What are the responsibilities and job description for the Criminal Investigator position at DC Department of Human Resources?
Job Summary
This position is a Criminal Investigator (Healthcare) in the Medicaid Fraud Control Unit (MFCU).
The MFCU is a Unit responsible for investigating and prosecuting cases involving healthcare fraud by the District Medicaid providers and abuse, neglect, or financial exploitation of individuals residing in Medicaid-funded healthcare facilities.
Major Duties
The Criminal Investigator is expected to have a full range of experience in handling all aspects of complex criminal investigations and extensive experience in handling illegal diversion or misuse of prescription opioids and other pharmaceuticals.
Consults with senior investigator and/or supervisor in initiating investigations, developing investigative "milestones" relevant to the conduct of individual work assignments, formulating investigative plans and violation matrix, and providing work products promptly. Secures facts and develops evidence from all sources to establish the extent and nature of violations. Properly seizes and safeguards evidence to preserve the integrity of the chain of custody.
Receives and analyzes complaints/allegations under procedures identified and against applicable laws, regulations, and policies regarding potential credibility and conducts interviews and ensures that all District employees and non-employees interviewed during an official investigation are provided all requisite warnings, as the circumstances warrant. Creates an accurate, clear, and well-written record of events associated with all interviews and investigative activity. For administrative cases, draft reports of investigations for responsible management officials to take any necessary corrective action.
Assists the Department of Justice and Districts United States Attorney's Office in preparing cases for prosecution; Assists the District of Columbia Office of the Attorney General in preparing cases for civil litigation and testify in legal proceedings as required.
Performs other related duties as assigned.
Other Significant Facts
Tour of Duty: This position may require the CI to work extended hours.
Promotion Potential: No Known Promotion Potential
Duration of Appointment: Career Service
Pay Plan, Series, and Grade, CS-1811-12
Collective Bargaining Unit (Non-Union): This position is not part of a collective bargaining unit.
This position requires the incumbent to frequently handle multiple cases simultaneously in a fast paced, time-sensitive environment with frequently changing priorities.
This position does not provide federal law enforcement retirement and/or Law Enforcement Availability Pay (LEAP).
Medical Requirements: This position requires the applicant to take and pass a pre-employment physical examination. This position requires the CI to take and pass an annual medical examination. This position requires moderate physical exertion involving walking, standing, running, use of firearms, and exposure to inclement weather. Manual dexterity with comparatively free motion of finger, wrist, elbow, shoulder, hip, and knee joints is required. Arms, hands, legs, and feet must be sufficiently intact and functioning to allow applicants to perform the assigned duties. Sufficiently good vision in each eye, with or without correction, is required to perform the duties satisfactorily. Corrective lenses are permitted, and vision must be sufficient to read printed material the size of typewritten characters. Hearing loss, as measured by an audiometer, must not exceed 35 decibels at 1000, 2000, and 3000 Hz levels. Because the duties of this position may involve activities under stressful conditions, applicants must possess emotional and mental stability. Any physical condition that would cause the applicant to be a hazard to themselves or others is disqualifying.
Physical Demands: The work may involve long periods of standing and recurring stooping and bending. The work can require frequent and recurring surveillance in which there is considerable walking, stooping, bending, and climbing. The incumbent may have to remain in one location for many hours without relief. The work may also include frequent lifting of moderately heavy objects such as luggage or boxes in cargo containers. Incumbents must also be prepared to protect themselves or others from physical attacks and without warning and to use firearms as required by the positions.
Work Environment: The work is performed in a fast-paced environment with constantly changing priorities; an office setting with adequate lighting, heating, and ventilation. However, duties may require frequent visits to areas with high crime rates to conduct interviews of suspects and surveillance operations, which may include exposure to extreme weather conditions outside in the elements (i.e., rain, heat, cold, etc.). The incumbent is required to carry a firearm.
This position requires the CI to possess, upon appointment, and maintain a valid U.S. driver's license.
The position requires the CI to take and pass a pre-employment physical examination.
The position requires the CI to take and pass annual examinations.
This position requires the employee to successfully qualify with the use of a firearm within 90 days of appointment and, maintain all established requirements for carrying and using firearms, and follow use of force guidelines in accordance with investigative policies and procedures. Firearms qualification is mandatory as part of the assigned duties. Special safety precautions are required, including the use of protective equipment, including non-lethal force generators, mechanical restraints, and firearms.
Special Requirements
The position may be filled at a salary up to a Step 4.
This position will be subject to enhanced suitability screening pursuant to Chapter 4 of D.C. Personnel Regulations, Suitability – Safety Sensitive.
Graduate of the Federal Law Enforcement Training Center (FLETC) Criminal Investigator Training Program (CITP) or other comparable federal, state, or military law enforcement training is preferred.
When applying for DC OIG positions, please ensure you check your spam folder after the closing date. Information regarding interviews will be sent via the OIG Recruitment email box. OIG reserves the right to deny interviews after the dates have been identified and the interviews have concluded.
The District of Columbia Government does not discriminate or retaliate in employment on the basis of race, color, religion, sex, pregnancy, gender identity and expression, national origin, family responsibilities, political affiliation, sexual orientation, marital status, homeless status, disability, genetic information, age, membership in an employee organization, participation in a legally protected activity, parental status, matriculation, personal appearance, credit information, status as a victim or family member of a victim of domestic violence, sexual offense, or stalking, military service, or other non-merit factor.
Submission of a resume alone is NOT a complete application. This position may require the completion of additional form/s and/or supplemental materials. Failure to provide the required information and/or materials will result in your application not being considered for employment
This position is a Criminal Investigator (Healthcare) in the Medicaid Fraud Control Unit (MFCU).
The MFCU is a Unit responsible for investigating and prosecuting cases involving healthcare fraud by the District Medicaid providers and abuse, neglect, or financial exploitation of individuals residing in Medicaid-funded healthcare facilities.
Major Duties
The Criminal Investigator is expected to have a full range of experience in handling all aspects of complex criminal investigations and extensive experience in handling illegal diversion or misuse of prescription opioids and other pharmaceuticals.
Consults with senior investigator and/or supervisor in initiating investigations, developing investigative "milestones" relevant to the conduct of individual work assignments, formulating investigative plans and violation matrix, and providing work products promptly. Secures facts and develops evidence from all sources to establish the extent and nature of violations. Properly seizes and safeguards evidence to preserve the integrity of the chain of custody.
Receives and analyzes complaints/allegations under procedures identified and against applicable laws, regulations, and policies regarding potential credibility and conducts interviews and ensures that all District employees and non-employees interviewed during an official investigation are provided all requisite warnings, as the circumstances warrant. Creates an accurate, clear, and well-written record of events associated with all interviews and investigative activity. For administrative cases, draft reports of investigations for responsible management officials to take any necessary corrective action.
Assists the Department of Justice and Districts United States Attorney's Office in preparing cases for prosecution; Assists the District of Columbia Office of the Attorney General in preparing cases for civil litigation and testify in legal proceedings as required.
Performs other related duties as assigned.
Other Significant Facts
Tour of Duty: This position may require the CI to work extended hours.
Promotion Potential: No Known Promotion Potential
Duration of Appointment: Career Service
Pay Plan, Series, and Grade, CS-1811-12
Collective Bargaining Unit (Non-Union): This position is not part of a collective bargaining unit.
This position requires the incumbent to frequently handle multiple cases simultaneously in a fast paced, time-sensitive environment with frequently changing priorities.
This position does not provide federal law enforcement retirement and/or Law Enforcement Availability Pay (LEAP).
Medical Requirements: This position requires the applicant to take and pass a pre-employment physical examination. This position requires the CI to take and pass an annual medical examination. This position requires moderate physical exertion involving walking, standing, running, use of firearms, and exposure to inclement weather. Manual dexterity with comparatively free motion of finger, wrist, elbow, shoulder, hip, and knee joints is required. Arms, hands, legs, and feet must be sufficiently intact and functioning to allow applicants to perform the assigned duties. Sufficiently good vision in each eye, with or without correction, is required to perform the duties satisfactorily. Corrective lenses are permitted, and vision must be sufficient to read printed material the size of typewritten characters. Hearing loss, as measured by an audiometer, must not exceed 35 decibels at 1000, 2000, and 3000 Hz levels. Because the duties of this position may involve activities under stressful conditions, applicants must possess emotional and mental stability. Any physical condition that would cause the applicant to be a hazard to themselves or others is disqualifying.
Physical Demands: The work may involve long periods of standing and recurring stooping and bending. The work can require frequent and recurring surveillance in which there is considerable walking, stooping, bending, and climbing. The incumbent may have to remain in one location for many hours without relief. The work may also include frequent lifting of moderately heavy objects such as luggage or boxes in cargo containers. Incumbents must also be prepared to protect themselves or others from physical attacks and without warning and to use firearms as required by the positions.
Work Environment: The work is performed in a fast-paced environment with constantly changing priorities; an office setting with adequate lighting, heating, and ventilation. However, duties may require frequent visits to areas with high crime rates to conduct interviews of suspects and surveillance operations, which may include exposure to extreme weather conditions outside in the elements (i.e., rain, heat, cold, etc.). The incumbent is required to carry a firearm.
This position requires the CI to possess, upon appointment, and maintain a valid U.S. driver's license.
The position requires the CI to take and pass a pre-employment physical examination.
The position requires the CI to take and pass annual examinations.
This position requires the employee to successfully qualify with the use of a firearm within 90 days of appointment and, maintain all established requirements for carrying and using firearms, and follow use of force guidelines in accordance with investigative policies and procedures. Firearms qualification is mandatory as part of the assigned duties. Special safety precautions are required, including the use of protective equipment, including non-lethal force generators, mechanical restraints, and firearms.
Special Requirements
The position may be filled at a salary up to a Step 4.
This position will be subject to enhanced suitability screening pursuant to Chapter 4 of D.C. Personnel Regulations, Suitability – Safety Sensitive.
Graduate of the Federal Law Enforcement Training Center (FLETC) Criminal Investigator Training Program (CITP) or other comparable federal, state, or military law enforcement training is preferred.
When applying for DC OIG positions, please ensure you check your spam folder after the closing date. Information regarding interviews will be sent via the OIG Recruitment email box. OIG reserves the right to deny interviews after the dates have been identified and the interviews have concluded.
The District of Columbia Government does not discriminate or retaliate in employment on the basis of race, color, religion, sex, pregnancy, gender identity and expression, national origin, family responsibilities, political affiliation, sexual orientation, marital status, homeless status, disability, genetic information, age, membership in an employee organization, participation in a legally protected activity, parental status, matriculation, personal appearance, credit information, status as a victim or family member of a victim of domestic violence, sexual offense, or stalking, military service, or other non-merit factor.
Submission of a resume alone is NOT a complete application. This position may require the completion of additional form/s and/or supplemental materials. Failure to provide the required information and/or materials will result in your application not being considered for employment