Assistant Attorney General - Medicaid Fraud and Patient Abuse

The Office of the Utah Attorney General, Medicaid Fraud and Patient Abuse Division (also known as the Medicaid Fraud Control Unit), is seeking an experienced attorney to prosecute and litigate both civil and criminal cases involving fraud committed against the Medicaid program, and the abuse, neglect, or financial exploitation of vulnerable individuals. While the unit regularly handles matters involving criminal enforcement, civil enforcement is an equally critical component of this role and the selected attorney will be expected to carry a mixed criminal and civil caseload.

This position offers a unique opportunity to lead and collaborate with a multidisciplinary team of attorneys, investigators, auditors, and nurses throughout all phases of investigation and litigation. The Division works closely with state, local, and federal partners, and handles a wide range of matters—from single-provider home health fraud and elder abuse cases to complex corporate schemes and national whistleblower actions.

The ideal candidate will have a robust background in both civil and criminal litigation, excellent courtroom and written advocacy skills, strong legal analysis, and the ability to manage multifaceted investigations. Candidates should also be adept at legal research, demonstrate sound judgment, and possess strong interpersonal and communication skills.

Assistant Attorneys General in this Division benefit from active collaboration with the National Association of Medicaid Fraud Control Units, opportunities to work on high-impact national cases, access to specialized training, and involvement in the development of cutting-edge legal strategies. Select candidates may also have the opportunity to be cross designated as Special Assistant United States Attorneys (SAUSAs).

A background check is required as a condition of employment. Salary is commensurate with experience and follows the Attorney General’s Office career service matrix.

The responsibilities of this position include, but are not limited to, the following:

• Support investigations and prosecute both civil and criminal actions involving fraud against Utah’s Medicaid program, as well as the abuse, neglect, and financial exploitation of vulnerable individuals.
• Conduct legal research and analysis, and facilitate appropriate case outcomes.
• Determine discovery needs, and/or complete discovery; participate in decision making and strategy sessions in preparing cases for court and determining evidence to be utilized.
• Conduct conferences with defendants and/or attorneys, negotiate settlements, and attend court appearances throughout the State.
• Collaborate with and present information to sister agencies, providers, associations, and key stakeholders regarding Medicaid fraud and the abuse, neglect, and exploitation of vulnerable individuals and Medicaid recipients.

Example of knowledge, skills, and abilities which may be required upon entry into position or trainable after entry:
 
Knowledge

• Applicable laws, rules, regulations, and/or policies and procedures
• Knowledge of rules of evidence and criminal procedure
• Principles, theories, and practices of judicial or administrative law

• Read, interpret, and apply laws, rules, regulations, policies, and/or procedures
• Listen to, and understand, information and ideas as presented verbally
• Understand and apply case and statutory law
• Evaluate information against a set of standards
• Use logic to analyze or identify underlying principles, reasons, or facts associated with information or data to draw conclusions
• Research and understand laws, legal codes, precedents, government regulations, executive orders, the democratic political process, and legislative history
• Perform legal research using case law and appropriate techniques
• Make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions
• Deal with people in a manner which shows sensitivity, tact, and professionalism
• Provide consultation and/or expert advice
• Interpret and apply legal decisions and identify current and emerging trends in interpretation
• Understand how to research key information related to cases
• Excellent written and oral advocacy skills

• A Juris Doctorate is required.
• Risks found in the typical office setting, which is adequately lighted, heated, and ventilated; e.g., safe use of office equipment, avoiding trips and falls, observing fire regulations, etc.
• Typically, the employee may sit comfortably to perform the work. However, there may be some walking, standing, bending, carrying light items, driving an automobile, etc. Special physical demands are not required to perform the work.
• A conditional offer of employment will be made pending a satisfactory completion of a background investigation.
• Active membership in the Utah State Bar required.
• Must be able to travel as required.
• Valid driver's license required to drive a motor vehicle on a highway in this state per UCA 53-3-202(1)(a).
• Salary is calculated based on initial Bar admittance year, less any years not practicing law, as outlined below. 

  Bar Year	Base Rate	Annual (Rounded)
  2022-2024	$55.62	$115,690
  2019-2021	$58.62	$121,930
  2012-2018	$61.71	$128,357
  2007-2011	$64.89	$134,971
  2002-2006	$67.98	$141,398
  1997-2001	$71.07	$147,826
  1992-1996	$74.16	$154,253
  1987-1991	$77.25	$160,680
  1982-1986	$80.34	$167,107
  1977-1981	$83.43	$173,534
  1976-Prior	$86.43	$179,774