<p>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.</p> <p>THE STARTING SALARY FOR THIS POSITION IS LIMITED TO $41,655 - $51,000. 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.</p> <p>This entry level position, under direct supervision, will perform selected criminal intelligence casework. This position:</p> <ul> <li>must have basic knowledge of, or the ability and willingness to become familiar with, Medicaid Investigation processes and procedures. Must be able to communicate clearly and concisely both verbally and in writing by instructing and explaining the referral process to callers.  </li><li>will handle a high volume of caller complaints by actively listening, taking notes to gather all relevant information, asking follow-up questions as needed, and preparing summary reports of findings.  </li><li>will assist other Criminal Justice Specialists with research and documentation of Medicaid providers and recipient information provided to the Division by the Medicaid Program or other referring agencies. Identify provider details, locations, and relationships among providers, employees, and recipients. </li><li>responds to requests from investigators for information on suspects, potential suspects, and victims. May assist with research and gathering Medicaid provider billing, payments, and denied claims. </li><li>will assist in tracking referrals received from citizens, providers, recipients, and other professionals by entering information into the Medicaid Investigations case management system, spreadsheets, and Access database. </li></ul> <p>Note to Current State Employees:</p> <p>The salary grade for this position is NC10.  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.</p> <p>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. </p> <p>Division Information:</p> <p>This position is located in the Medicaid Investigations Division (MID) of the North Carolina Department of Justice, which is the Medicaid Fraud Control Unit (MFCU) for the State of North Carolina. 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 approximately 40% of children in North Carolina are covered by Medicaid. In 2023, approximately $16.9 billion was spent on Medicaid in North Carolina.</p> <p>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 damages in a Medicaid fraud case can range from a few thousand dollars to tens of millions of dollars. MID's enforcement actions protect and recover taxpayer funds and help ensure access to needed medical services for Medicaid enrollees.</p> <p>MID is staffed by Department of Justice attorneys, investigators, auditors, analysts, and a nurse investigator, paralegals, and administrative staff. Cases are pursued in both federal and state courts in partnership with law enforcement agents from federal and state agencies such as the U.S. Department of Health and Human Services - Office of Inspector General, FBI, IRS, the North Carolina Department of Insurance, Sheriffs' Offices, and Police Departments.</p> <p>MID's Civil Section conducts investigations and brings civil actions against Medicaid providers alleged to have committed complex health care fraud schemes. We are looking for talented, team-oriented attorneys with experience in complex civil litigation who believe in our mission of protecting patients and safeguarding Medicaid funds.</p> <p>Department Information:</p> <p>The North Carolina Department of Justice, led by the Attorney General of North Carolina, represents the state, state agencies, and elected officials, and defends the rights of the people of North Carolina. The Department handles all state criminal appeals cases and assists district attorneys with complex criminal cases at their request. Additionally, the Department of Justice includes the North Carolina State Crime Lab, the North Carolina Justice Academy, and the Sheriffs' and Criminal Justice Education and Training Standards Divisions.</p> <p>Management Preferences:</p> <ul> <li>Experience managing a high volume of calls daily. </li><li>Experience accurately documenting callers' complaints, ensuring attention to detail. </li><li>Experience in MS Access, Word, and Excel. </li></ul> <p>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.</p> <p>Bachelor's degree from an appropriately accredited institution and one year of administrative and/or technical experience in criminal justice or law enforcement as it relates to the area of assignment, or an equivalent combination of education and experience.</p> <p>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.</p> <p>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.</p> <p>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.    </p> <p>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.</p> <p>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.</p> <p>Any licenses or certificates must be included in the appropriate section of the application form.</p> <p>Applicants seeking Veteran's Preference, please attach a copy of their DD-214 or discharge orders.</p> <p>Applicants seeking National Guard Preference, please 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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>CONTACT INFORMATION:</p> <p>NC Department of Justice</p> <p>Human Resources</p> <p>humanresources@ncdoj.gov</p>