AUDIT EVALUATION & REVIEW ANALYST - 41001237

State of Florida • Orlando, FL

17d

About The Position

This Audit Evaluation & Review Analyst position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Orlando, or Tampa Florida, and involves auditing complex multi-million-dollar healthcare fraud investigations that can result in criminal and/or civil litigation. This position’s primary duties require professional auditing or financial analysis work experience. The ability to exercise discretion and judgment when applying the rules,regulations and laws of the Medicaid unit, both Federal and State.

Requirements

• 6 years of work experience in the area of professional auditing or financial analysis experience; or
• A bachelor’s degree from an accredited college or university with a major in accounting, finance or a related area and at least 2 years work experience as stated above; or
• A master’s or other advanced degree from an accredited college or university in accounting, finance, business or: related area and one (1) year of work experience as stated above; or
• A Certified Public Accountant (C.P.A.) or Certified Internal Auditor (C.I.A.) license can substitute for one year of required work experience.

Nice To Haves

• Preference will be given to candidates with a bachelor's degree or master's degree from an accredited college or university with a major in accounting, finance or a related area, a Certified Public Accountant (C.P.A.) or Certified Internal Auditor (C.I.A.) license.

Responsibilities

• Requires the use of professional judgement and experience regarding Medicaid Laws and Regulations and the ability to provide financial expertise to the investigative team by: 1) Reviewing resident trust accounts, 2) Guiding and directing Medicaid Analysts as needed 3) Conducting random sampling in accordance with HHS-OIG standards, 4) Calculating Medicaid overpayments and exploitation losses, 5) Providing financial interpretation and guidance as required by Assistant Attorneys General, Lead Investigators and Medical Investigators.
• Serve as lead investigator on cases involving suspected Cost Report Fraud and Prospective Payment System Medicaid provider fraud involving: 1) Nursing Homes, 2) Hospitals, and 3) Intermediate Care Facilities for Individuals with Intellectually Disabilities (ICF/IID).
• In this capacity, an Auditor gathers or assists in gathering financial evidence; performs audits, examinations and reviews of financial evidence gathered in accordance with the Agency's and the Medicaid Fraud Control Unit's (MFCU) standard operating procedures, the U.S. Generally Accepted Accounting Principles (GAAP), the U.S. Generally Accepted Auditing Standards (GAAS), and other applicable financial standards/procedures governed by authorative bodies and organizations such as the Financial Accounting Standards Board (FASB), the Auditing Standards Board (ASB), the Accounting and Review Services Committee (ARSC), the Securities and Exchange Commission (SEC), the American Institute of Certified Public Accountants (AICPA).
• Provide complex analysis ( including link analysis) and interpretation of: 1) Bank and credit card statements, 2) IRS tax returns, both corporate and individual, 3) Target assets subject to seizure, 4) Financial records, including general ledger, trial balance, income statement, balance sheet, and statement of cash flow.
• Perform other related duties as assigned.

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
• Flexible Spending Accounts
• Tuition waivers.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level