Job Description

Job Description and Duties

The mission of the Division of Medi-Cal Fraud and Elder Abuse (DMFEA) as the State’s Medicaid Fraud Control Unit (“Unit”) is to investigate and prosecute, both criminally and civilly, (a) health care providers who defraud the Medi-Cal program and (b) those who abuse or neglect elders and dependent adults in care facilities.  

The Special Agent conducts criminal investigations and investigates allegations of fraud perpetrated against the California Medicaid Program (Medi-Cal) Program by providers of medical and related services; specifically, those complaints that appear criminal in nature.  Independently, or in a team, conducts and assists with complex and difficult investigations.  May be required to conduct collateral duties as necessary. In accordance with Penal Code Section 13651, duties shall be conducted with an emphasis on community interaction and collaborative problem solving.

In accordance with Penal Code Section 13651, duties shall be conducted with an emphasis on community interaction and collaborative problem-solving.

You will find additional information about the job in the .

Working Conditions

Telework is available but is contingent on DMFEA's operational needs. Telework requires California residency.

Special Requirements

• The position(s) require(s) a Drug Screening be passed prior to being hired.
• The position(s) require(s) a Background Investigation be cleared prior to being hired.
• The position(s) require(s) Medical Clearance prior to being hired.
• The position(s) require(s) Psychological Evaluation clearance prior to being hired.

Candidates must have a current California POST Basic or Specialized Certificate or equivalent in order to be considered.

Candidates who are interest in the Special Agent position must meet the minimum qualifications in order to be considered. The minimum qualifications for the Special Agent Classification can be found at:

Candidates who meet the minimum qualifications must have list, reinstatement or lateral transfer eligibility.

• List eligibility: Candidates who are not current state peace officers with lateral transfer eligibility and who do not have reinstatement rights to the Special Agent classification must obtain list eligibility prior to appointment. This will apply to most local and out-of-state peace officers. If you need to take the exam, please see the “Exam Information” section below.
• Reinstatement: Former Department of Justice Special Agents may have permissive or mandatory reinstatement rights to the classification.
• Lateral transfer: Candidates who are currently employed by the State of California may be eligible to laterally transfer to the Special Agent classification. Transfer eligibility depends upon the applicant’s current classification.

Out-of-State Candidates

Out-of-state peace officers who are interested in the Special Agent classification, including federal peace officers, will have to obtain a valid California POST Basic Certificate or a Basic Course Waiver. Information regarding the Basic Course Waiver can be found at the California POST website:
. Candidates who have, or will need, a Basic Course Waiver must still take the Special Agent Exam to get on the Special Agent List. Candidates who are in the process of obtaining a Basic Course Waiver may take the Special Agent Exam and apply for vacant positions before the waiver is granted, but no job offers will be extended until a valid California POST Basic Course Waiver or Basic Certificate is obtained.

Desirable Qualifications

In addition to evaluating each candidate's relative ability, as demonstrated by quality and breadth of experience, the following factors will provide the basis for competitively evaluating each candidate:

Experience conducting complex fraud, tax or health/quality of care investigations, violent crimes against persons, investigations of crime scenes, insurance fraud and drug interdiction. Applicants should have excellent writing skills; experience in preparing and serving search warrants; knowledge of the California Penal Code, Welfare and Institutions Code, Health and Safety Code, and Insurance Code. Must be able to exercise good judgment, be willing to work odd and unusual hours and travel throughout the State of California. The most competitive applicants will possess a POST Basic Certificate or POST SIBC Certificate.

Benefits

Benefit Information - Please access this link for information on benefits afforded to employees who work for the State of California -

Additional Information on Application Filing

Please note, if using the United States Postal Service for delivery, there is no guarantee that your application will be date stamped and will arrive by the final filing date. If your application does not have a postmark or date stamp and arrives after the final filing date, your application will not be accepted. Therefore, to ensure timely delivery of your application, it is recommended that you use either electronic delivery, parcel service, or certified mail. Using one of these options will provide proof of delivery prior to the final filing date.

Required Application Package Documents

The following items are required to be submitted with your application. Applicants who do not submit the required items timely may not be considered for this job:

• Current version of the State Examination/Employment Application STD Form 678 (when not applying electronically), or the Electronic State Employment Application through your Applicant Account at All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to demonstrate how you meet the Minimum Qualifications for the position.
• Resume is required and must be included.

Job Tags

Odd job, Permanent employment, Full time, Local area, Remote work

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