MEDICAID FRAUD ANALYST II
Company: MyFlorida
Location: Tallahassee
Posted on: January 28, 2023
|
|
Job Description:
MEDICAID FRAUD ANALYST II - 41001287 Date: Jan 23, 2023
Location: TALLAHASSEE, FL, US, 32301 The State Personnel System is
an E-Verify employer. For more information click on our E-Verify
Website
(http://www.dms.myflorida.com/workforce\_operations/human\_resource\_management/for\_job\_applicants/e\_verify)
.Requisition No: 792882 Agency: Office of the Attorney
GeneralWorking Title: MEDICAID FRAUD ANALYST II - 41001287Position
Number: 41001287 Salary: $32,697 - $37,000 Posting Closing Date:
02/06/2023 Our Organization and Mission: The Office represents the
State of Florida in state and federal civil and criminal courts,
from trial courts to the Supreme Court of the United States. Pay:
$32,697 - $37,000 Annually Position Summary: This position is in
the Medicaid Fraud Unit. The incumbent in this position provides
analytical support for attorneys and investigators in
Florida-specific and multistate healthcare fraud investigations and
litigation matters. The incumbent also performs work conducting
detailed research and analysis of investigative information
relating to alleged violations of applicable laws pertaining to
healthcare fraud, in the administration of the Medicaid program,
and/or the alleged abuse or neglect of patients in healthcare
facilities governed by the State Medicaid program. In addition, the
incumbent may also perform as the lead analyst on specialized
complex civil enforcement investigations and litigation matters,
and analytical projects. Qualifications: A bachelor's degree from
an accredited college or university and one year of professional
experience in research, investigations, investigative analysis, or
statistics.Professional or nonprofessional experience as described
above can substitute on a year-for-year basis for the required
college education. Preference will be given to candidates who have
experience compiling and analyzing investigative information, or
experience in the use of spreadsheets and relational database
applications. The Work You Will Do: The responsibilities of this
position include, but are not limited to the following:+ 35% Create
customized downloads from on-line Medicaid claims data warehouse as
requested by investigators, attorneys, and multistate investigative
and litigation teams.+ 25% Prepare reports/schedules/charts
pertaining to all aspects of the analysis and research for use in
criminal prosecution, civil actions, and administrative referrals.+
20% Assists and supports Medicaid fraud investigators and attorneys
in the compilation and analysis of investigative information and
the development of damages models for use in Florida-specific and
multistate healthcare fraud investigations and litigation. Obtains
and analyzes large amounts of data to interpret and summarize
healthcare fraud activity, calculate damages sustained to the
Florida Medicaid program, determine significance, completeness, and
usefulness of data, recognize, and identify patterns and trends,
and brief investigators and attorneys.+ 10% Extract information
from investigative databases. Compile, analyze and disseminate
intelligence information retrieved from various computer
databases/systems. Perform various duties related to computers.+ 5%
Assist in the prosecution of Medicaid fraud and/or patient abuse to
include testimony in courts of law pertaining to the
investigation.+ 5% Other duties as assigned. Other Requirements:
Experience in compiling and analyzing investigative information
including financial and/or statistical data. Experience in creating
reports based on information analyzed for use in criminal, civil,
and administrative proceedings. Must have strong computer knowledge
in the use of spreadsheet and database applications. **SKILLS
VERIFICATION TEST ** All applicants who meet the screening
criteria/minimum job requirements will be required to take a timed
Skills Verification Test. Applicants must receive a score of at
least 70% to move to the interview phase. The Benefits of Working
for the State of Florida: Working for the State of Florida is more
than a paycheck. The State's total compensation package for
employees features a highly competitive set of employee benefits
including:+ Annual and Sick Leave benefits.+ Nine paid holidays and
one Personal Holiday each year.+ State Group Insurance coverage
options, including health, life, dental, vision, and other
supplemental insurance option.+ Retirement plan options, including
employer contributions (For more information, please click
www.myfrs.com).+ Flexible Spending Accounts+ Tuition waivers.+ And
more! For a more complete list of benefits, visit
www.mybenefits.myflorida.com. IMPORTANT NOTICE: To be considered
for the position, all applicants must: Submit a complete and
accurate application profile necessary for qualifying such as dates
of service, reason for leaving, etc. In addition, all applicants
must ensure all employment and/or detailed information about work
experience is listed on the application (including military
service, self-employment, job-related volunteer work, internships,
etc.) and that gaps in employment are explained. NOTE: Any required
experience and/or preferences listed in the advertisement must be
verified at the time of application.+ Ensure that applicant
responses to qualifying questions are verifiable by skills and/or
experience stated on the employment application and/or resume.
Applicants who do not respond to the qualifying questions will not
be considered for this position.+ The elements of the selection
process may include a skill assessment exercise.+ Current and
future vacancies may be filled from this advertisement for a period
of up to six months. Following the six-month period, a new
application must be submitted to an open advertisement to be
considered for that vacancy.+ OAG employees are paid biweekly. All
state employees are required to participate in the direct deposit
program pursuant to s. 110.113, FS. CRIMINAL BACKGROUND CHECKS/
DRUG FREE WORKPLACE: All OAG positions are "sensitive or special
trust" and require favorable results on a background investigation
including fingerprinting, pursuant to s. 110.1127(2)(a), F.S. The
State of Florida supports a Drug-Free Workplace, all employees are
subject to reasonable suspicion or other drug testing in accordance
with section 112.0455, F.S., Drug-Free Workplace Act. We hire only
U.S. citizens and those lawfully authorized to work in the U.S.
E-VERIFY STATEMENT: The Office of the Attorney General participates
in the U.S. government's employment eligibility verification
program (e-verify). E-verify is a program that electronically
confirms an employee's eligibility to work in the United States
after completion of the employment eligibility verification form
(i-9). REMINDERS: Male applicants born on or after October 1, 1962,
will not be eligible for hire or promotion unless they are
registered with the Selective Service System (SSS) before their
26th birthday, or have a Letter of Registration Exemption from SSS.
For more information, please visit the SSS website at: https:
//www.sss.gov. If you are a retiree of the Florida Retirement
System (FRS), please check with the FRS on how your current
benefits will be affected if you are re-employed with the State of
Florida. Your current retirement benefits may be canceled,
suspended, or deemed ineligible depending upon the date of your
retirement. The State of Florida is an Equal Opportunity
Employer/Affirmative Action Employer, and does not tolerate
discrimination or violence in the workplace.Candidates requiring a
reasonable accommodation, as defined by the Americans with
Disabilities Act, must notify the agency hiring authority and/or
People First Service Center (1-866-663-4735). Notification to the
hiring authority must be made in advance to allow sufficient time
to provide the accommodation.The State of Florida supports a
Drug-Free workplace. All employees are subject to reasonable
suspicion drug testing in accordance with Section 112.0455, F.S.,
Drug-Free Workplace Act.VETERANS' PREFERENCE. Pursuant to Chapter
295, Florida Statutes, candidates eligible for Veterans' Preference
will receive preference in employment for Career Service vacancies
and are encouraged to apply. Certain service members may be
eligible to receive waivers for postsecondary educational
requirements. Candidates claiming Veterans' Preference must attach
supporting documentation with each submission that includes
character of service (for example, DD Form 214 Member Copy #4)
along with any other documentation as required by Rule 55A-7,
Florida Administrative Code. Veterans' Preference documentation
requirements are available by clickinghere
(http://www.dms.myflorida.com/content/download/97612/566545) . All
documentation is due by the close of the vacancy announcement.
Nearest Major Market:Tallahassee
Keywords: MyFlorida, Tallahassee , MEDICAID FRAUD ANALYST II, Professions , Tallahassee, Florida
Click
here to apply!
|