This vacancy announcement is limited to individuals who are located (or who are willing to relocate to) the following metropolitan areas: New York City, NY, Philadelphia, PA, Dallas/Fort Worth, TX, Chicago, IL, Miami, FL.Learn more about this agency
As a Criminal Investigator you will be part of the Office of Personnel Management, Office of the Inspector General, Office of Investigations. If selected you will be responsible for conducting investigations of fraud, waste, and abuse impacting OPM programs and operations.
- Plans and conducts investigations into allegation of criminal, civil, and administrative violations.
- Responsible for a broad understanding of the health insurance industry and practices of claim submissions, claim processing, and claim reimbursement processes.
- Responsible for a broad understanding of retirement benefits programs and the practices of disbursing funds to annuitants.
- Performs analysis of relevant medical claims data and financial transactions to develop an effective investigative strategy and plan.
- Conducts interviews, arrests, searches, and seizures in accordance with the U.S. Constitution, pertinent laws, regulation, directives and court decisions.
- Prepares comprehensive reports of complex investigations that are clear, logical, impartial, comprehensive, and written in a concise manner.
- Advises and/or assists prosecutors/attorneys regarding presenting facts and evidence and/or appearance before a legal proceeding.
25% or less - You may be expected to travel for this position.
Job family (Series)
Conditions of Employment
- Must be a U.S. Citizen or National
- Males born after 12-31-59 must be registered for Selective Service
- Suitable for Federal employment, determined by a background investigation
- May be required to successfully complete a probationary period
- Possess uncorrected visual acuity of no worse than 20/100 binocular. Possess corrected visual acuity of 20/20 or better in each eye. (Note: Lasik, ALK, RK, and PRK corrective eye surgeries are acceptable eye surgeries for Special Agent applicants. Applicants will be considered eligible for the Special Agent position provided specific visual tests are passed. The following are waiting periods for visua tests: Lasik-3 months after surgery, PRK-6 months after surgery, and ALK and RK-one year after surgery).
- Hearing loss, as measured by an audiometer, must not exceed 30 decibels (A.S.A. or equivalent I.S.O.) in either ear in the 500, 1000,and 2000 Hz ranges.
- Be less than age 37 at the time you receive a conditional offer of employment, unless you have previous service in a Federal Civilian Law Enforcement position covered by special law enforcement or firefighter retirement provisions, including early or mandatory retirement. Applicants with veteran's preference must receive a conditional offer of employment prior to reaching age 40 to continue in the application process.
- Submit to a drug test prior to your appointment and random drug testing while you occupy the position. Disclose any prior drug use, attempted use, and/or experimentation.
- Carry and use a firearm. Maintaining firearm proficiency is mandatory. You will be ineligible to occupy this position if at any time you have been convicted of a misdemeanor crime of domestic violence, unless you received a pardon or your conviction was expunged or set aside.
- While Training, selectees will be partnered with an experienced Criminal Investigator for on the job training (OJT) before and after completing 12 weeks of intensive training at the Federal Law Enforcement Training Center (FLETC) in Glynco, GA. Failure to pass the training program may result in termination from federal service.
QualificationsFor the GL-9 Level: Applicants must have one year of specialized experience equivalent to the GL-7 level; experience such as planning and conducting investigations of allegations of suspected violations of Healthcare Fraud, criminal statues; interviewing witnesses and preparing written reports. OR a master's or equivalent graduate degree or two full years of progressively higher level graduate education leading to such a degree or LL.B or J.D. if related. OR an equivalent combination of specialized experience and graduate level education.
For the GS-11 Grade Level: Applicants must have one year of experience at the GL-9 level (or equivalent) performing intermediate planning and conducting intermediate investigations of allegations of suspected violations of criminal statutes; performing intermediate investigation in health care fraud of health insurance programs such as the FEHBP, MEDICARE, MEDICAID, TRICARE or private health insurance programs, retirement fraud in Federal retirement programs or computer crimes; interviewing witnesses; and preparing written reports. OR Ph.D. or equivalent doctoral degree or three full years of progressively higher level graduate education leading to such a degree OR An equivalent combination of specialized experience and graduate level education.
For the GS-12 Grade Level: Applicants must meet the basic requirement listed above, AND have one year of experience at the GS-11 level (or equivalent) performing advanced planning and conducting advanced investigations of allegations of suspected violations of criminal statutes; advanced investigations health care fraud in health insurance programs such as the FEHBP, MEDICARE, MEDICAID, TRICARE or private health insurance programs, retirement fraud in Federal retirement programs or computer crimes; interviewing witnesses; and preparing written reports.
Merit promotion applicants must meet time-in-grade requirement as defined in 5 CFR 300, Subpart F.One year at the next lower grade level is required to meet the time-in-grade requirements for the GL-9/11/12 level.
You must meet all qualification and eligibility requirements within 30 days of the closing date of this announcement.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Relocation expenses will not be paid.
The full performance level of this position is GS-12.
This job opportunity announcement may be used to fill additional similar vacancies across OPM.
If you are unable to apply online or need to fax a document that you do not have in electronic form, view the following link for information regarding an Alternate Application: http://help.usastaffing.gov/Apply/index.php?title=Alternate_Application_Information
Veterans Employment Opportunity Act (VEOA): To be eligible for a VEOA appointment under Merit Promotion procedures, the veteran must be a preference eligible or a veteran separated after 3 years or more of continuous active service performed under honorable conditions.
Noncompetitive Appointment Authorities: For more information on noncompetitive appointment authority eligibility
requirements visit the following websites:
- Persons with Disabilities-Schedule A
- Special Hiring Authorities for Veterans
- Special Hiring Authority for Certain Military Spouses
- Other Special Appointment Authorities
How You Will Be Evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
Once the application process is complete, your resume and supporting documentation will be used to determine whether you meet the job qualifications listed on this announcement. If you are minimally qualified for this job, your resume and supporting documentation will be compared to your responses on the Occupational Questionnaire. If you rate yourself higher than is supported by your application materials, your responses may be adjusted and/or you may be excluded from consideration for this job. Your qualifications will be evaluated on the following competencies (knowledge, skills, abilities and other characteristics):
- Criminal Investigation
- Criminal Law
- Problem Solving
- Quality Ranking Factor
- Technical Competence
- Written Communication
All qualified Non Competitive applicants and the best qualified Merit Promotion applicants will be referred to the hiring manager for consideration.
Career Transition Assistance Programs: These programs apply to employees who have been involuntarily separated from a Federal service position within the competitive service or Federal service employees whose positions have been deemed surplus or no longer needed. To receive selection priority for this position, you must: 1) meet CTAP or ICTAP eligibility criteria; 2) be rated well-qualified for the position with a score of 85 or above based on the competencies listed above; and 3) submit the appropriate documentation to support your CTAP or ICTAP eligibility. For more information visit: http://www.opm.gov/rif/employee_guides/career_transition.asp.
To apply for this position, you must provide a complete Application Package which includes:
- Your Resume listing work schedule, hours worked per week, dates of employment and duties performed.
- Other supporting documents:
- Cover Letter, optional
- College Transcripts, if qualifying based on education
- Your most recent Promotion, Within Rate Increase (WRI/WGI), or Appointment/Conversion SF-50 or Notification of Personnel Action (if applying as a current or former Federal Employee) showing you are/were in the competitive service and the highest grade or promotion potential held.
- Worker's Compensation Separation: Agency certification of inability to place employee AND Notification of Separation OR Separation SF-50.
- Disability Annuity Termination: Notification from OPM of disability annuity termination AND Separation SF-50 of the last position held.
- Military Reserve or National Guard Technician Special Disability Retirement Annuity under 5 U.S.C. 8337(h) or 8456: Certification of special disability retirement annuity from a military department or National Guard Bureau AND Separation SF-50 of the last position held
- Veterans Employment Opportunity Act, Veterans Recruitment Appointment, and 30% Disabled Veteran Eligible: DD-214, SF-15 Form and VA letter, or certification of expected discharge or release from active duty under honorable conditions within 120 days
- Schedule A, Persons with Disabilities Appointment Eligibles: Schedule A letter from a physician, local, state or federal rehabilitation office citing your eligibility under 5 CFR 213.3102 (u).
- Certain Family Members Eligible under E.O. 12721: Your most recent non-award SF-50 and performance appraisal.
- Certain Military Spouses Eligible under E.O. 13473: Permanent Change of Station (PCS) orders, issued within the last 2 years, that lists you as authorized to accompany the Military member to the new duty permanent station; OR verification of the member's 100% disability (VA Letter); and/or verification of the member's death while on active duty (DD-1300 and Death Certificate) AND verification of the marriage to the service member (i.e., a marriage license or other legal documentation verifying marriage).
- Interchange Agreement with Other Merit Systems Eligible: Documentation of eligibility as listed in each individual interchange agreement.
If you are relying on your education to meet qualification requirements:
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
A career with the U.S. Government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Learn more about federal benefits.
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time, or intermittent. Contact the hiring agency for more information on the specific benefits offered.
How to Apply
To apply for this position, you must complete the online application and submit the documentation specified in the Required Documents section below.
The complete application package must be submitted by 11:59 PM (EST) on 05/23/2019 to receive consideration.
To begin, click Apply Online to access an online application. Follow the prompts to select your USAJOBS resume and/or other supporting documents. You will need to be logged into your USAJOBS account or you may need to create a new account.
- You will be taken to an online application. Complete the online application, verify the required documentation, and submit the application.
- You will receive an email notification when your application has been received for the announcement.
- To verify the status of your application, log into your USAJOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the More Information link for this position. The Application Status page will display the status of your application, the documentation received and processed, and your responses submitted to the online application. Your uploaded documents may take several hours to clear the virus scan process.
Agency contact information
DC HR Customer Service
AddressOPM Human Resources
1900 E St., NW
Washington, DC 20415
The questionnaire will assess your qualifications for the job, and will be used to identify the best qualified applicants to be referred to the hiring manager for further consideration and possible interviews. Your ratings in this Assessment Questionnaire are subject to evaluation and verification based on the documents and references you submit. Later steps in the selection process are specifically designed to verify your ratings. Deliberate attempts to falsify information may be grounds for not selecting you or for dismissing you from the position/agency during the probationary period.
Once your online application is submitted you will receive a confirmation notification by email. Your application will be evaluated. You will receive another notification about the status of your application.
We expect to make a job offer within 40 days after the closing date of the announcement. After making a tentative job offer, we will conduct a suitability/security background investigation.
Fair & Transparent
The Federal hiring process is setup to be fair and transparent. Please read the following guidance.
Equal Employment Opportunity Policy
The United States Government does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.
Reasonable Accommodation Policy
Federal agencies must provide reasonable accommodation to applicants with disabilities where appropriate. Applicants requiring reasonable accommodation for any part of the application process should follow the instructions in the job opportunity announcement. For any part of the remaining hiring process, applicants should contact the hiring agency directly. Determinations on requests for reasonable accommodation will be made on a case-by-case basis.
A reasonable accommodation is any change to a job, the work environment, or the way things are usually done that enables an individual with a disability to apply for a job, perform job duties or receive equal access to job benefits.
Under the Rehabilitation Act of 1973, federal agencies must provide reasonable accommodations when:
- An applicant with a disability needs an accommodation to have an equal opportunity to apply for a job.
- An employee with a disability needs an accommodation to perform the essential job duties or to gain access to the workplace.
- An employee with a disability needs an accommodation to receive equal access to benefits, such as details, training, and office-sponsored events.
You can request a reasonable accommodation at any time during the application or hiring process or while on the job. Requests are considered on a case-by-case basis.
Legal and regulatory guidance
This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/GetJob/ViewDetails/533064600. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.