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Assistant Attorney General – Medicaid Fraud and Patient Abuse Division
The Office of the Utah Attorney General, Medicaid Fraud and Patient Abuse Division (also known as the Medicaid Fraud Control Unit), is seeking an attorney to prosecute and litigate cases involving fraud committed against the Medicaid program, and the abuse, neglect, or financial exploitation of vulnerable individuals. The position offers a unique opportunity to collaborate with attorneys, investigators, auditors, and nurses throughout the investigative and litigation processes. The focus of this position is criminal prosecution, but candidates will also have the opportunity to work on civil cases. This division works closely with State, local and federal partners to carry out its mission. Cases range from single provider home health fraud, abuse and neglect of vulnerable individuals, individual and corporate fraudulent activity, to national whistleblower actions.
The successful candidate should have significant litigation experience, excellent written and oral advocacy skills, outstanding legal acumen, a willingness to research diverse areas of law, effective communication abilities, and excellent interpersonal skills. Assistant Attorneys General have the opportunity to collaborate with the National Association of Medicaid Fraud Control Units through working on national cases, attending specialized training, and collaborating on complex cases.
Background checks are completed as a condition of employment. Salary is commensurate with experience in conjunction with the Attorney General’s Office career service matrix.
The responsibilities of this position include, but are not limited to, the following:
- Support investigations and prosecute fraud committed against Utahs Medicaid program and abuse, neglect, and financial exploitation committed against vulnerable individuals.
- Conduct legal research and analysis, gather evidence, and facilitate appropriate case outcomes.
- Determine discovery needs, and/or complete discovery; participate in decision making and strategy sessions in preparing cases for court and determining evidence to be utilized.
- Conduct conferences with defendants and/or attorneys, negotiate settlements, and attend court appearances throughout the State.
- Collaborate with and present information to sister agencies, providers, associations, and key stakeholders regarding Medicaid fraud and the abuse, neglect, and exploitation of vulnerable individuals and Medicaid recipients.
Example of knowledge, skills, and abilities which may be required upon entry into position or trainable after entry:
Knowledge
- Applicable laws, rules, regulations, and/or policies and procedures
- Compliance with laws governing access to public and private records (Government Records Access and Management Act)
- Knowledge of rules of evidence and civil and/or criminal procedure
- Principles, theories, and practices of judicial or administrative law
Skills/Abilities
- Read, interpret, and apply laws, rules, regulations, policies, and/or procedures
- Listen to, and understand, information and ideas as presented verbally
- Understand and apply case and statutory law
- Evaluate information against a set of standards
- Use logic to analyze or identify underlying principles, reasons, or facts associated with information or data to draw conclusions
- Research and understand laws, legal codes, precedents, government regulations, executive orders, the democratic political process, and legislative history
- Perform legal research using case law and appropriate techniques
- Make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions
- Deal with people in a manner which shows sensitivity, tact, and professionalism
- Provide consultation and/or expert advice
- Interpret and apply legal decisions and identify current and emerging trends in interpretation
- Understand how to research key information related to cases
- Excellent written and oral advocacy skills
- A Juris Doctorate is required.
- Risks found in the typical office setting, which is adequately lighted, heated, and ventilated; e.g., safe use of office equipment, avoiding trips and falls, observing fire regulations, etc.
- Typically, the employee may sit comfortably to perform the work. However, there may be some walking, standing, bending, carrying light items, driving an automobile, etc. Special physical demands are not required to perform the work.
- A conditional offer of employment will be made pending a satisfactory completion of a background investigation.
- Active membership in the Utah State Bar.
- Must be able to travel as required.
- Valid driver’s license required to drive a motor vehicle on a highway in this state per UCA 53-3-202(1)(a).