Forensic Auditor: Investigate Complex Medicaid Fraud (6414)

Basics Schedule Location Job Specifics Indicates whether if this vacancy posting is part of the NY HELPS Program. NY HELP NoThe agency in which the vacancy exists. Agency Attorney General, Office of theThe job title for the vacancy. Title Forensic Auditor: Investigate Complex Medicaid Fraud (6414)The job title for the vacancy. Occupational Category Financial, Accounting, AuditingThe salary grade for this vacancy. Salaries are determined by salary grade and bargaining unit. Salary Grade NSThe collective bargaining unit to which this vacancy is assigned.Bargaining Unit M/C - Managerial/Confidential (Unrepresented)The minimum and maximum of the salary range for this vacancy. Salary Range From $72973 to $72973 Annually Indicates whether this job is full-time or part-time. If the job is part-time, an estimated percentage will be provided. Employment Type Full-TimeThis indicates the type of job, typically permanent, temporary, or provisional. 'Provisional' means that the appointment will be temporary until the incumbent takes and passes an appropriate civil service examination.Appointment Type Permanent Jurisdictional class is the indicator for how this job can be filled. The classified service is governed by the Civil Service Commission, and consists of competitive, non-competitive, exempt, and labor classes. 'Competitive class' indicates that the applicant must take and pass an appropriate civil service examination. 'Non-competitive class' indicates that the applicant's qualifications will be evaluated without a civil service examination. 'Exempt class' indicates that the applicant will be evaluated by methods other than competitive or non-competitive, and that incumbents will not be granted tenure.'Labor class' requires that applicants possess skills or other physical characteristics that cannot effectively be evaluated by other means. The unclassified service is legislatively defined, and includes such positions as elected officials, department and agency heads, and all academic personnel in public schools, colleges, and universities. Jurisdictional Class Exempt Class Estimates the percentage of time incumbents of this vacancy will be required to travel. Travel Percentage 0%This provides information on the expected workweek.Workweek Mon-FriThe number of hours in the workweek, typically 37.5 or 40 for full time, or any other number for part time. Hours Per Week 37.5 WorkdayThe start time for this vacancy. If the agency employs flextime, this will be the earliest time this vacancy's shift can start. From 8:30 AMThe end time for this vacancy. If the agency employs flextime, this will be the latest time this vacancy's shift can end. To 5 PM If checked, the agency allows flextime. Flextime allowed? No If checked, this vacancy includes mandatory overtime.Mandatory overtime? No If checked, this agency allows compressed workweek scheduling. Compressed workweek allowed? Yes If checked, this agency allows telecommuting for this position. Telecommuting allowed? YesThe county in which the vacancy is located. County New YorkThe street address where the vacancy is located. Street Address 28 Liberty StThe city where the vacancy is located. City New YorkThe state where the vacancy is located (the default is New York). State NYThe zip code where the vacancy is located.Zip Code 10005The duties that the incumbent of the vacancy will be expected to perform. Duties Description Criminal Justice Division Medicaid Fraud Control Unit - New York City Forensic Accountant/Auditor Reference No. MFCU_NYC_FAA_6414 Application Deadline is December 19, 2025Salary is $68,973 + $4,000 in location pay To be considered for this opportunity, submit a complete application online at ag.ny.gov/job-postings/otherThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) seeks forensic accountants/auditors (FAA) for its New York City office.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 $96 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 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 securing over $13 million in takedown of transportation companies for defrauding Medicaid, the sentencing of serial health care fraudster, and the extradition, arrest, and arraignment of a Medicaid fraud ringleader.The minimum qualifications required for this vacancy. Minimum QualificationsQualifications: A minimum of a four-year college degree, either specifically in accounting, finance, economics, applied statistics, computer science with data analysis, 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 Qualifications/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.Additional comments regarding the vacancy. Additional CommentsThe annual salary for this position is $68,973 + $4,000 in location pay. As an employee of 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, OAG offers a robust Workplace Flexibilities Program with multiple options for employees, including telecommuting (up to two days per week) and alternative work schedules.Candidates from diverse backgrounds are encouraged to apply. The OAG is an equal opportunity employer and is committed to workplace diversity. Some positions may require additional credentials or a background check to verify your identity. The name of the contact person for this vacancy. Name Legal Recruitment UnitThe telephone number to use for questions about this vacancy. Telephone 2124168080The fax to use for this vacancy. Fax Email address for emailing applications, or to ask questions about this vacancy.Email Address [email protected] AddressThe street address of the contact for this vacancy. Street NYS Office of the Attorney General Legal Recruitment Bureau - 28 Liberty StThe city for the contact for this vacancy. City New YorkThe state of the contact for this vacancy (the default is New York). State NYThe zip code for the contact for this vacancy. Zip Code 10005 Instructions for potential applicants. Notes on Applying : Applications must be submitted online via this link: 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 OAG'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 include a cover page to provide the reviewer with any relevant context or background information.Reference List: Submit a list of three (3) 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. Apply tot his job