Go Back

Chief Investigator/State Detective Medicaid Fraud Control Unit

State of Delaware See More Job Openings by This Employer

Full Time

Dover, DE

March 13, 2025 Investigator

Job Description

Introduction

Delaware's Attorney General, the State's chief law enforcement officer, has a broad responsibility to combat crime, uphold civil rights, safeguard families, fight fraud, and protect consumers in the First State.

In meeting this mission, Attorney General Kathy Jennings is supported by teams of talented lawyers and staff in the Criminal, Civil, Family, Fraud and Consumer Protection, and Civil Rights and Public Trust Divisions. Each of the more than 500 staff who work in the Office of the Attorney General are dedicated to serving all Delawareans with integrity and passion.

Deputy Attorneys General, with critical support from criminal special investigators, victim service specialists, paraprofessionals, and administrative staff, prosecute criminal cases, enforce consumer laws, provide counsel to state agencies, ensure the public's access to open government, protect the abused, and much more.

Summary Statement

The Delaware Department of Justice, Fraud and Consumer Protection Division, Medicaid Fraud Control Unit (MFCU), is seeking a Chief Special Investigator to lead and oversee investigations into civil and criminal health care fraud, patient abuse, neglect, and financial exploitation within medical facilities. Under the direct supervision of the MFCU Director, this role is responsible for supervising Special Investigators and Nurse Analysts, ensuring the effective progress of investigations, and actively managing their own caseload. The Chief Special Investigator will also serve as a key liaison with federal and state agencies, conduct outreach efforts, and provide training to staff on critical fraud and abuse detection trends. This position plays a vital role in protecting the integrity of the Medicaid program and ensuring accountability within the health care system.

**The initial review of applications will begin on March 20, 2025**

Essential Functions

Under the direct supervision of the Director of the Medicaid Fraud Control Unit (MFCU), the Chief Special Investigator will supervise the MFCU Special Investigators and Nurse Analysts in conducting investigations of alleged civil and criminal health care fraud, patient abuse, neglect, mistreatment and financial exploitation in facilities, and diversion of pharmaceutical drugs by health care providers. The Chief Special Investigator will assign, supervise, and monitor the progress of all investigations conducted by the MFCU Special Investigators and Nurse Analysts, including, but not limited to, timely review of reports, Special Investigator meetings, case team meetings with Unit Deputy Attorneys General, and involvement in search warrants, arrests, and case closures. The Chief Special Investigator will also independently handle their own caseload of health care fraud and patient abuse/neglect cases and perform other duties as assigned.

The Chief Special Investigator will also serve as a liaison with all federal and state regulatory, administrative, and law enforcement agencies responsible for oversight of the Medicaid program, and/or the investigation of health care fraud and patient abuse/neglect. The Chief Special Investigator will organize and/or conduct outreach at state-licensed facilities, long-term care nursing homes, state law-enforcement academies, and other community outreach events. The Chief Special Investigator will attend training to stay current on fraud trends and will work with the Director and Deputy Director to train Unit staff in areas of importance to MFCU’s mission.

Job Requirements

Applicants must have education, training and/or experience demonstrating competence in each of the following areas:

Minimum five years law enforcement experience, or the functional equivalent, with a background in criminal investigation.
Prior experience in managing law enforcement officers and/or DOJ investigators tasked with investigating complex felony cases and/or complex civil matters.
Proficient in Microsoft Office, Excel, Power Point, DELJIS, NCIC, and LEISS.
Ability to communicate ideas clearly and effectively in both written and verbal formats
Possession of a valid driver’s license.
Ability to qualify and carry a weapon.
Current or recent Police Officers Standards Training (“POST”) certification (formerly known as Council on Police Training (“COPT”) certificate).

Conditions of Hire

Criminal background check: A satisfactory criminal background check is required as a condition of hire.
Direct deposit of paychecks is required as a condition of hire.
Applicants must be legally authorized to work in the United States.

Benefits

Department of Justice Benefits Include:

May be eligible Loan forgiveness (State and Federal).
State of Delaware healthcare plan.
State of Delaware pension plan.
Over 4 weeks of vacation per year.
3 weeks of paid sick leave per year.
12 weeks of paid parental leave.

To learn more about the comprehensive benefit package please visit our website at https://dhr.delaware.gov/benefits/

Accommodations

Accommodations are available for applicants with disabilities in all phases of the application and employment process. To request an auxiliary aid or service please call (302) 739-5458. TDD users should call the Delaware Relay Service Number 1-800-232-5460 for assistance.

The State of Delaware is an Equal Opportunity employer and values a diverse workforce. We strongly encourage and seek out a workforce representative of Delaware including race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression.

Go Back

Apply Now