Management/Leadership Opportunity for Experienced Attorneys
The Office of the New York State Attorney General’s Medicaid Fraud Control Unit (MFCU) is seeking an attorney with substantial investigatory experience to lead the Albany Regional Office, which includes counties in the Capital Region, upper Hudson Valley, and North Country. This position reports to the Director and Deputy of the Medicaid Fraud Control Unit.
The scope of MFCU’s mission includes the following:
- Working in coordination with other state, federal, or local government prosecutorial agencies and utilizing the New York State Penal Law, the False Claims Act, Social Services Law §145-b, and the Executive Law to investigate, prosecute and obtain criminal and civil remedies against individuals and corporate entities responsible for improper or fraudulent Medicaid billing schemes. Many of the Unit’s matters have resulted in criminal convictions and revenue-generation through the large-scale recovery of taxpayer money.
- Investigating and prosecuting allegations of abuse and neglect of residents in nursing homes and other residential healthcare facilities. The importance of this work is highlighted in the OAG’s report concerning neglect of nursing home residents across New York State during the COVID-19 pandemic, and the recent 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 with a Capital Region Medical Transportation Company for defrauding Medicaid and a $7.1 million settlement with Saratoga Center for Rehabilitation and Skilled Nursing Care, its owners, unlicensed operator and landlord for years of fraud and resident neglect.
- Making program integrity recommendations to ensure New York’s $92 billion Medicaid budget serves millions of New Yorkers as intended by law.
Duties include, but are not limited to, the following:
- Managing Albany’s team of 20 employees in service of the Unit’s mission, including facilitating collaboration, reviewing their work and supporting their professional development;
- Consulting and working collaboratively with the MFCU Executive team in New York City, the Chief of the Civil Enforcement Division, the six other MFCU Regional Directors, and the supervising auditors and detectives to enhance the Unit’s ability to utilize resources efficiently and effectively in support of its mission, particularly when these initiatives have a multi-region impact;
- Overseeing investigative planning of multi-disciplinary teams as well as leading collaborative team-based investigations of allegations of financial fraud in healthcare and of abuse and neglect of residents of healthcare facilities;
- Presenting evidence to grand juries and conducting evidentiary hearings and trials in New York State courts;
- Preparing and reviewing charging instruments, memoranda recommending charges, plea agreements, search warrants, indictments, civil complaints, civil settlement agreements and other MFCU materials;
- Investigating and efficiently moving an individual caseload and supervising matters assigned to Region teams; and
- Serving as the Unit’s primary point of contact for interagency and community relationships in the greater Albany area.