Assistant Attorney General- Medicaid Fraud Unit

The Colorado Medicaid Fraud Abuse & Neglect Unit (MFANU) 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 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.

WHAT YOU WILL DO

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 Medicaid fraud and 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.

Responsibilities include:

• Maintain 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;
• Review 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
• Meet with victims and witnesses to keep them apprised of the case status and to prepare them for providing testimony; and
• Represent Colorados interests in multistate litigation regarding Medicaid Fraud matters.

This recruitment may be used to fill more than one Assistant Attorney General position in the Medicaid Fraud Abuse & Neglect Unit.

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

• 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

• Applicants must pass a thorough background investigation prior to appointment.
• All members of the Tax and Public Finance Unit must file all necessary Colorado individual income tax returns and pay all tax obligations. Therefore prior to appointment applicants must undergo an evaluation of their tax records/accounts to ensure compliance with this policy.
• 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.

WHY WORK FOR US

We Embrace Flexibility
We aim to produce outstanding work product for our clients be efficient with our time and support each other as team members which also means we embrace flexible working arrangements when and where possible.

We Are Committed to Diversity Equity and Inclusion
At the DOL our commitment to DEI is thriving. We know that we are better together when our differences are valued and everyone is inspired and empowered to contribute. As such we strive to provide a safe environment where individuals feel valued and respected for who they are; demonstrate a behavior and mindset where differences are welcomed and individuals are treated equally and empowered to do their best work; and promote growth and innovation through a diverse workforce. We empower an active Diversity Equity & Inclusion Impact Team that creates approaches to ensure safe spaces and a culture supportive of people being their authentic selves hosts events and programs on DEI areas important to our employees enables development and sustainability of resource groups that give a voice to historically marginalized populations focuses on retaining our incredible talent and more! If your professional goals include promoting growth and innovation with colleagues who recognize that we are better together when our differences are valued and respected then DOL is your place to be!

We Have Strong Core Values
Our core values drive our actions. At the Department of Law we are: 1) principled maintaining the highest ethical standards rigorous legal analysis and careful evaluation of facts; 2) public servants who are always ensuring our work is not about us but instead is about the people of Colorado; 3) innovative by seeking to identify the best approach make deliberate decisions and look to improve; and 4) better together by working to support each other and collaborate.

We are Committed to Developing our Attorneys
We are deeply invested in our talent and regularly provide meaningful opportunities for personal and professional growth through training and coaching. Further our professional development and performance goal setting process is collaborative and ongoing and aimed at helping our attorneys grow and succeed.

We Offer Excellent Benefits

• Public Service Loan Forgiveness:As a state government employee you might be eligible for the Public Service Loan Forgiveness program. A borrower may qualify for forgiveness by making 120on-time payments while employed full-time in public service if they have certain kinds offederal loans in a qualifying repayment plan
• Free access to a recently renovated on-site fitness center
• Excellent work-life programs such as flexible work schedules professional development opportunities and an employee discount program
• Employer-paid mental health and counseling services through Colorado State Employee Assistance Program
• Employer-paid annual attorney registrationdues
• Employer-provided access to professional development training and CLE through PLI Department of Law University and other entities.