Criminal Investigator (Healthcare) – Medicaid Fraud Control Unit

About the role

The Criminal Investigator (Healthcare) joins the Medicaid Fraud Control Unit (MFCU) to lead complex investigations into healthcare fraud, abuse, neglect, and financial exploitation within the District's Medicaid program. The role requires independent planning, execution, and coordination of investigations from start to prosecution.

Key responsibilities

• Develop and implement investigative strategies for suspected Medicaid fraud, kickbacks, improper billing, and provider misconduct.
• Gather, analyze, and preserve financial and medical records, conduct interviews, and execute search warrants.
• Prepare detailed investigative reports and present findings to prosecutors, law‑enforcement partners, and regulatory agencies.
• Collaborate closely with a Supervisory Special Agent and external partners to ensure timely and effective case resolution.
• Manage multiple high‑impact cases simultaneously while meeting strict deadlines.

Required profile

• Extensive experience in criminal investigations, preferably in healthcare fraud or related abuse/neglect cases.
• Strong analytical abilities and familiarity with federal and local criminal law, rules of evidence, and investigative procedures.
• Ability to work independently, exercise sound judgment, and communicate findings clearly in both written and oral formats.

Required skills

What we offer

• Opportunity to protect public resources and vulnerable populations.
• Work within a dedicated federal‑state investigative team.
• Professional development in complex fraud investigations.