Fraud Investigation Supervisor supervises the development of policies and procedures for proactive fraud monitoring. Documents the current control process and recommends enhancements. Being a Fraud Investigation Supervisor collaborates investigation with appropriate business partners and local, state and federal authorities. Requires a bachelor's degree. Additionally, Fraud Investigation Supervisor typically reports to a manager or head of a unit/department. The Fraud Investigation Supervisor supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. Contributes to the development of processes and procedures. Thorough knowledge of functional area under supervision. To be a Fraud Investigation Supervisor typically requires 3 years experience in the related area as an individual contributor. (Copyright 2024 Salary.com)
The Office of the New York State Attorney General’s (OAG) Medicaid Fraud Control Unit (MFCU) seeks an attorney with experience prosecuting and/or investigating complex financial wrongdoing to serve as a Special Assistant Attorney General in its Rochester office. MFCU attorneys lead collaborative, team-based investigations with the Unit’s forensic accountants/auditors, detectives, and analysts to identify and prosecute financial fraud in the healthcare industry and abuse and neglect of residents in healthcare facilities, present evidence to grand juries, and conduct evidentiary hearings and trials in New York State courts.
The Medicaid program provides health coverage to millions of New Yorkers, including low-income persons, children, elderly adults, and people with developmental disabilities. MFCU is the nation’s premier law enforcement agency charged with ensuring the financial integrity of New York State’s $100 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies, doctors, hospitals, and nursing homes, who engage in Medicaid billing schemes that cause harm to Medicaid recipients and the loss of millions of dollars to the State of New York. MFCU also works to protect elderly and disabled New Yorkers by investigating reports of abuse and neglect in nursing homes and other residential health care facilities in the state.
Possessing both civil and criminal enforcement powers, MFCU uses various state laws to bring civil actions and criminal proceedings, including asset forfeiture actions. Many of the Unit’s investigations are conducted in coordination with other federal, state, or local government and prosecutorial agencies, and have resulted in large-scale criminal convictions and the recovery of millions of dollars of taxpayer money.
Several recent matters that highlight MFCU’s important work include the OAG’s report concerning neglect of nursing home residents across New York State during the COVID-19 pandemic, and the recent filing of four major lawsuits against nursing homes, including Centers Health Care, Cold Spring Hills Center for Nursing and Rehabilitation, The Villages of Orleans Health and Rehabilitation Center, and Fulton Commons Care Center, Inc.
An additional recent significant case is the conviction of a former nursing home employee for raping a resident with dementia.
As an employee of the OAG, you will join a team of dedicated individuals who work to serve the people of our State through a wide variety of occupations. To learn more about Assistant Attorney General compensation, please visit the following page: https://ag.ny.gov/sites/default/files/assistant_attorney_general_compensation.pdf. We offer a comprehensive New York State benefits package, including paid leave, health, dental, vision and retirement benefits, and family-friendly policies. Additionally, the OAG offers a robust Workplace Flexibilities Program with multiple options for employees, including telecommuting (up to two days per week) and alternative work schedules.
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