Assistant Attorney General- Medicaid Fraud Unit

The Colorado Department of Law is seeking an Assistant Attorney General to join the Medicaid Fraud Control Unit. The Office of the Attorney General offers the opportunity to be involved in challenging, interesting, and meaningful work in a collaborative environment committed to effective and innovative law enforcement. The Medicaid Fraud Control Unit investigates cases that directly impact the lives of Coloradans. The Unit also ensures that Coloradans have access to the highest quality of care from dedicated providers while continuing to take an aggressive approach to reducing Medicaid Fraud and patient abuse across the state.

WHAT YOU WILL DO

The Colorado Medicaid Fraud Control Unit (COMFCU) maintains a strong commitment to ensuring that Coloradans have access to the highest quality of care from dedicated providers while continuing to take an aggressive approach to reducing Medicaid fraud and patient abuse across the state.

The dual missions of the COMFCU are:

• To protect the state and federal funds dedicated to providing health care and medical services to Colorado Medicaid beneficiaries.
• To hold individuals accountable for the abuse, neglect, or financial exploitation of clients in board and care facilities as well as those in facilities that accept Medicaid dollars.

Our newest attorney will work with a multi-disciplinary team to evaluate and develop investigations from inception to their ultimate criminal or civil disposition.  This work includes the analysis of complex factual and legal issues, the development of evidence through witness interviews, depositions and other discovery and the preparation of briefs, pleadings, motions and other legal documents. This practice also requires communication and cooperation with the U.S. Department of Justice, as well as knowledge of state and federal law. The attorney will also develop and present programs for healthcare communities regarding the prevention, recognition and investigation of both Medicaid Fraud, as well as patient abuse, neglect and exploitation.

The attorney will be required to research federal and state laws and regulations governing both the general provision of health care as well as the specific governance of the administration of the Colorado Medicaid program and will be called upon to suggest revisions to the same based upon gaps and deficiencies that may be discovered during their case work.

The attorney will be required to travel throughout Colorado, for investigations, hearings trials and to conduct training and public outreach.

Responsibilities include:

• Maintaining communication with victims and other stakeholders to keep them apprised of the status of COMFCU investigations and cases as well as preparing them for testimony;
• Assist in the preparation of cases for court;
• Review of affidavits for both arrest and search warrants;
• Reviewing medical records both independently and with the assistance of medical personnel to discover individual events or patterns of neglect and abuse, or falsified records;
• Assist in the development of investigative techniques and case strategies to be utilized based upon the nature of the investigation;
• Appear in court for hearings and trials both in Colorado and nationwide;
• Participate in public education and recommend needed legislation and revision of regulations;
• Maintain a diverse caseload, including making appropriate plea offers or settlement negotiations, managing voluminous discovery,  litigating motions and preparing cases for trial;
• Responsible for the initial evaluation and filing of cases and all tasks required on those cases until their ultimate resolution, including:
  • Assisting and providing advice to sworn officers and others during investigations
  • Communications and negotiations with opposing counsel
  • Drafting, filing and arguing pleadings and responses to the same in court
  • Conducting follow-up with outside agencies
• Meeting with victims and witnesses to keep them apprised of the case status and to prepare them for providing testimony; and
• Representing Colorado’s interests in multistate litigation regarding Medicaid Fraud matters.

WHAT WE ARE LOOKING FOR

Qualified applicants must be licensed to practice law in Colorado or be clearly eligible to waive into the Colorado Bar. Candidates for this position should have outstanding legal judgment, excellent writing skills, and be able to effectively and professionally research, prepare, analyze, and understand complex information and legal issues. Further, this attorney will have the opportunity to work as a part of a multidisciplinary team, therefore experience in a collaborative environment is essential. In addition, ideal candidates will have experience in complex civil litigation, including depositions and discovery.

Given the nature of the work, we would love to see candidates with at least some experience in the following:

• Awareness and familiarity with ethical guidelines related to medical practice, including privacy protections;
• Health care law, rules, and policies;
• Investigation and prosecution of document intensive financial crimes and ability to conduct discovery in document intensive litigation;
• Conducting public outreach; and
• Working with individuals that have developmental or intellectual disabilities

Conditions of Employment: 

• Candidates eligible to waive into the Colorado Bar will be required to submit proof of their completed application and application for Practice Pending Admission before the first day of employment. For more information about admission to the Colorado bar please review information on the Colorado Supreme Court Office of Attorney Regulation Counsel website.
• The final candidates for employment must successfully pass a thorough criminal background investigation.
• This position will be required to travel frequently and may include overnight travel within the State of Colorado.