Legal Assistant- Medicaid Provider Fraud Job Opening in Columbia, SC at State of South Carolina

Clipped from:

State of South Carolina


Columbia, SC Full Time

Job Posting for Legal Assistant- Medicaid Provider Fraud at State of South Carolina

About Medicaid Provider Fraud
This position is located in the Medicaid Provider Fraud section of the Special Prosecution Division; this section is an HHS-OIG certified Medicaid Fraud Control Unit (MFCU) and handles qualified patient abuse cases. Medicaid provider fraud occurs when a Medicaid provider knowingly makes a false or misleading statement to be reimbursed by the Medicaid program. The SCMFCU recovers taxpayer money by identifying, investigating, and prosecuting fraud committed by hospitals, nursing homes, clinical laboratories, pharmacies, doctors, nurses, home and respite care providers, transportation services, and other Medicaid providers.
This position is a member of a multi-disciplined team, consisting of attorneys, investigators, and auditors serving under a federal grant program with joint criminal and civil authority. Most tasks will be related to criminal investigation and prosecution of alleged fraud conducted by Medicaid providers, as well as the abuse, neglect, and exploitation of qualifying vulnerable adults.
In this position, you will primarily serve to support cases post-arrest and through the conclusion of prosecution. Responsibilities include:

  • Recording and tracking the development of cases in prosecution, including the occurrence of key case events such as arrest, indictment, hearings, trial, sentencing, etc.
  • Coordinating grand jury and court schedules, assisting with drafting legal documents and preparing for trial, and reporting case outcomes per federal requirements.
  • Requesting, saving, and organizing court documents in the Unit’s document management system.
  • Engaging in case of development by attending team meetings, recording case updates, and completing associated supportive tasks.
  • Drafting letters and answering correspondence at the direction of the appropriate team member, including notices of prosecution, conviction, and/or sentencing.
  • Maintaining accurate records of restitution ordered and restitution paid by tracking payments submitted to the Unit, PPP, victim, etc. Submitting monetary recoveries to finance for processing.
  • Preparing portions of annual state and federal reports.
  • Assisting with mail, phones, and other administrative tasks as needed.

This position also includes an excellent benefits package:

  • Public Service Loan Forgiveness eligibility.
  • Paid parental leave (effective October 1, 2022).
  • Health, dental, vision, long-term disability, and life insurance for employees, spouses, and children.
  • Fifteen days of annual (vacation) per year.
  • Fifteen days of sick leave per year.
  • Thirteen paid holidays.
  • State Retirement Plan and Deferred Compensation Programs.