Medicaid Fraud Investigator/Special Agent

Details

Section:
Consumer Protection
Position Number:
LAA-00044
Salary Range:
$98,328.00 - $118,008.00 Yearly
Apply By:
Monday, April 13, 2026, 11:59 pm
FLSA:
7K
Work Unit:
Medicaid Fraud Control Unit
Job Location:
1300 Broadway, Denver, CO 80203
Release Date:
Monday, March 23, 2026
Employment Type:
Full-Time
Position Type:
Classified

Find a rewarding career making a difference: Join the Office of the Attorney General!

 

The Consumer Protection Section is seeking an experienced investigator to join the Colorado Medicaid Fraud, Abuse & Neglect Unit (“MFANU”). The MFANU’s mission is to hold providers accountable for Medicaid fraud and patient abuse across the state of Colorado. This position is ideal for someone with experience investigating criminal and civil cases who seeks to make a difference for Colorado’s most vulnerable populations.

This position is open only to Colorado state residents

WHAT YOU WILL DO

The dual missions of the MFANU 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.

This unit evaluates referrals to determine if they warrant further investigation and criminal prosecution or civil filing in state or federal court. The unit often partners with local and federal law enforcement and regulatory agencies to pursue justice for vulnerable Coloradans.

The Investigator position will work both independently and as part of a multidisciplinary team to conduct civil and criminal investigations, litigation, and prosecution of fraudulent activity by Medicaid providers (such as hospitals, doctors, pharmacies, nursing homes, etc.) and of patient abuse (such as physical assault, sexual assault, homicide and embezzlement of patient trust funds). This position may also be assigned to civil investigations in support of the Colorado False Claims Act. Additionally, the incumbent will provide technical training, advice and assistance to other law enforcement agencies in various jurisdictions across Colorado in the investigation of such matters.

This recruitment may also be used to fill other Special Agent positions in the Consumer Protection section.

 

Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights

WHAT WE ARE LOOKING FOR

 
Minimum Qualifications: Please document all relevant experience in detail on your application. Experience will not be inferred or assumed. Any part-time experience listed will be prorated. 

  • Six years of professional investigative experience as a sworn detective or criminal investigator at the felony level for a government law enforcement agency.

OR

  • A combination of directly related education (such as Criminal Justice, Psychology, or Sociology) and professional investigative experience as a sworn detective or criminal investigator at the felony level for a government law enforcement agency equal to six (6) years.  Experience must include filing felony level criminal cases in a criminal court as the lead investigator.

Required Competencies: The following knowledge, skills, and abilities are required for this position and will be considered during the selection process, including examination and/ or interview:

  • Demonstrated organizational skills, including the ability to multi-task, prioritize tasks, and meet deadlines;
  • Demonstrated work experience managing or leading large-scale or complex investigations;
  • Strong oral and written communication skills, including the ability to communicate concisely and effectively;
  • Customer service and interpersonal skills, including the ability to work on a team;
  • Strong critical thinking and analytical skills.

Preferred Qualifications: In addition to the minimum qualifications, if you possess any of the following specifically include the details on your application, as this information will be used to assess your qualifications and may be used to determine a top group of applicants.

  • Experience investigating and researching matters involving violations of State and Federal regulations;
  • Work experience with Medicaid or Medicare regulations and statutes;
  • Experience investigating document intensive white collar fraud cases from intake to completion;
  • Experience working with medical records and bank records during the course of an investigation;
  • Work experience with database programs, such as Excel or Access, used to analyze data and track evidence;
  • Proficiency in Spanish, Chinese, German, Vietnamese, or another commonly spoken language in Colorado;
  • Training as a forensic interviewer;
  • Experience in planning tactical operations;
  • Experience working with multidisciplinary investigation and prosecution teams, including with state or federal agency partners;
  • Experience conducting public outreach;
  • Certified Fraud Examiner;
  • Experience/training as a FTO or as a LE instructor;
  • Participation with health care fraud or elder abuse task forces or committees;
  • Experience investigating cases involving vulnerable populations, including working cases involving victims/witnesses with developmental or intellectual disabilities.
  • Experience working in a fast-paced environment that involves managing an active caseload.

 Conditions of Employment:

  • Candidates must be Colorado P.O.S.T. certified at the time of hire. In accordance with C.R.S. §24-31-303 (5)(a) and (b), applicants must be Colorado P.O.S.T. certified, including the requirement of completing a physical and psychological evaluation (if it has been more than three years since a physical and psychological evaluation has been conducted).  Following a conditional job offer, but prior to appointment, a candidate not meeting the requirement of C.R.S. §24-31-303(5)(b) will be subject to a physical and psychological evaluation to determine fitness to serve as a peace officer. Must be proficient with a handgun.  Must be available, sometimes on short notice, to travel within and outside the State of Colorado.  Must be available to work nights and/or weekends when necessary to conduct fast-paced investigations, execute search warrants, or prepare for trial.
  • Applicants must pass a thorough criminal and personal background check, including a review of the personnel file from prior employment.
  • Position may be required to work outside of regular business hours, including possible early mornings, evenings, weekend, and overnight assignments. This is not an on-call position. Position must have a valid CO driver’s license.
  • This position may be eligible for flexible work arrangements, including a hybrid work schedule after an initial training period.
  • Colorado Department of Law participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.

 

Please view the full job announcement on the Government Jobs Website for more information, including information about compensation and benefits, and to apply online.