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Criminal Justice Specialist II (65012028)

State of North Carolina
State of North Carolina Salary
Raleigh, NC Contractor
POSTED ON 3/29/2025
AVAILABLE BEFORE 4/27/2025
Description of Work

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.

THE STARTING SALARY FOR A NEW HIRE TO THIS POSITION IS LIMITED TO $45,926 to $50,289. 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.

The primary purpose of this position is to provide criminal intelligence and data analysis, data organization and data presentation assistance to Medicaid Fraud Financial Investigators pertaining to investigations of Medicaid fraud and abuse. The employee assists Medicaid Fraud Financial Investigators and one or more teams of attorneys and investigators in the detection, investigation, and punishment of fraudulent and non-fraudulent violations of applicable criminal and civil laws pertaining to fraud and abuse by Medicaid providers and in administration of the Medicaid Program.

This position will also support the investigation of Medicare and other federal health care fraud cases and investigations which are primarily related to Medicaid fraud involving complex financial analysis. This individual will

  • prepare detailed spreadsheets and charts, review medical records, prepare written investigative reports, research public records, analyze facts and documents, and assist in the collection and storage of evidence.
  • receive, document, research, gather information, and prepare reports of referrals from citizens, providers, recipients, and other professionals within and outside of the Medicaid agency who report Medicaid fraud abuse.
  • must be able to suggest leads to investigators and assist in preparation of investigative requests for records, subpoenas and search warrants.
  • must also perform administrative duties to include preparation of management reports and other duties as needed.
  • This investigator typically works in the office but may occasionally be required to work in the field to obtain pertinent information.

The successful candidate must undergo and successfully complete a comprehensive background check as part of the hiring process.

This position will require travel and overnight travel.

This position is subject to the Fair Labor Standards Act.

Note To Current State Employees

The salary grade for this position is NC12. 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.

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.

Division Information

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. To date, the MID has recovered more than $1 billion in restitution and penalties for North Carolina.

The MID receives 75 percent of its funding from the U.S. Department of Health and Human Services under a grant award totaling $8,453,116 for Federal fiscal year (FY) 2025. The remaining 25 percent, totaling $2,817,703 for FY 2025 is funded by the State of North Carolina.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.

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 the Office of Inspector General, FBI, IRS, the North Carolina Department of Insurance, Sheriffs' Offices, and Police Departments.

Department Information

The North Carolina Department of Justice works to prevent crime and support law enforcement, to safeguard consumers, and to defend the State, its people, and their constitutional rights.

Knowledge, Skills And Abilities / Competencies

  • Ability to record, compile, summarize and perform basic analysis of narrative and numerical materials.
  • Ability to learn and independently apply administrative code, laws, program rules and regulations.
  • Ability to learn programs and services and apply this knowledge in problem-solving and responding to most questions and inquiries.
  • Ability to use judgement in establishing program procedures and organizing and coordinating workflow.
  • Ability to apply correct sentences and grammatical structure to independently compose and format materials within established guidelines.
  • Ability to work independently and to work with people with courtesy and tact in performing public contact and communication duties that may be sensitive in nature.
  • Ability to gather and release pertinent information

Management Preferences

  • Experience conducting criminal and/or administrative investigations.
  • Technical writing experience.

Minimum Education And Experience Requirements

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.

Bachelor's degree from an appropriately accredited institution and two years 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.

Supplemental and Contact Information

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.

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.

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.

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.

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.

Any licenses or certificates must be included in the appropriate section of the application form.

Applicants seeking Veteran's Preference must attach a copy of their DD-214 or discharge orders.

Applicants seeking National Guard Preference must 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.

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.

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.

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.

Contact Information

NC Department of Justice

Human Resources

humanresources@ncdoj.gov

NOTE: For temporary, contract or other supplemental staffing appointments: There are no paid leave, retirement or other benefits associated with these appointment types.

For Permanent And Time-limited Appointments

Eligible employees have benefits that include employee health insurance options, standard and supplemental retirement plans, NC Flex (a variety of high-quality, low-cost benefits on a pre-tax basis), and paid vacation, sick, and community service leave, to name a few. Paid parental leave is available for eligible employees. Some benefits require 30 hours work/week for participation.

01

Please briefly describe your experience interviewing subjects and compiling the information in a report form?

02

Please briefly describe your experience with DCIN, CJLeads, AOC, DMV and other computer databases for the purpose of conducting research to identify or locate persons or property, obtain criminal histories, or perform background checks.

03

Please briefly describe your experience communicating with law enforcement, governmental agencies or the public.

04

Please briefly describe your experience with accurate and secure dissemination of detailed confidential information.

05

Please describe your experience using Microsoft Excel and/or other tools to conduct analysis on large data sets.

06

Where did you learn about NC DOJ or this job opportunity?

  • NC DOJ website
  • NC OSHR website
  • Employment Security Commission
  • Professional association
  • Conference/career fair
  • Industry specific job board
  • Other job board/website
  • Employee referral
  • Friend/Colleague
  • Social Media
  • LinkedIn
  • Job interest card from GovernmentJobs.com
  • Other

07

Please give additional detail about where you heard of this professional opportunity.

08

The North Carolina Department of Justice requires applications to include all education and work experience, with detail. Applicants must attach any requested attachments. Applications with "see attached" or "see résumé" are not completed applications. Please return to your application and verify it is complete before submitting it.

  • I have reviewed my application and verify that it is complete.
  • Required Question

Salary : $45,926 - $50,289

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