MEDICAID FRAUD ANALYST II - 41001269

State of Florida

10d

About The Position

This Medicaid Farud Analyst II position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Tallahassee, Florida.

Requirements

• Five (5) years of experience in research, investigations, investigative analysis or statistics; orA Bachelor degree from an accredited college or university and one (1) year of professional experience in research, investigations, investigative analysis or statistics.

Nice To Haves

• Experience compiling and analyzing investigative information, or experience in the use of spreadsheets and relational database applications.

Responsibilities

• Create customized downloads from on-line Medicaid claims data warehouse as requested by investigators, attorneys, and multistate investigative and litigation teams.
• Prepare 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.
• Extract information from investigative databases.
• Compile, analyze and disseminate intelligence information retrieved from various computer databases/systems.
• Perform various duties related to computers.
• Assist 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.
• Additional roles and duties to design and write new EDW ad hoc reports and queries, serve as a MFCU analyst providing EDW support throughout the MFCU, and serve as an instructor on the new EDW to the various MFCU regional offices, in support of Operations & Management Consultant I and Operations & Management Consultant II.

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.

What This Job Offers

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