Fraud Investigator

For more than 165 years, the Office of the Indiana Attorney General (OAG) has been committed to serving the best interests of the State and all Hoosiers. OAG employees have earned an outstanding reputation for meeting the highest professional standards, providing great service, and demonstrating courageous leadership and commitment to excellence to the people of Indiana. If you share our determination to make Indiana a better place to live and work, we invite you to join over 400 of the very best employees and seek a career with the Office of the Indiana Attorney General.

Investigators are assigned cases under the direction of the Fraud Team Supervisor.  The Indiana Medicaid Fraud Control Unit Investigator shall investigate provider fraud from the Indiana Medicaid Program.  The preferred Investigator candidate shall have experience in investigations or audits involving health care provider, forensic accounting, or white-collar crime investigations. The Investigator works independently or as part of a team. The position can have a reporting station of Indianapolis, Evansville or Jeffersonville.

• Obtain various documentation from the fiscal intermediary;  
• Obtain documents such as bank records, medical records, patient files, business records, and other records to be used as evidence in judicial proceedings;  

• Research the documentation for patterns of billing and illegal activity, and develop schedules of provider billing activities;

• Locate, conduct surveillance, and interview witnesses and suspects;  
• Identify and interview expert witnesses;  
• Evaluate statements for credibility;
• Conduct undercover operations;
• Prepare comprehensive investigation reports for presentation to a deputy attorney general, or state or federal prosecutor, for criminal referrals;
• Assist the deputy attorney general or state or federal prosecutor in preparing the case for court;  
• Locate and serve subpoenas on witnesses;  
• Testify in criminal and administrative proceedings;  
• Complete any required component of the Indiana Law Enforcement Academy training;  
• Participate in investigator training and perform other work as required;  
• Analyze Medicaid claims and medical records;        
• Conduct case related research involving diseases and related procedures including medical publications;
• Access Web site information for ICD-10, CPT and HCPS information.  
• Attend LEO Tier III training and other specialized training;
• Conduct on-site and off-site audits of Medicaid providers;
• Conduct financial analyses including tracing of illicit funds for forfeiture purposes;  
• Maintain proper procedures for seizing and storing of evidence and maintaining the chain of custody;  
• Maintain internal control documents including mileage entries, Time Matters entries, time tracking and travel reports;        
• Travel as the assignment of duties may necessitate, usually for the following purposes:  
• Conduct investigations at the businesses and homes of Medicaid providers;  
• Conduct investigations at the homes of Medicaid recipients;  
• Traveling to the aforementioned locations will sometimes require the operation of a vehicle in inclement weather; 
• Travel to state offices, jails, prisons, police departments, sheriff’s departments, courthouses, and offices of contracting healthcare providers to obtain documents, statements, and other evidence necessary to supplement investigations;
  • Travel to surveillance locations and conduct surveillance from a vehicle for extended periods of time in all types of weather, and at all times, day or night;  
  • Travel to assist in serving search warrants and seizing evidence at times beyond normal duty hours;  
  • Transport to sites of investigations supplies and tools, storage boxes and document scanners, as may be required;  
  • Travel directly from home to the office of a healthcare provider under investigation;  
  • Travel to a Medicaid Fraud Control Unit office other than the assigned duty station, or to other locations as required by an investigation;  
  • Travel from home to all potential interview locations;  
  • Travel from home to prosecutors’ offices or state and federal courts to provide testimony at hearings and trials;  
  • Travel from home to various locations in emergency situations.  
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• The qualified candidate must have a four-year degree from an accredited college or university or a minimum of four years law enforcement experience. 
• Computer skills – working knowledge of Microsoft Word, Excel
• Preferred candidate will have experience in law enforcement and health care industry, with emphasis on health care fraud investigations.

• Valid Indiana Driver’s License
• Review and analyze documents containing writings in the English language
• Accurately compile and calculate numeric information

The Office of the Indiana Attorney General is an Equal Opportunity Employer.