Forensic Auditor: Support Healthcare Fraud Investigations (6313)

Please note: State agencies that contact job applicants do not usually request personal or financial information via text message or over the phone in connection with your response to a job posting. If you are contacted for such information by these methods, or any other method, please verify the identity of the individual before transmitting such information to that person.

Review Vacancy

Date Posted 02/29/24

Applications Due05/03/24

Vacancy ID152609

• Basics

• Schedule

• Location

• Job Specifics

• Contact

NY HELPNo

AgencyAttorney General, Office of the

TitleForensic Auditor: Support Healthcare Fraud Investigations (6313)

Occupational CategoryFinancial, Accounting, Auditing

Salary GradeNS

Bargaining UnitM/C - Management / Confidential (Unrepresented)

Salary RangeFrom $68414 to $68414 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Exempt Class

Travel Percentage 0%

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 8:30 AM

To 5 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? Yes

Telecommuting allowed? Yes

County Suffolk

Street Address 300 Motor Parkway, Suite 230

City Hauppauge

StateNY

Zip Code11788

Minimum Qualifications Qualifications:

• A minimum of a four-year college degree, either specifically in accounting, finance, economics, computer science with data analysis, applied statistics or equivalent post-college work experience.

• Excellent analytical, communication, and organizational skills.

• The ability to function as an integral part of an investigative team and work in a group setting.

• Knowledge of fundamental computer applications, such as Word, Excel, and Access.

• Proficiency with presentation software, such as PowerPoint.

Preferred skills:

• The ability to review financial records and advise or assist in the investigation of alleged fraud.

• Designation as a Certified Fraud Examiner.

• Experience with statistical sampling and/or advanced statistical training.

• Knowledge of the healthcare industry and medical coding concepts (CPT, ICD-9 / 10, DRGs) and/or experience analyzing health care claims data.

• A CPA is not required, but the position qualifies for CPA accreditation purposes.

Duties Description Division of Criminal Justice

Medicaid Fraud Control Unit

• Hauppauge (Suffolk County)

Forensic Accountant/Auditor

Reference No. MFCU_FAA_HAU_6313

Application Deadline is April 5, 2024

Entry-Level Opportunity for College Graduates

The Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) seeks a forensic accountant/auditor (FAA) for its Long Island office in Hauppauge. The FAA supports the Unit by working in partnership with its attorneys, detectives, data analysts, nurses, and legal support analysts to conduct complex, long-term healthcare fraud investigations.

The Medicaid program provides health coverage to millions of New Yorkers, including low-income persons, children, elderly adults, and people with developmental disabilities. MFCU is the nation's premier law enforcement agency charged with ensuring the financial integrity of New York State's $100 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies, doctors, hospitals, and nursing homes, who engage in Medicaid billing schemes that cause harm to Medicaid recipients and the loss of millions of dollars to the State of New York. MFCU also works to protect elderly and disabled New Yorkers by investigating reports of abuse and neglect in nursing homes and other residential health care facilities in the state.

Possessing both civil and criminal enforcement powers, MFCU uses various state laws to bring civil actions and criminal proceedings, including asset forfeiture actions. Many of the Unit's investigations are conducted in coordination with other federal, state, or local government and prosecutorial agencies, and have resulted in large-scale criminal convictions and the recovery of millions of dollars of taxpayer money.

Several recent matters that highlight MFCU's important work include the OAG's report concerning neglect of nursing home residents across New York State during the COVID-19 pandemic, and the recent filing of four major lawsuits against nursing homes, including Centers Health Care, Cold Spring Hills Center for Nursing and Rehabilitation, The Villages of Orleans Health and Rehabilitation Center, and Fulton Commons Care Center, Inc.

Additional recent significant cases include the indictment of a Long Island physician for defrauding Medicaid and subjecting patients to invasive and unnecessary testing, conviction of former fugitive dentist for Medicaid Fraud and prosecution and convictions of persons involved in a homicide and cover up at a nursing home in Suffolk County.

Additional Comments The annual salary for this position is $65,014 + $3,400 in location pay. As an employee of the OAG, you will join a team of dedicated individuals who work to serve the people of our State through a wide variety of occupations. We offer a comprehensive New York State benefits package, including paid leave, health, dental, vision and retirement benefits, and family-friendly policies. Additionally, the OAG offers a robust Workplace Flexibilities Program with multiple options for employees, including telecommuting (up to two days per week) and alternative work schedules.

Some positions may require additional credentials or a background check to verify your identity.

Name Legal Recruitment

Telephone

Fax

Email Address recruitment@ag.ny.gov

Address

Street NYS Office of the Attorney General

Legal Recruitment Unit

• 28 Liberty Street

City New York

State NY

Zip Code 10005

Notes on ApplyingApplications are submitted online. To apply, please go to the OAG website, www.ag.ny.gov Reference No. MFCU_FAA_HAU_6313

Applicants must be prepared to submit a complete application consisting of the following:

• Cover Letter

? You may address your letter to the Legal Recruitment Unit.

? Indicate why you are interested in this position and what makes you a strong candidate. You may wish to include information about what life experiences you will bring to the position that will enhance the Unit's ability to better serve the diverse population of this state.

• Resume

• Writing Sample

• Your sample should demonstrate your ability to analyze and organize information into an effective document that is well-organized and error-free.

• If needed, please provide a cover page to provide the reviewer with any relevant context or background information.

• List of three (3) references

? Only submit professional references, supervisory references are preferred.

? For each reference, indicate the nature and duration of your relationship.

? Include contact information and email addresses for each reference.

? Please note that your references will not be contacted until after you interview for the position.

If you have questions regarding a position with the OAG and the application process or need assistance with submitting your application, please contact Legal Recruitment via email at recruitment@ag.ny.gov or phone at 212-416-8080.

For more information about the OAG, please visit our website: www.ag.ny.gov