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MEDICAID FRAUD ANALYST II - 41001204

$57.78k

Myflfamilies

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. Position Summary This Medicaid Fraud Analyst II position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Tampa, Florida. Pay: $57,783.18 Annually Qualifications Five (5) years of experience in research, investigations, investigative analysis or statistics; or A Bachelor degree from an accredited college or university and one (1) year of professional experience in research, investigations, investigative analysis or statistics. 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. Work You Will Do The responsibilities of this position include 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% Assist and support 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. Obtain and analyze 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. 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. Candidate Profile Include supervisor names and phone numbers for all periods of employment. Account for and explain any gaps in employment so that the hiring process is not delayed. Experience, education, training, knowledge, skills and/or abilities as well as responses to pre‑qualifying questions must be verifiable to meet the minimum qualifications. It is unacceptable to use the statement “See Resume” in place of entering work history. The Benefits of Working for the State of Florida 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. And more! For a more complete list of benefits, visit EEO Statement Pursuant to Florida Law, 110.211 F. S., the State of Florida is an EEO employer. #J-18808-Ljbffr Myflfamilies

Vacancy posted 3 days ago
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