Job Description

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12/20/2025 (7:00 PM EST)

25-07318

OIG Investigator I

Pay Grade

14

Salary

$43,210.08 - $64,816.08 Annually

Employment Type

EXECUTIVE BRANCH | FULL TIME | ELIGIBLE FOR OVERTIME PAY | 18A | 37.5 HR/WK

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Hiring Agency

Cabinet for Health & Family Services | Office of Inspector General

Location

Location Varies

Description

The agency may authorize the selected candidate to telecommute. The agency may terminate or modify the telecommuting arrangement at any time.


The Office of Inspector General is the investigative arm of the Cabinet for Health and Family Services. We conduct numerous types of investigations which requires critical thinking and research into various Cabinet policies and procedures as well as State and Federal laws. Our most vital role is to safeguard the assets of the Cabinet. We do this by both investigating and preventing against waste, fraud, and abuse. Our investigations protect and preserve important Cabinet programs such as SNAP and Medicaid as well many others that our most vulnerable citizens depend on every day. Our office is also responsible for employee and Cabinet contractor investigations to maintain the integrity of the Cabinet.


This position under statutory authority, gains skills and conducts professional field investigations to determine fraud or abuse in Cabinet's programs.


RESPONSIBLITIES AND DUTIES:

• Investigates for fraud waste and abuse as related to Medicaid programs.
• Conducts simple investigations relating to Medicaid billing by providers.
• Assists with processing referrals, prior communications requests, and tracking,
• Assists in complex investigations, which may include state-wide interviews, surveillance, and information retrieval in a variety of environments such as subjects' and witnesses' homes, state facilities, housing projects, places of employment, medical offices and/or medical facilities.
• Uses statistical analysis and knowledge of medical billing codes to investigate Medicaid billing issues.
• Learns to use various databases to obtain evidence. Documents investigation results in specialized narrative reports. Makes formal recommendations as to the results of the investigation.
• Writes investigative reports, drafts appropriate correspondence, and transmittal letters and memoranda.
• Maintains HIPAA compliance throughout investigative process.
• Attends specialized training sessions and conferences as requested.
• Interacts with Cabinet personnel, law enforcement agencies, medical providers, courts, and the public.

Preferred knowledge and skills:

• Communications skills
• Experience in face-to-face interviews
• Experience researching using a variety of resources.
• Experience writing findings in a clear and concise manner.
• Organizational skills.
• Attention to detail.
• Proficient in use of Microsoft Office productivity tools.
• Excellent Writing skills using supporting facts with minimal errors.
• Ability to work under pressure and contractual deadlines.
• Prefer candidate familiar with Medicaid knowledge and/or medical billing codes.

The Cabinet for Health and Family Services (CHFS) also participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in U.S. CHFS will only use E-Verify once you have accepted a job offer and completed the Form I-9. For more information on E-Verify, or if you believe that CHFS has violated its E-Verify responsibilities, please contact Department of Homeland Security (DHS) at 888-897-7781 or

Minimum Requirements

EDUCATION: Graduate of a college or university with a bachelor's degree.

EXPERIENCE, TRAINING, OR SKILLS: Must have one year of experience in the field of investigations, social work, public assistance, healthcare, or program eligibility.

Substitute EDUCATION for EXPERIENCE: NONE

Substitute EXPERIENCE for EDUCATION: Additional investigative, social work, public assistance, healthcare, or program eligibility experience will substitute for the required college on a year-for-year basis. Current or prior military experience will substitute for the required college on a year-for-year basis.

SPECIAL REQUIREMENTS (AGE, LICENSURE, REGULATION, ETC.): Must possess and maintain a valid driver's license prior to employment in this job classification. Must maintain a valid driver's license for length of employment in this job classification. Employing agency is responsible for ensuring employee possesses and maintains a valid driver's license.

Working Conditions

Typical working conditions include both extensive field work in a variety of settings and normal office work. Travel throughout the state may be required to conduct interviews, perform surveillance activities and to obtain information and evidence. Interviews may be confrontational. Overnight travel and working irregular hours may be required.

Probationary Period

This job has an initial and promotional probationary period of 6 months, except as provided in KRS 18A.111.

If you have questions about this advertisement, please contact Kelli Sheets at kelli.sheets@ky.gov or 502-564-2815.

An Equal Opportunity Employer M/F/D

Job Tags

Full time, For contractors, Work at office, Remote work, Night shift,

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