Forensic Accountant/Auditor - Medicaid Fraud Control Unit (Rochester) Financial & Banking - Rochester, NY at Geebo

Forensic Accountant/Auditor - Medicaid Fraud Control Unit (Rochester)

The New York State Office of the Attorney General's (OAG) Medicaid Fraud Control Unit is seeking a forensic accountant/auditor for its Rochester office. The forensic accountant/auditor 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. Utilizing the New York State Penal Law, the False Claims Act, Social Services Law 145-b, the Executive Law, and other New York laws, the Unit, supported by the work of its forensic accountants/auditors, brings civil actions and criminal proceedings to successfully prosecute individuals and companies who are responsible for improper or fraudulent Medicaid billing schemes. Many of the Unit's investigations are conducted in coordination with other state, federal or local government and prosecutorial agencies, and have resulted in revenue generation through the large-scale recovery of taxpayer money. Additionally, MFCU investigates reports of abuse and neglect at nursing homes and other health care facilities in New York. The importance of this work is highlighted in the OAG's recently released report investigating allegations of COVID-19-related neglect of nursing home residents across New York State.
Job Function
The New York State Office of the Attorney General's (OAG) Medicaid Fraud Control Unit is seeking a forensic accountant/auditor for its Rochester office. The forensic accountant/auditor 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. Utilizing the New York State Penal Law, the False Claims Act, Social Services Law 145-b, the Executive Law, and other New York laws, the Unit, supported by the work of its forensic accountants/auditors, brings civil actions and criminal proceedings to successfully prosecute individuals and companies who are responsible for improper or fraudulent Medicaid billing schemes. Many of the Unit's investigations are conducted in coordination with other state, federal or local government and prosecutorial agencies, and have resulted in revenue generation through the large-scale recovery of taxpayer money. Additionally, MFCU investigates reports of abuse and neglect at nursing homes and other health care facilities in New York. The importance of this work is highlighted in the OAG's recently released report investigating allegations of COVID-19-related neglect of nursing home residents across New York State.
Salary Range:
From $0 to $0 Annually
Minimum Qualification
Candidates for the entry-level position of forensic accountant/auditor must possess:
o A minimum of a four-year college degree, either specifically in finance, accounting, economics, computer science with data analysis, applied statistics, or equivalent post-college work experience. o Excellent analytical, communication, and organizational skills. o The ability to function as an integral part of an investigative team and work in a group setting. o Knowledge of fundamental computer applications, such as Word, Excel and Access. o Proficiency with presentation software, such as PowerPoint. Preferred skills for the position include:
o The ability to review financial records and advise or assist in the investigation of alleged fraud. o Designation as a Certified Fraud Examiner. o Experience with statistical sampling and/or advanced statistical training. o Knowledge of the healthcare industry and medical coding concepts (CPT, ICD-9 / 10, DRGs) and/or experience analyzing health care claims data. o A CPA is not required for the position.Estimated Salary: $20 to $28 per hour based on qualifications.

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