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Posted : Thursday, January 25, 2024 02:30 AM
Description of Work
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.
This position is located in the Medicaid Investigations Division of the North Carolina Department of Justice.
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 is especially crucial for children.
Approximately 40% of children in North Carolina are covered by Medicaid.
In 2023, approximately $16.
9 billion was spent on Medicaid in North Carolina.
While the overwhelming majority of medical providers are honest and provide high-quality services, there are those who steal from the program, and those who abuse patients.
The Attorney General's Medicaid Investigations Division (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 amount of loss (theft) in a Medicaid fraud case ranges from a few thousand dollars to tens of millions of dollars.
Every case helps protect and recover valuable taxpayer funds that are needed for their intended purpose of providing medical services.
We are looking for experienced, team-oriented prosecutors who believe in our mission of protecting patients and Medicaid funds.
The Criminal Section brings state and federal actions against Medicaid providers alleged to have committed complex health care fraud schemes.
The Attorney IV will prosecute cases in State court as a special prosecutor and in federal court as a Special Assistant United States Attorney.
This attorney will be assigned to prosecute the most complex criminal matters related to the investigation of health care providers.
This Attorney IV will also be expected to become an expert in patient abuse cases.
The Attorney will handle most of the Division’s abuse cases and will travel and give presentations on patient and elder abuse.
This Attorney IV provides mentoring and guidance to the Attorney III Criminal Enforcement Attorneys.
The Senior Criminal Enforcement Attorney participates as co-leader of a team of investigators.
If selected for an interview, management is requesting a writing sample related to a court case, as well as a most recent job performance evaluation.
This attorney must be able to travel, meet, and prosecute cases throughout North Carolina.
Overnight out-of-town stays are sometimes required.
The Attorney must be able to drive a state vehicle.
The Senior Criminal Attorney must have completed or be willing to travel out-of-state and complete training from the National Association of Medicaid Control Fraud Units.
The Senior Criminal Attorney must also be willing to travel and complete additional job related training.
This position qualifies for teleworking on a part-time basis and is flexible / hybrid, subject to management approval.
While the right to telework is not guaranteed and it could be eliminated by management, currently most MID employees have the option to telework 2 to 3 days a week from their home.
One of the responsibilities of this position is to prosecute Medicaid fraud cases as a Special Assistant United States Attorney with the United States Attorney’s Office in the Western District of North Carolina, which has its main office in Charlotte.
CHARLOTTE OFFICE OPTION.
There is an option for the attorney hired for this position to select Charlotte for their home office location.
This should allow them to work most of their office days from a DOJ location in Charlotte.
They will be required to have two regularly scheduled Raleigh office days each month.
Additionally, they will be required to work from the Raleigh office on other days as needed or requested by management.
As with any MID position, if the employee’s work performance does not meet expectations, management may eliminate all telework and require them to work from the Raleigh office every day.
Note to Current State Employees: The salary grade for this position is LG09.
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 STARTING SALARY FOR A NEW HIRE TO THIS POSITION IS LIMITED TO $89,775 to $112,560.
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.
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.
Knowledge, Skills and Abilities / Competencies The ability to effectively bring and supervise complex investigations of fraud by providers of medical assistance under the state Medicaid Program and other health care programs.
Requires a thorough knowledge of laws and regulations pertaining to health care as well as Medicaid reimbursement and considerable knowledge of the administrative operation of health care facilities and professional medical offices and the ability to deal effectively with management and employees of these organizations.
Working knowledge of the federal and state criminal laws relating to fraud by health care providers; accounting and auditing principles and practices; thorough knowledge of the legal principles and techniques of conducting criminal investigations; thorough knowledge of state and federal forfeiture actions.
The Senior Criminal Enforcement Attorney must have the ability to examine and analyze medical and business records; present findings to courts and juries in a clear and orderly manner; and analyze and interpret complex statutes and regulations.
Must have a working knowledge of criminal health care fraud and the ability to recognize matters initially referred to the Division for civil action that should be investigated to determine whether a criminal health care fraud offense has been committed; the ability to communicate effectively on medical and financial matters before a court and jury, the ability to effectively utilize and direct medical consultants in reviews of the practices of medical providers, the ability to maintain an effective working relationship with judges, related federal and state agencies and administrators, and other legal and administrative staff within the Department of Justice, and the general public.
The Senior Criminal Enforcement Attorney must be able to satisfactorily complete a detailed federal agency national security personal background investigation in order to become eligible for appointment as a SAUSA.
The Senior Criminal Enforcement Attorney must maintain their eligibility to qualify to be a SAUSA.
Minimum Education and Experience Requirements Some state job postings say you can qualify by an “equivalent combination of education and experience.
” If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both.
See oshr.
nc.
gov/experience-guide for details.
Licensed to practice law by the North Carolina State Bar and four years of progressively responsible professional legal experience.
NOTE: GS 114-2 and 114-6 make it the duty of the Attorney General of NC to represent the State of North Carolina in all litigation unless another statute specifically states otherwise.
Management preferences: Recent criminal prosecutorial court experience.
Supplemental and Contact Information The NC Department of Justice accomplishes our goals through our DOJ Organizational Values of Public Service, Integrity, Excellence, Teamwork, Diversity, and Innovation.
We encourage all qualified candidates who are committed to these values and want to make a difference in the lives of our citizens to apply for this opportunity.
Please be sure to complete the application in full.
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.
Veterans Preference: 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.
NeoGov Help Line: 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 Justice Human Resources Office 114 W.
Edenton Street Raleigh, NC 27603 919-716-6490
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.
This position is located in the Medicaid Investigations Division of the North Carolina Department of Justice.
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 is especially crucial for children.
Approximately 40% of children in North Carolina are covered by Medicaid.
In 2023, approximately $16.
9 billion was spent on Medicaid in North Carolina.
While the overwhelming majority of medical providers are honest and provide high-quality services, there are those who steal from the program, and those who abuse patients.
The Attorney General's Medicaid Investigations Division (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 amount of loss (theft) in a Medicaid fraud case ranges from a few thousand dollars to tens of millions of dollars.
Every case helps protect and recover valuable taxpayer funds that are needed for their intended purpose of providing medical services.
We are looking for experienced, team-oriented prosecutors who believe in our mission of protecting patients and Medicaid funds.
The Criminal Section brings state and federal actions against Medicaid providers alleged to have committed complex health care fraud schemes.
The Attorney IV will prosecute cases in State court as a special prosecutor and in federal court as a Special Assistant United States Attorney.
This attorney will be assigned to prosecute the most complex criminal matters related to the investigation of health care providers.
This Attorney IV will also be expected to become an expert in patient abuse cases.
The Attorney will handle most of the Division’s abuse cases and will travel and give presentations on patient and elder abuse.
This Attorney IV provides mentoring and guidance to the Attorney III Criminal Enforcement Attorneys.
The Senior Criminal Enforcement Attorney participates as co-leader of a team of investigators.
If selected for an interview, management is requesting a writing sample related to a court case, as well as a most recent job performance evaluation.
This attorney must be able to travel, meet, and prosecute cases throughout North Carolina.
Overnight out-of-town stays are sometimes required.
The Attorney must be able to drive a state vehicle.
The Senior Criminal Attorney must have completed or be willing to travel out-of-state and complete training from the National Association of Medicaid Control Fraud Units.
The Senior Criminal Attorney must also be willing to travel and complete additional job related training.
This position qualifies for teleworking on a part-time basis and is flexible / hybrid, subject to management approval.
While the right to telework is not guaranteed and it could be eliminated by management, currently most MID employees have the option to telework 2 to 3 days a week from their home.
One of the responsibilities of this position is to prosecute Medicaid fraud cases as a Special Assistant United States Attorney with the United States Attorney’s Office in the Western District of North Carolina, which has its main office in Charlotte.
CHARLOTTE OFFICE OPTION.
There is an option for the attorney hired for this position to select Charlotte for their home office location.
This should allow them to work most of their office days from a DOJ location in Charlotte.
They will be required to have two regularly scheduled Raleigh office days each month.
Additionally, they will be required to work from the Raleigh office on other days as needed or requested by management.
As with any MID position, if the employee’s work performance does not meet expectations, management may eliminate all telework and require them to work from the Raleigh office every day.
Note to Current State Employees: The salary grade for this position is LG09.
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 STARTING SALARY FOR A NEW HIRE TO THIS POSITION IS LIMITED TO $89,775 to $112,560.
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.
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.
Knowledge, Skills and Abilities / Competencies The ability to effectively bring and supervise complex investigations of fraud by providers of medical assistance under the state Medicaid Program and other health care programs.
Requires a thorough knowledge of laws and regulations pertaining to health care as well as Medicaid reimbursement and considerable knowledge of the administrative operation of health care facilities and professional medical offices and the ability to deal effectively with management and employees of these organizations.
Working knowledge of the federal and state criminal laws relating to fraud by health care providers; accounting and auditing principles and practices; thorough knowledge of the legal principles and techniques of conducting criminal investigations; thorough knowledge of state and federal forfeiture actions.
The Senior Criminal Enforcement Attorney must have the ability to examine and analyze medical and business records; present findings to courts and juries in a clear and orderly manner; and analyze and interpret complex statutes and regulations.
Must have a working knowledge of criminal health care fraud and the ability to recognize matters initially referred to the Division for civil action that should be investigated to determine whether a criminal health care fraud offense has been committed; the ability to communicate effectively on medical and financial matters before a court and jury, the ability to effectively utilize and direct medical consultants in reviews of the practices of medical providers, the ability to maintain an effective working relationship with judges, related federal and state agencies and administrators, and other legal and administrative staff within the Department of Justice, and the general public.
The Senior Criminal Enforcement Attorney must be able to satisfactorily complete a detailed federal agency national security personal background investigation in order to become eligible for appointment as a SAUSA.
The Senior Criminal Enforcement Attorney must maintain their eligibility to qualify to be a SAUSA.
Minimum Education and Experience Requirements Some state job postings say you can qualify by an “equivalent combination of education and experience.
” If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both.
See oshr.
nc.
gov/experience-guide for details.
Licensed to practice law by the North Carolina State Bar and four years of progressively responsible professional legal experience.
NOTE: GS 114-2 and 114-6 make it the duty of the Attorney General of NC to represent the State of North Carolina in all litigation unless another statute specifically states otherwise.
Management preferences: Recent criminal prosecutorial court experience.
Supplemental and Contact Information The NC Department of Justice accomplishes our goals through our DOJ Organizational Values of Public Service, Integrity, Excellence, Teamwork, Diversity, and Innovation.
We encourage all qualified candidates who are committed to these values and want to make a difference in the lives of our citizens to apply for this opportunity.
Please be sure to complete the application in full.
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.
Veterans Preference: 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.
NeoGov Help Line: 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 Justice Human Resources Office 114 W.
Edenton Street Raleigh, NC 27603 919-716-6490
• Phone : (855) 524-5627
• Location : Wake County, NC
• Post ID: 9026026931
