Attorney: Investigate & Prosecute Medicaid, Financial Fraud (3738)

Criminal Justice Division

Medicaid Fraud Control Unit – Albany

Special Assistant Attorney General

Reference No. MFCU_ALB_SAAG_3738

Application Deadline: December 20, 2024

Apply online at www.ag.ny.gov/job-postings/attorneys

The Office of the New York State Attorney General’s (OAG) Medicaid Fraud Control Unit (MFCU) is seeking an attorney with experience prosecuting and/or investigating complex financial wrongdoing to serve as a Special Assistant Attorney General in its Albany regional office, which includes the counties in the upper Hudson Valley and North Country. MFCU attorneys lead collaborative, team-based investigations with the unit’s forensic accountants/auditors, detectives, and analysts to identify and prosecute financial fraud in the healthcare industry and the abuse and neglect of residents in healthcare facilities, resolve civil recovery proceedings, present evidence to grand juries, and conduct civil and criminal evidentiary hearings and trials in New York state courts.

The Medicaid program provides health coverage to millions of New Yorkers, including low-income persons, children, elderly adults, and people with developmental disabilities. MFCU is the nation’s premier law enforcement agency charged with ensuring the financial integrity of New York state’s $94 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies, doctors, hospitals, and nursing homes, who engage in Medicaid billing schemes that cause harm to Medicaid recipients and the loss of millions of dollars to the state. MFCU also works to protect elderly and disabled New Yorkers by investigating reports of abuse and neglect in nursing homes and other residential health care facilities in the state.

Possessing both civil and criminal enforcement powers, MFCU uses various state laws to bring civil actions and criminal proceedings, including asset forfeiture actions. Many of MFCU’s investigations have resulted in large-scale criminal convictions and the recovery of millions of dollars of taxpayer money. MFCU often conducts investigations in coordination with other federal, state, or local government and prosecutorial agencies.

Several recent matters that highlight MFCU’s important work include OAG’s report concerning neglect of nursing home residents across New York state during the COVID-19 pandemic, and the filing of four major lawsuits against nursing homes, including Centers Health Care, Cold Spring Hills Center for Nursing and Rehabilitation,The Villages of Orleans Health and Rehabilitation Center, and Fulton Commons Care Center, Inc.

Additional recent significant cases include a settlement of over $7.1 Million from a Saratoga County nursing home for years of fraud and neglect; the indictment of a Rensselaer County medical transport company for stealing millions from Medicaid; and a settlement of more than $860,000 from a Capital Region medical transportation company for Medicaid provider fraud.

Qualifications:

• A minimum of four (4) years of practice experience, including grand jury, trial, and/or substantial complex business litigation practice that must include criminal practice experience and preferably includes the investigation and prosecution of financial crimes;
• Prior experience drafting and overseeing the execution of search and eavesdropping warrants is desirable;
• Excellent analytical, legal research, writing, and organizational skills;
• Sound judgment with the ability to articulate the critical issues in a case accurately and concisely;
• Strong communication and teamwork skills and the ability to work independently and as a member of a team, including fostering productive and collaborative relationships with staff at all levels of the organization;
• Technology proficiency that preferably includes a knowledge of and comfort using Microsoft Office applications; and
• Familiarity with case management software and eDiscovery platforms is a plus.

Applicants must reside in (or intend to soon become a resident of) New York state and be admitted to practice law in New York state. In addition, the Public Officers Law requires that OAG attorneys be citizens of the United States. A two (2) year commitment upon being hired is a condition of employment