State of Florida · 2 weeks ago
MEDICAID FRAUD ANALYST II - 41001293
Orlando, FL
Full-time
Onsite
Mid, Senior Level
$58K/yr - $58K/yr
5+ years expThe State of Florida's Office of the Attorney General is seeking a Medicaid Fraud Analyst II to provide analytical support for attorneys and investigators in health care fraud investigations. The role involves conducting detailed research and analysis related to Medicaid program violations and assisting in civil enforcement investigations.
Government Administration
No H1B
U.S. Citizen Only
Responsibilities
Provides analytical support for attorneys and investigators in Florida-specific and multistate health care fraud investigations and litigation matters
Conducts detailed research and analysis of investigative information relating to alleged violations of applicable laws pertaining to health care fraud, in the administration of the Medicaid program, and/or the alleged abuse or neglect of patients in health care facilities governed by the State Medicaid program
Performs as lead analyst on specialized complex civil enforcement investigations and litigation matters and analytical projects
Creates customized downloads from on-line Medicaid claims data warehouse as requested by investigators, attorneys, and multistate investigative and litigation teams
Prepares reports/schedules/charts pertaining to all aspects of the analysis and research for use in criminal prosecution, civil actions and administrative referrals
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 health care fraud investigations and litigation
Obtains and analyzes large amounts of data to interpret and summarize health care 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
Extracts information from investigative databases
Compiles, analyzes and disseminates intelligence information retrieved from various computer databases/systems
Performs various duties related to computers
Assists in the prosecution of Medicaid fraud and/or patient abuse to include testimony in courts of law pertaining to the investigation
Other duties as assigned
Qualification
Required
Five (5) years of experience in research, investigations, investigative analysis or statistics
A Bachelor degree from an accredited college or university and one (1) year of professional experience in research, investigations, investigative analysis or statistics
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
Preferred
Experience compiling and analyzing investigative information
Experience in the use of spreadsheets and relational database applications
Benefits
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 options.
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.
Company
State of Florida
The State of Florida is an online telephone and email directory for state government agencies and employees in Florida.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Richard Herstein, MD, MHA, MBA
Chief Hospital Administrator (CEO) and Chief Medical Officer (CMO)
Jimmy Patronis
Chief Financial Officer
Recent News
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