What are the responsibilities and job description for the Financial Investigations Supervisor (60010499/60010503) position at State of North Carolina?
JOB
This posting is for two positions: 60010499 and 60010503. You only need to apply once to be considered for both positions.Not sure you meet all listed requirements? Let our team take a look. Research shows that women and members of other under-represented groups tend to not apply to jobs when they think they may not meet every qualification. We are committed to creating a diverse and inclusive environment and strongly encourage you to apply.THE SALARY FOR THIS POSITION IS LIMITED TO $67,852 to $106,020. Salary offers for the selected candidate are based on the candidate's education and experience related to the position, as well as our agency budget and equity.Investigating Criminal Offenses and Civil CasesThe Financial Investigations Supervisor will detect and investigate Medicaid provider fraud and patient abuse and support criminal prosecutors and civil attorneys who bring criminal and civil actions against Medicaid providers who violate applicable criminal and civil laws in state and federal courts. The detection and investigation will include detailed analysis of Medicaid claims and reimbursement data, preparation of spreadsheets, review of medical records, field investigation, witness and suspect interviews, search and seizure, custody and control of evidence, working with expert witnesses, preparation of reports, assisting in arrests, and other law enforcement operations. The support of prosecutors and civil attorneys will include preparing pretrial reports and summaries, evidence preparation, locating and transporting witnesses, testifying as a witness, calculating restitution, and assisting in post-trial sanctioning.Supervision of InvestigatorsThe Financial Investigations Supervisor will perform professional level supervisory and managerial work in supervising and managing a team of financial investigators who are charged with the detection and investigation of Medicaid provider fraud and support state and federal criminal prosecutors and civil attorneys and the performance of the investigative duties noted above.Travel, including some overnight stays are required.Selected candidate will undergo a background and records check. This position is not subject to the Fair Labor Standards Act.Note to Current State Employees: The salary grade for this position is NC20. State employees are encouraged to apply for positions of interest even if the salary grade is the same as, or lower than, their current position. Please detail ALL work history including non-state service experience. If selected for this position, a new salary will be recalculated taking into consideration the quantity of relevant education and experience, funding availability, and internal equity. Based upon these factors, a pay increase MAY or MAY NOT result.The State of North Carolina offers employer paid health insurance plus twelve paid holidays, generous vacation and sick leave accrual, dental, vision, and other insurance options, and retirement benefits. You can view our benefits information at Employee Benefits. Division Information: This position is located in the Medicaid Investigations Division (MID) of the North Carolina Department of Justice, which is the Medicaid Fraud Control Unit (MFCU) for the State of North Carolina. Medicaid is the nation’s public health insurance program for people with low income. This taxpayer funded program provides critical health coverage for nearly one in five people in North Carolina, and approximately 40% of children in North Carolina are covered by Medicaid. To date, the MID has recovered more than $1 billion in restitution and penalties for North Carolina. The MID receives 75 percent of its funding from the U.S. Department of Health and Human Services under a grant award totaling $8,453,116 for Federal fiscal year (FY) 2025. The remaining 25 percent, totaling $2,817,703 for FY 2025 is funded by the State of North Carolina.MID investigates and prosecutes health care fraud committed by Medicaid providers and the physical abuse of patients and embezzlement of patient funds in Medicaid-funded facilities. MID works closely with district attorneys’ offices, US Attorneys’ offices, federal, state and local agencies across the State. The damages in a Medicaid fraud case can range from a few thousand dollars to tens of millions of dollars. MID’s enforcement actions protect and recover taxpayer funds and help ensure access to needed medical services for Medicaid enrollees. MID is staffed by Department of Justice attorneys, investigators, auditors, analysts, and a nurse investigator, paralegals, and administrative staff. Cases are pursued in both federal and state courts in partnership with law enforcement agents from federal and state agencies such the Office of Inspector General, FBI, IRS, the North Carolina Department of Insurance, Sheriffs' Offices, and Police Departments. Department Information: The North Carolina Department of Justice works to prevent crime and support law enforcement, to safeguard consumers, and to defend the State, its people, and their constitutional rights.
EXAMPLE OF DUTIES
Ability to obtain knowledge of state and federal tax, financial, and/or securities laws and regulations.Ability to obtain knowledge of audit methodologies and/or forensic accounting methods.Ability to direct investigations of tax, financial and/or securities crimes/violations within established timelines.Ability to develop plans to accomplish work operations and objectives.Ability to direct, monitor, and review the work of subordinates.Ability to clearly communicate verbal and written information in a clear and concise manner.Ability to develop and maintain professional working relationships.Ability to be flexible and adapt to change.
SUPPLEMENTAL INFORMATION
Note the following: If multiple applications are submitted to an individual posting, only the most recent application received prior to the closing date will be accepted. Applications must be submitted by 5:00 PM on the closing date.Resumes and cover letters: To receive credit for your work history and credentials, you must list the information on the online application form. This information is used to determine if you meet the requirements of the position, and if you are selected, it is used to determine a salary offer.Using the terms "See Resume" or "See Attachment" will not be accepted, and your application will be rejected as incomplete. Cover letters are highly encouraged but not required. Transcripts: Degrees must be received from appropriately accredited institutions. A copy of your transcripts indicating the degree received can be uploaded with your application. If a transcript has been requested, your application will be considered incomplete if you do not provide one. Using a photograph of your diploma is not acceptable.Credit for foreign degrees will only be given if verification of degree certification is attached to your application. Transcripts for foreign degrees have to be evaluated by an organization like World Education Services to determine US equivalency.Any licenses or certificates must be included in the appropriate section of the application form.Applicants seeking Veteran's Preference must attach a copy of their DD-214 or discharge orders.Applicants seeking National Guard Preference must attach a NGB 23A (RPAS) if you are a current member of the NC National Guard in good standing. If you are a former member of the NC National Guard who served for at least 6 years and was discharged under honorable conditions, you must attach either a DD256 or NGB 22.Application status: To check the status of your application, please log in to your account. Upon the closing date, applications are "Under Review" and will be screened by Human Resources for the qualified applicants. The hiring process may take an average of 6 – 8 weeks. All applicants will be notified by email once a position is filled.If you are having technical issues submitting your application, please call the NeoGov Help Line at 855-524-5627. If there are any questions about this posting, other than your application status, please contact the NC DOJ Human Resources office.The NC Department of Justice is an Equal Opportunity Employer. The NC Department of Justice uses Merit-Based Recruitment to select from among the most qualified applicants to fill positions subject to the State Human Resources Act.CONTACT INFORMATION: NC Department of JusticeHuman Resourceshumanresources@ncdoj.gov
This posting is for two positions: 60010499 and 60010503. You only need to apply once to be considered for both positions.Not sure you meet all listed requirements? Let our team take a look. Research shows that women and members of other under-represented groups tend to not apply to jobs when they think they may not meet every qualification. We are committed to creating a diverse and inclusive environment and strongly encourage you to apply.THE SALARY FOR THIS POSITION IS LIMITED TO $67,852 to $106,020. Salary offers for the selected candidate are based on the candidate's education and experience related to the position, as well as our agency budget and equity.Investigating Criminal Offenses and Civil CasesThe Financial Investigations Supervisor will detect and investigate Medicaid provider fraud and patient abuse and support criminal prosecutors and civil attorneys who bring criminal and civil actions against Medicaid providers who violate applicable criminal and civil laws in state and federal courts. The detection and investigation will include detailed analysis of Medicaid claims and reimbursement data, preparation of spreadsheets, review of medical records, field investigation, witness and suspect interviews, search and seizure, custody and control of evidence, working with expert witnesses, preparation of reports, assisting in arrests, and other law enforcement operations. The support of prosecutors and civil attorneys will include preparing pretrial reports and summaries, evidence preparation, locating and transporting witnesses, testifying as a witness, calculating restitution, and assisting in post-trial sanctioning.Supervision of InvestigatorsThe Financial Investigations Supervisor will perform professional level supervisory and managerial work in supervising and managing a team of financial investigators who are charged with the detection and investigation of Medicaid provider fraud and support state and federal criminal prosecutors and civil attorneys and the performance of the investigative duties noted above.Travel, including some overnight stays are required.Selected candidate will undergo a background and records check. This position is not subject to the Fair Labor Standards Act.Note to Current State Employees: The salary grade for this position is NC20. State employees are encouraged to apply for positions of interest even if the salary grade is the same as, or lower than, their current position. Please detail ALL work history including non-state service experience. If selected for this position, a new salary will be recalculated taking into consideration the quantity of relevant education and experience, funding availability, and internal equity. Based upon these factors, a pay increase MAY or MAY NOT result.The State of North Carolina offers employer paid health insurance plus twelve paid holidays, generous vacation and sick leave accrual, dental, vision, and other insurance options, and retirement benefits. You can view our benefits information at Employee Benefits. Division Information: This position is located in the Medicaid Investigations Division (MID) of the North Carolina Department of Justice, which is the Medicaid Fraud Control Unit (MFCU) for the State of North Carolina. Medicaid is the nation’s public health insurance program for people with low income. This taxpayer funded program provides critical health coverage for nearly one in five people in North Carolina, and approximately 40% of children in North Carolina are covered by Medicaid. To date, the MID has recovered more than $1 billion in restitution and penalties for North Carolina. The MID receives 75 percent of its funding from the U.S. Department of Health and Human Services under a grant award totaling $8,453,116 for Federal fiscal year (FY) 2025. The remaining 25 percent, totaling $2,817,703 for FY 2025 is funded by the State of North Carolina.MID investigates and prosecutes health care fraud committed by Medicaid providers and the physical abuse of patients and embezzlement of patient funds in Medicaid-funded facilities. MID works closely with district attorneys’ offices, US Attorneys’ offices, federal, state and local agencies across the State. The damages in a Medicaid fraud case can range from a few thousand dollars to tens of millions of dollars. MID’s enforcement actions protect and recover taxpayer funds and help ensure access to needed medical services for Medicaid enrollees. MID is staffed by Department of Justice attorneys, investigators, auditors, analysts, and a nurse investigator, paralegals, and administrative staff. Cases are pursued in both federal and state courts in partnership with law enforcement agents from federal and state agencies such the Office of Inspector General, FBI, IRS, the North Carolina Department of Insurance, Sheriffs' Offices, and Police Departments. Department Information: The North Carolina Department of Justice works to prevent crime and support law enforcement, to safeguard consumers, and to defend the State, its people, and their constitutional rights.
EXAMPLE OF DUTIES
Ability to obtain knowledge of state and federal tax, financial, and/or securities laws and regulations.Ability to obtain knowledge of audit methodologies and/or forensic accounting methods.Ability to direct investigations of tax, financial and/or securities crimes/violations within established timelines.Ability to develop plans to accomplish work operations and objectives.Ability to direct, monitor, and review the work of subordinates.Ability to clearly communicate verbal and written information in a clear and concise manner.Ability to develop and maintain professional working relationships.Ability to be flexible and adapt to change.
SUPPLEMENTAL INFORMATION
Note the following: If multiple applications are submitted to an individual posting, only the most recent application received prior to the closing date will be accepted. Applications must be submitted by 5:00 PM on the closing date.Resumes and cover letters: To receive credit for your work history and credentials, you must list the information on the online application form. This information is used to determine if you meet the requirements of the position, and if you are selected, it is used to determine a salary offer.Using the terms "See Resume" or "See Attachment" will not be accepted, and your application will be rejected as incomplete. Cover letters are highly encouraged but not required. Transcripts: Degrees must be received from appropriately accredited institutions. A copy of your transcripts indicating the degree received can be uploaded with your application. If a transcript has been requested, your application will be considered incomplete if you do not provide one. Using a photograph of your diploma is not acceptable.Credit for foreign degrees will only be given if verification of degree certification is attached to your application. Transcripts for foreign degrees have to be evaluated by an organization like World Education Services to determine US equivalency.Any licenses or certificates must be included in the appropriate section of the application form.Applicants seeking Veteran's Preference must attach a copy of their DD-214 or discharge orders.Applicants seeking National Guard Preference must attach a NGB 23A (RPAS) if you are a current member of the NC National Guard in good standing. If you are a former member of the NC National Guard who served for at least 6 years and was discharged under honorable conditions, you must attach either a DD256 or NGB 22.Application status: To check the status of your application, please log in to your account. Upon the closing date, applications are "Under Review" and will be screened by Human Resources for the qualified applicants. The hiring process may take an average of 6 – 8 weeks. All applicants will be notified by email once a position is filled.If you are having technical issues submitting your application, please call the NeoGov Help Line at 855-524-5627. If there are any questions about this posting, other than your application status, please contact the NC DOJ Human Resources office.The NC Department of Justice is an Equal Opportunity Employer. The NC Department of Justice uses Merit-Based Recruitment to select from among the most qualified applicants to fill positions subject to the State Human Resources Act.CONTACT INFORMATION: NC Department of JusticeHuman Resourceshumanresources@ncdoj.gov
Salary : $67,852 - $106,020
