Accounting Standards and Regulations, Analysis Skills, Background Investigation, Bookkeeping, Civil Investigations, Claims Processing, Compensation and Benefits, Criminal Justice, Dental Insurance, Disability Insurance, Driver's License, Employee Assistance Plan, Federal Laws and Regulations, Financial Analysis, Financial Audit, Flexible Spending Accounts, Fraud Investigation, Healthcare Providers, Insurance, Interviewing Skills, Investigative Reports, Law Enforcement, Legal, Regulatory Compliance, Reporting Skills, Research Skills, Retirement Plan, Secondary School, State Laws and Regulations, Training/Teaching, Vision Plan
DEDICATED TO STRENGTHENING THE HEALTH, SAFETY, AND INDEPENDENCE OF IDAHOANS
THIS ANNOUNCEMENT WILL BE OPEN UNTIL FILLED. APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE TO BE CONSIDERED.
The Division of Management Services is seeking a dedicated Fraud Investigator to join our Welfare Fraud Integrity Unit in downtown Boise. This role is responsible for conducting criminal and civil investigations involving suspected fraud, waste, and abuse within public assistance programs. Your work will directly support the integrity and accountability of essential services across Idaho.
This is an opportunity to make a meaningful impact by helping safeguard public resources and ensuring that assistance programs operate with transparency and integrity. If you have strong analytical skills, enjoy investigative work, and want to contribute to public service, we encourage you to apply.
This position is not eligible for telework.
The Idaho Department of Health & Welfare is a drug-free workplace. Any applicant offered employment in this position at the Idaho Department of Health and Welfare will be required to pass a pre-employment drug test. In addition, successful candidates will be required to complete a criminal history background investigation. Employment is dependent upon satisfactory results of the investigation.
BENEFITS:
The State of Idaho offers a robust total compensation and benefits package, including but not limited to:
- We have one of the Nation's best state retirement systems (PERSI) that offers a lifetime benefit at retirement.
- 11 paid holidays
- Paid sick and vacation that begins accruing on your first day of employment; can be used immediately after accruing (no waiting time)
- Paid parental leave
- Medical, vision, and dental insurance benefits that become effective first of the month following your hire date. All contributions can be pre-tax (full-time/30+ hours per week)
- 2 voluntary supplemental retirement plans including both pre-tax and Roth options
- Deferred compensation plan
- Life insurance for self, spouse, and children
- Short and long-term disability insurance
- Flexible Spending Accounts (FSA)
- Wide variety of training opportunities
- Some positions offer flexible hours and/or telecommuting
- Additional perks and discounts available through medical provider
- Public Service Loan Forgiveness (PSLF) Eligibility
- Employee assistance program
Additional information related to benefits and/or State programs can be found here: https://dhr.idaho.gov/StateEmployees/Benefits.html.*
EXAMPLE OF DUTIES:
- Conduct investigations into suspected fraud, waste, and abuse of public assistance programs.
- Analyze financial records, bank documents, medical reports, witness statements, and other evidence to determine potential violations.
- Work collaboratively with local, state, and federal law enforcement or task forces related to public assistance fraud.
- Prepare investigative reports, issue & serve subpoenas, assist prosecutors, and present evidence in court as an expert witness.
- Conduct interviews to establish nature of activity.
- Provide training to task force members and community partners on investigative practices and fraud prevention.
- Collaborate with DHW partners and share information.
MINIMUM QUALIFICATIONS:
You must possess all the minimum qualifications below to pass the exam for this position. Please make sure your resume or work history supports your meeting the minimum qualifications for this position. Failure to do this may disqualify you from being considered for this position. It is highly recommended to attach a one-page cover letter to your application to demonstrate how you meet the requirements below.
- Some knowledge of Bookkeeping. Typically gained by education covering bookkeeping practices (such as in high school or above), OR approximately 6 months of work experience performing routine bookkeeping functions. You may receive a higher score if your education, experience, and/or level of responsibility exceeds that described above. Please thoroughly describe your educational background, experience, and level of responsibility as it relates to this question.
- Good knowledge of Investigative techniques and procedures, Rules of evidence and discovery, court procedures and legal rights of citizens. Typically gained through a college degree in criminal justice, law enforcement or a related field PLUS at least one year of experience working with laws, techniques, and procedures; OR specific coursework in each of the areas listed PLUS at least three years' work experience applying each of laws, techniques, and procedures. You may receive a higher score if your education, experience, and/or level of responsibility exceeds that described above. Please thoroughly describe your educational background, experience, and level of responsibility as it relates to this question.
- Experience Analyzing documents for evidence and case history to detect discrepancies and identify possible violations, conducting fact finding interviews to obtain statements and evidence from parties including suspects, victims, and witnesses to detect possible violations of the law, preparing for hearings, preparing reports and affidavits. Typically gained through at least two years of professional experience, performing the work described in ALL of the areas listed above, in a position such as a criminal fraud investigator, law enforcement investigator, insurance investigator or similar position. (Work in a court system or experience as an insurance adjuster may also qualify if it included experience in each area.) You may receive a higher score if your education, experience, and/or level of responsibility exceeds that described above. Please thoroughly describe your educational background, experience, and level of responsibility as it relates to this question.
- Experience Locating and verifying assets. Typically gained through at least six months of work experience locating and verifying assets in a position such as a bookkeeper, accountant, law enforcement officer doing related investigative work or insurance adjuster. You may receive a higher score if your experience exceeds that described above. Please thoroughly describe your experience as it relates to this question.
- A valid driver's license. Must be at least 21 years of age and meet eligibility requirements to drive a state vehicle.
Below is preferred experience. It is not required for the position but applicants with this experience may receive consideration over other applicants.
- Critical thinking skills gained by evaluating circumstances, data and risk assessment. Typically gained through 1 year of experience reviewing case files and/or program data or education.
- Thoughtful interviewing and soft skills gained from conducting sensitive interactions with uncertain outcomes. Typically gained through 1 year of experience or education.
- Experience conducting investigations, interviewing, evidence collection, report writing, courtroom testimony. Typically gained through 1 year of experience or criminal justice courses.
- Understanding of Idaho rules and regulations gained through compliance, audit or investigatory work. Typically gained through 1 year of experience or education.
Learn About a Career with DHW
If relocating to Idaho, the Department of Health & Welfare does not reimburse the cost of relocating and the department does not sponsor anyone with a work visa.
- PLEASE NOTE: application assistance is not available after the business hours listed below, on the weekends, or on holidays and you must apply before 11:59 pm on the closing date. When applying, use CHROME as your browser to avoid complications.
If you have questions, please contact us at:
Email is the quickest way to get an answer to your questions.
(answered Monday through Friday during business hours MST)
EMAIL: dhwjobs@dhw.idaho.gov
PHONE: (208) 334-0681
EEO/ADA/Veteran:
The State of Idaho is committed to providing equal employment opportunities and prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on their race, color, religion, political affiliation or belief, sex, national origin, genetics, or any other status protected under applicable federal, state, or local laws.
The State of Idaho is committed to access and reasonable accommodations for individuals with disabilities, auxiliary aids and services are available upon request. If you require an accommodation at any step in our recruitment process, you are encouraged to contact (208) 334-2263 (TTY/TTD: 711), or email ada.coordinator@dhr.idaho.gov.
Preference may be given to veterans who qualify under state and federal laws and regulations.