ADMINISTRATIVE OFFICER III
|Department||OAG Medicaid Fraud Control Unit|
|Date Opened||11/23/2022 12:48:00 PM|
|Filing Deadline||12/9/2022 5:00:00 PM|
|Salary||$50,709.00 - $80,992.00/year|
|HR Analyst||Gina Mallory|
LOCATION OF POSITION
Office of Attorney General
Medicaid Fraud Control Unit 200 St. Paul Place
Baltimore, MD 21202
Main Purpose of Job
The Office of the Attorney General is seeking applicants for two Investigative Auditors in its Medicaid Fraud Control Unit (MFCU).
This position is responsible for conducting highly confidential criminal and civil investigation-related audits requiring in-depth analysis of suspected fraud by health care providers receiving Medicaid funds. Investigations and audits involving sensitive matters and probe allegations of patient abuse and neglect, as well as complex fraud schemes such as billing for false or inflated services, kickbacks, obstruction of justice, theft, misappropriation by a fiduciary, illegal distribution of drugs and other violations of the Maryland Medicaid Program.
Job duties include working in a team environment to: identify and investigate complex fraud schemes, evaluating allegations of fraud and developing an investigative plan; analyzing Medicaid claims data for patterns of fraud and red flags; examining financial records and tracking assets to locate and identify fraud-tainted assets; developing financial models to determine settlement positions; preparing for and conducting interviews of witnesses, healthcare providers, Medicaid recipients, and state agents to develop evidence needed to evaluate and uncover fraudulent activities; preparing and presenting materials to document findings; collecting, organizing and analyzing large complex data sets for use in nationwide qui tam cases, and testifying in grand jury and court proceedings. Due to the nature of the job, will be traveling throughout the state and may have to work outside the typical workday.
Education: Graduation from an accredited high school or possession of a high school equivalency certificate.
Experience: Three years of administrative staff or professional work.
Notes: 1. Candidates may substitute 30 college credit hours from an accredited college or university for each year up to two years of the required experience. 2. Candidates may substitute the possession of a Bachelor's degree from a college or university for the required experience. 3. Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer involving staff work that included the regular use of independent judgment and analysis in applying and interpreting complex administrative plans, policies, rules or regulations or analysis of operational programs or procedures with recommendations for improvement on a year-for-year basis for the required experience.
DESIRED OR PREFERRED QUALIFICATIONS
A Bachelor’s degree from an accredited four-year college or university, preferably in Accounting.
Experience in forensic accounting and/or data mining techniques.
Experience in criminal or fraud investigative audits.
Work experience using: Microsoft Access, Excel, word processing programs and fundamental understanding of data concepts.
LICENSES, REGISTRATIONS AND CERTIFICATIONS
Employees in this classification may be assigned duties which require the operation of a motor vehicle. Employees assigned such duties will be required to possess a motor vehicle operator’s license valid in the State of Maryland.
Please make sure that you provide sufficient information on your application to show that you meet the qualifications for this recruitment. All information concerning your qualifications must be submitted by the closing date. We will not consider information submitted after this date. Successful candidates will be ranked and placed on the eligible (employment) list for at least one year.
Online applications are STRONGLY preferred. If the online application process is not available, send your paper application and supplemental questionnaire to: Yolanda Colkley, Fair Practices Officer, 200 St. Paul Place, Baltimore, MD 21202 or fax to 410-576-6447. If you have specific questions about recruitment, call 410-576-6440 or email firstname.lastname@example.org. TTY Users: call via Maryland Relay. We thank our Veterans for their service to our country, and encourage them to apply. As an equal opportunity employer, Maryland is committed to recruiting, retaining, and promoting employees who are reflective of the State's diversity.