Medicaid Fraud Analyst II
Company: Florida Department of Transportation
Posted on: November 26, 2022
Requisition No: 770382
Agency: Office of the Attorney General
Working Title: MEDICAID FRAUD ANALYST II - 41001302
Position Number: 41001302
Salary: $32,697 - $37,000
Posting Closing Date: 11/16/2022
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
health care 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 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. In addition, the incumbent may also
perform as 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
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 online 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
* 5% Assist in the prosecution of Medicaid fraud and/or patient
abuse to include testimony in courts of law pertaining to the
* 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
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
IMPORTANT NOTICE: To be considered for the position, all applicants
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
* 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.
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
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 clicking here. All documentation is
due by the close of the vacancy announcement.
Nearest Major Market: Jacksonville
Keywords: Florida Department of Transportation, Jacksonville , Medicaid Fraud Analyst II, Professions , Jacksonville, Florida
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