Fraud Investigator 1-2

Posting number: MVA/SAJ/226683

Department: LDH-Medical Vendor Administration

Job classification: FRAUD INVESTIGATOR 1

Posting type: Open & Promotional

Categories: Social Services, Miscellaneous

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The mission of the Louisiana Department of Health is to protect and promote health and to ensure access to medical, preventive, and rehabilitative services for all residents of the State of Louisiana.

• Four years of experience in social services; OR
• Six years of full-time work experience in any field plus one year of experience in social services; OR
• A bachelor's degree plus one year of experience in social services; OR
• A bachelor’s degree in social work or a master's degree in a social services field or education.

EXPERIENCE SUBSTITUTION Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of full-time work experience in any field. The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field.

• Receives and reviews allegations of potential SNAP fraud, trafficking, misuse, waste, or abuse.
• Conducts investigations to determine whether SNAP benefits were improperly issued or overpaid.
• Gathers, verifies, and analyzes employment, household, financial, and other relevant information to identify potential program violations.
• Conducts interviews, field visits, and other investigative activities with SNAP participants, employers, and community members.
• Prepares and processes administrative claims or criminal referrals based on investigation findings.
• Appears in court and provides testimony or investigative documentation as required.
• Documents investigation findings and identifies trends or issues to support program integrity, recover ineligible payments, and prevent future SNAP fraud.

Position-Specific Details:

• Location: Medical Vendor Administration / Fraud & Recovery / Terrebonne Parish
• Appointment Type:This position may be filled as aProbationary appointment, Promotional appointment,Job appointment (temporary appointment that may last up to 48 months), or Detail to Special Duty
• Cost Center: 3052130100
• Position Number(s):50689397
• Career Progression: This position may be filled as a Fraud Investigator 1 or 2 determined by the qualifications of the candidate selected. This position provides the opportunity to advance within this job series.
• Compensation:This position is eligible for the following Special Entrance Rates (SER), as well as a Premium Pay of up to $2.00/hr for hours worked based on longevity.
• Fraud Investigator 1 - $21.27 hr / $1,701.60 bi-weekly Fraud Investigator 2 - $22.76 hr / $1,820.80 bi-weekly
• No Civil Service test score is required in order to be considered for this vacancy.
• Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.
• \* Information to support your eligibility for the position must be included in the application (i.e., relevant, detailed experience/education). Resumes will not be accepted in lieu of completed education and experience sections. Applications may be rejected if incomplete.

Contact Information:

• Samantha Johnson
• Samantha.
• LA Department of Health (LDH)
• Division of Human Resources
• PO Box 4818
• Baton Rouge, LA 70821
• LDH supports Louisiana’s commitment to being a State as a Model Employer (SAME) by promoting the recruitment, hiring, and retention of individuals with disabilities.
• *Information on the Louisiana Works, Louisiana Rehabilitation Services is available here.*

LDH is an equal opportunity employer and seeks to recruit a highly productive and diverse workforce and will provide equal employment opportunities to all employees and prospective employees. Employment decisions shall be based strictly on merit and without regard to religious or political beliefs, sex, race, or any other non-merit factor.

The official job specifications for this role, as defined by the State Civil Service, can be found here.

Protect program integrity and help ensure SNAP benefits reach eligible households! As a Fraud Investigator, you’ll investigate allegations of fraud, waste, and abuse, analyze case information, conduct interviews and field visits, and help recover ineligible payments. Your work will promote accountability, strengthen public trust, and support compliance with state and federal SNAP requirements. If you’re analytical, investigative, and motivated by making a meaningful difference, we encourage you to apply!

An ideal candidate should possess the following competencies: Following Policies and Procedures: The ability to follow, reinforce, adapt, or develop policies and procedures to maintain compliance with federal and state legal requirements, State Civil Service rules, and organizational policies. Making Accurate Judgments: The ability to assess options, weigh risks, and make sound decisions using available information and logical reasoning. Thinking Critically: The ability to analyze information objectively, identify connections across sources, and form logical, well supported conclusions. Accepting Direction: The ability to be open and willing to follow guidance or instructions. Acting Decisively: The ability to make timely, confident decisions using sound reason. Acting with Ethics and Integrity: The ability to make choices that reflect ethical standards, integrity and honesty, regardless of circumstances or personal benefit. Driving Results: The ability to set and pursue goals, maintain focus amid competing demands, and deliver results. Solving Problems: The ability to identify root causes, analyze relevant data, and apply practical or innovative solutions to challenges Using Data: The ability to collect, analyze, and use data to generate insights and inform decisions.