State of Maryland

FRAUD INVESTIGATOR LAW DEPT III (#005789)

- Hourly / - BiWeekly /
- Monthly / $50,392.00-$83,807.00 Yearly


GRADE

14

CLASS ATTRIBUTES

SKILLED SERVICE      BARGAINING UNIT: X      OVERTIME ELIGIBLE      NCP

NATURE OF WORK

A Fraud Investigator III Law Department is the advanced level of professional highly complex and sophisticated investigative work in the areas of medicaid fraud, and consumer protection, and securities. Employees in this classification do not supervise other position but may provide guidance and advice to less experienced Fraud Investigators Law Department.

Employees in this classification receive general supervision from the Chief Investigator, or the Securities or Deputy Securities Commissioner, or an Assistant Attorney General. Employees in this class may be required to work irregular hours on weekends and holidays as needed, and to travel to any location relating to the investigation.

Positions in this classification are evaluated by using the classification job evaluation methodology.  The use of this method involves comparing the assigned duties and responsibilities of a position to the job criteria found in the Nature of Work and Examples of Work sections of the class specification.

The Fraud Investigator Law Department I, Fraud Investigator Law Department II and Fraud Investigator Law Department III are differentiated on the basis of the complexity of the investigations in the specific areas assigned, such as medicaid fraud, consumer protection, and securities and the degree of supervisory control exercised by the supervisor over these employees.  The Fraud Investigator Law Department I handles routine investigations of minimal complexity in the areas of medicaid fraud and consumer protection under close supervision at times and under general supervision at other times depending on the complexity of the specific duty being performed.  The Fraud Investigator Law Department II handles complex investigations in the areas of medicaid fraud and consumer protection under general supervision.  The Fraud Investigator Law Department III handles highly complex and sophisticated investigations in the areas of medicaid fraud, consumer protection and securities under general supervision.

EXAMPLES OF WORK

Plans, develops,and conducts highly complex, confidential and sophisticated investigations sometimes simultaneously relatively independently relating to cases of alleged or suspected violations of securities, franchise and business opportunities sales laws, consumer laws, and suspected fraud by health care providers receiving medicaid funds, and other violations including theft, misappropriation by a fiduciary, bribery, assault, income tax violations, drug violations, conspiracy, perjury, obstruction of justice, patient abuse and neglect of individuals in health care facilities receiving payments under the State’s medicaid program;

Interviews or interrogates all parties to such cases, including, but not limited to, corporate, banking, securities, franchise and small business executives, officers and employees, doctors, lawyers, State representatives, private citizens, confidential informants, patients, law enforcement personnel, medical experts, and other appropriate witnesses;

Locates, searches, recognizes, seizes, and preserves physical or documentary evidence applying all laws and legal principles so as to avoid the effect of the exclusionary rule;

Analyzes accounting, financial, patient medical history, provider billing, and corporate records;

Locates witnesses and develops leads and informants from business, industries and criminal groups;

Conducts undercover surveillance activities that may involve prminent individuals or institutions;

Prepares charts and exhibits for trial;

Testifies in division or court proceedings;

Poses as potential investor;

Works with other state and federal agencies;

Prepares and serves subpoenas or other necessary documents;

Obtains search warrants through the use of sworn affidavits;

Uses cameras and photographic equipment to record evidence and documents;

Analyzes requests, complaints and allegations to identify the issue involved and the type of evidence that will be needed in each case;

Recognizes the need for prompt reporting of critical information to other offices and agencies as the exigencies of any given situation may require;

Presents findings in clear, logical, impartial and properly documented reports;

Assists Attorneys in the drafting of briefs, statement of facts, Assurances of Discontinuance, search warrants, and depositions;

Makes recommendations as to whether a case should be prosecuted or referred for civil remedies if administratively warranted;

Maintains inventory of and chain of custody of evidence;

Recommends policy or procedural changes relative to investigative and accounting/auditing techniques;

Performs fact-finding surveys for the guidance of the division in establishing policy or rule making or for recommendation of new or changed legislation;

Directs and gives guidance to less experienced investigative personnel;

Participates in negotiations and discussions with other agencies or components concerning complex or sensitive investigative matters;

Recommends policy or procedural changes which affect division operations;

May assist in the planning, direction and organization of all field investigations;

May make recommendations to division Attorneys;

Performs other related duties.

GENERAL REQUIREMENTS

Specific educational and experience requirements are set by the agency based on the essential job functions assigned to the position.

ACKNOWLEDGEMENTS

Class Descriptions are broad descriptions covering groups of positions used by various State departments and agencies.  Position descriptions maintained by the using department or agency specifically address the essential job functions   of each position.

Class Descriptions provide information about the Nature of Work, Examples of Work, General Requirements and Acknowledgements.  The Required Knowledge, Skills, and Abilities; Minimum Education and Experience Requirements; Special Requirements; and recruitment and testing procedures are set by the using agency.

This is a Skilled Service classification in the State Personnel Management System.  All positions in this classification are Skilled Service positions.  Some positions in Skilled Service classifications may be designated Special Appointment in accordance with the State Personnel and Pensions Article, Section 6-405, Annotated Code of Maryland.

This classification is not assigned to a bargaining unit, as indicated by the designation of S (Supervisor), M (Manager), T (Agency Head), U (Board or Commission Member), W (Student), X (Used by Agency or Excluded by Executive Order), or Z (Confidential).  As provided by State Personnel and Pensions Article, Section 3-102, special appointment, temporary, contractual, supervisory, managerial and confidential employees are excluded collective bargaining.  Additionally, certain executive branch agencies are exempt from collective bargaining and all positions in those agencies are excluded from collective bargaining.

Employees in this classification are eligible to receive overtime compensation.  An employee who works more than the normal workweek is entitled to be compensated for that overtime, as provided by the State Personnel and Pensions Article, Section 8-305.

This classification is one level in a Non-Competitive Promotion (NCP) series.  NCP promotions are promotions by which employees may advance in grade and class level from trainee to full performance level in a classification series. In order to be non-competitively promoted to the next level in a NCP series, an employee must: 1) perform the main purpose of the class, as defined by the Nature of Work section of the class specification; 2) receive the type of supervision defined in the class specification and 3) meet the minimum qualifications of the classification.

Date Established

Mar 1 2012 12:00AM

Date Revised

July 16, 2021

Approved By

Director, Division of Classification and Salary

CLASS: 005789; EST: 3/1/2012; REV: 7/16/2021;

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