Fraud Investigator (Hybrid) Job at Department of Health Care Services, San Diego County, CA

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  • Department of Health Care Services
  • San Diego County, CA

Job Description

Job Description and Duties

Why Join DHCS?

The Department of Health Care Services (DHCS) is the backbone of California’s health care safety net. Our success is made possible by the hard work of more than 4,800 DHCS team members and through collaboration with the federal government and other

state agencies, counties, and partners for the care of low-income families, children, pregnant women, older adults, and persons with disabilities. This is an exciting opportunity to join our diverse team in the following role. If you are interested in joining our team, apply today!

Please see the Special Requirements section for simple and easy steps on how to apply for this state position.

About this Role:

The Investigator conducts full and complete criminal/civil investigations into allegations of fraud perpetrated against the California Medical Assistance Program (Medi-Cal) and other programs under the review of the Department of Health Care Services. All Investigators, Department of Health Care Services (DHCS), are peace officers under California Penal Code, Section 830.3(h) which performs investigative duties comparable to other peace officers.

DHCS Audits & Investigations (A&I) Division utilizes a field based investigative model which requires investigative staff to leave directly and return to their residences or secured parking location for field assignments at the beginning and at the end of each work day; investigative staff are provided state law enforcement vehicles to perform their field duties, and although A&I maintains regional field offices, investigative staff spend a minimum of 90 percent of their assignments in the field, and only coming to their assigned office to accomplish those tasks which cannot be completed in the field.

  • During the course of their employment, they are required to carry a firearm and be proficient in its use.
  • Maintain a neat personal appearance and wear plain clothes while maintaining firearm concealed
  • Ability to analyze situations accurately, draw valid conclusions, and take an immediate and effective course of action during stressful or adverse conditions
  • Willingness to travel throughout the state of California based on business needs; gather and analyze facts and evidence; reason logically, draw valid conclusions, and make appropriate recommendations; recognize and respect diversity through words and actions; effectively investigate allegations of misconduct pursuant to departmental policy; treat all people with respect and in an unbiased and unprejudiced manner.

This recruitment has been posted for more vacancies than currently exist as it may be used to fill additional identical vacancies which occur within 180 days of the closing date of this bulletin.

If you are interested in this position, it is critical to review the Classification Specifications to determine if you will meet the minimum qualifications (MQ’s). Please make note of Education and Experience requirements for the classification.

If you are meeting minimum qualifications with education, you must include a copy of your diploma/degree and/or unofficial/informal transcripts for verification. Official transcripts may be required upon appointment.


Please submit a Standard State Employment Application Form (STD 678). Applications will be screened and only the most qualified candidates will be interviewed. Failure to complete the STD. 678 in its entirety may result in disqualification.

Contact :  Recruit@dhcs.ca.gov we are here to help walk you through the state hiring process! This position is subject to the Department’s Conflict of Interest Code and requires annual filing of a Statement of Economic Interests (Form 700).

Electronic applications are highly encouraged.

You will find additional information about the job in the .

Working Conditions

Please see Telework informaiton section below for telework details.

Special Requirements

  • The position(s) require(s) a Drug Screening be passed prior to being hired.
  • The position(s) require(s) a Background Investigation be cleared prior to being hired.
  • The position(s) require(s) Medical Clearance prior to being hired.
  • The position(s) require(s) Psychological Evaluation clearance prior to being hired.

Simple Application Steps

If you are interested in this position, complete the following these simple steps:

  1. Review the education and experience minimum qualifications (MQ’s) of the Investigator classification. See the Minimum Requirements section above.
  2. Complete an application package and statement of qualifications, if applicable, for this position.
  3. Submit your application package with all required documents - see Required Application Package Documents section below. .
  4. Once you have applied, take the Investigator Exam


Bilingual (B) Candidates will have an opportunity to receive bilingual pay of $200 a month for employees; contingent they meet CalHR requirements

Benefits

The DHCS is dedicated to creating an innovative workplace for its team members that is inclusive, diverse, and interactive! Here are a few of the ways we stay engaged with our team:

  • Continuous and ongoing training
  • Diversity, Equity, and Inclusion program activities
  • Employee Assistance Program (EAP)

Additionally, as a team member of the State of California, you may be eligible for many benefits, such as:

  • Medical, including health, dental, and vision insurance
  • Paid Holidays and vacation/leave
  • Defined retirement program
  • Savings Plus Program (401(k), 457)
  • Medical/Dependent Care Reimbursement Accounts
Full benefits information can be found on CalHR's  California State Civil Service Employee Benefits Summary

DHCS 2023-2025 Strategic Plan provides more information about our commitment to organizational excellence to ensure we meet the needs of our workforce and members.

In addition, DHCS – Audits & Investigations offer:

  • Training opportunities to support role
  • Upward Mobility

We need your help! Please let us know how you heard about our position by taking this brief optional survey: California Department of Health Care Services Recruitment Survey (surveymonkey.com) This survey is not required to be considered for this position.

Additional Information

Using the online application system as specified in the announcement is the preferred method of applying for civil service job opportunities; however, applicants may instead apply by way of U.S. mail, parcel delivery or courier service, or in person, as set forth in this announcement.

Paper applications must include a signature. Dates printed on envelopes by mobile barcodes or equivalent mobile print technology are not acceptable proof of the date the application and any other required documents or materials were filed .

A completed state application (STD. 678) and any documents list under “Required Application Documents” must be submitted with your application package. Applicants who are relying on additional documentation (e.g., transcripts, copy of degrees, certifications, licenses, etc.) in order to prove that they meet the minimum qualifications listed in the Classification Specification (located on the right under “Additional Documentation) must submit those documents with their application package. Failure to submit these documents may result in your application being disqualified. Applications must include a description of the duties performed for each position held; reference to a resume in place of a description of the duties performed will not be accepted.

Applicants must state their basis of eligibility (List Eligibility, Lateral Transfer, Reinstatement, T&D, or Surplus/SROA), and the Job Control (JC) number and/or position number in the “Examination(s) or Job Title(s), For Which You Are Applying” section on the STD. 678. Surplus/SROA candidates should submit a copy of their letter with their application . Please remove any confidential information (i.e. social security number, date of birth, etc.) as well as any information regarding your LEAP eligibility and/or exam scores from your documents prior to submission.

Required Application Package Documents

The following items are required to be submitted with your application. Applicants who do not submit the required items timely may not be considered for this job:

  • Current version of the State Examination/Employment Application STD Form 678 (when not applying electronically), or the Electronic State Employment Application through your Applicant Account at All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to demonstrate how you meet the Minimum Qualifications for the position.
  • Resume is optional. It may be included, but is not required.

Job Tags

Holiday work, Permanent employment, Full time, Immediate start, Remote job,

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