INVESTIGATIVE AUDITOR
ADMINISTRATOR III
Recruitment #26-002588-0022
| Department | OAG Medicaid Fraud Control Unit |
|---|---|
| Date Opened | 4/8/2026 08:15:00 AM |
| Filing Deadline | 4/22/2026 11:59:00 PM |
| Salary | $75,475 - $106,636, with potential for advancement up to $117,737 |
| Employment Type |
Full-Time
|
| HR Analyst | Gina Mallory |
| Work Location |
Baltimore City
|
| Telework Eligible | Yes |
Introduction
GRADE
LOCATION OF POSITION
Main Purpose of Job
POSITION DUTIES
- Conduct investigation-related audits involving suspected fraud by health care providers, allegations of patient abuse and neglect, misuse and diversion of opioids, billing for false or inflated services, kickbacks, obstruction of justice, theft, misappropriation by a fiduciary, and other violations of the Maryland Medicaid Program.
- Identify and investigate complex fraud schemes, evaluating allegations of fraud and developing an investigative report
- Analyze Medicaid claims data for patterns of fraud
- Preparing for and conducting interviews with witnesses; developing evidence needed to evaluate and prove fraudulent
- Organize and analyze large complex data sets for use in nationwide qui tam cases
- Testify in grand jury and court proceedings
- Examine financial records and tracking assets
- Develop financial models to determine settlement positions
MINIMUM QUALIFICATIONS
Education: Graduation from an accredited high school or possession of a high school equivalency certificate.
Experience: Six years of administrative staff or professional work. Demonstrated proficiency in computer applications, including Microsoft Access and Excel, word processing software, and a solid understanding of fundamental database concepts. Exceptional written and verbal communication skills.
Notes:
1. Candidates may substitute 30 college credit hours from an accredited college or university for each year up to four years of the required experience.
2. Candidates may substitute the possession of a Bachelor's degree from an accredited college or university and two years of experience in administrative staff or professional work for the required experience.
3. Candidates may substitute the possession of a Master's degree from an accredited college or university for the required experience.
4. Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer involving staff work related to the administration of rules, regulations, policy, procedures and processes, or overseeing or coordinating unit operations or functioning as a staff assistant to a higher ranking commissioned officer on a year-for-year basis for the required experience.
DESIRED OR PREFERRED QUALIFICATIONS
- BS degree in Accounting, Finance, Criminal Justice, Public Health, or a related field.
- Demonstrated experience conducting complex investigations involving White collar or healthcare fraud, including Medicaid or Medicare programs, with knowledge of regulatory frameworks and compliance requirements.
- Strong understanding of fraud schemes such as billing fraud, kickbacks, opioid diversion, and patient abuse
- Advanced analytical skills with experience in reviewing and interpreting large-scale healthcare claims data; proficiency in data analytics tools (e.g., SQL, Python, SAS, or similar platforms).
- Experience preparing for and conducting interviews with witnesses, subjects, and stakeholders, including the ability to assess credibility and document findings.
- Demonstrated ability to organize and analyze large, complex datasets for use in high-profile litigation, including qui tam cases under the False Claims Act.
LICENSES, REGISTRATIONS AND CERTIFICATIONS
SELECTION PROCESS
BENEFITS
- Generous Leave:
- Annual Leave: 10–25 days per year based on service.
- Sick Leave: 15 days per year with unlimited carryover.
- Personal Leave: Up to 6 days per year.
- Paid Holidays: 12 state holidays.
- Comprehensive Health Coverage: Medical, dental, and vision plans.
- Retirement Savings: Defined benefit pension plan plus 401(k) and 457 supplemental retirement options.
- Work–Life Balance: Hybrid and flexible work schedules available for many roles.
- Professional Growth: Ongoing training and development opportunities.
- Additional Benefits: Flexible Spending Accounts, free mass transit (eligible areas), Employee Assistance Program, and access to SECU.
FURTHER INSTRUCTIONS
Click on a link below to apply for this position:
| Fill out the Supplemental Questionnaire and Application NOW using the Internet. | Apply Online |
| View and print the Supplemental Questionnaire. | This recruitment requires completion of a supplemental questionnaire. You may view and print the supplemental questionnaire here. |
| Apply via Paper Application. | You may also download and complete the Paper Application here. |



