivery, parcel service, or certified mail. Using one of these options will provide proof of delivery prior to the final filing date.

Required Application Package Documents

The following items are required to be submitted with your application. Applicants who do not submit the required items timely may not be considered for this job:

• Current version of the State Examination/Employment Application STD Form 678 (when not applying electronically), or the Electronic State Employment Application through your Applicant Account at All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to demonstrate how you meet the Minimum Qualifications for the position.
• Resume is required and must be included.

Job Tags

Permanent employment, Full time, Work at office, Local area, Remote work

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