State of Florida
AUDIT EVALUATION & REVIEW ANALYST - 41000827 1
State of Florida, Miami, Florida, us, 33222
AUDIT EVALUATION & REVIEW ANALYST - 41000827 1
Date: Oct 11, 2024Requisition No: 838977Agency: Office of the Attorney GeneralWorking Title: AUDIT EVALUATION & REVIEW ANALYST - 41000827 1Our 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 position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Miami, Florida and involves auditing complex multi-million-dollar healthcare fraud investigations that can result in criminal and/or civil litigation. This position’s primary duties require advanced knowledge and educational requirements of a bachelor’s degree with a major in accounting and five years of professional auditing or financial analysis experience. The ability to exercise discretion and judgment when applying the rules, regulations and laws of the Medicaid unit, both Federal and State.Pay:
$59,740.20 AnnuallyQualifications:A bachelor's degree from an accredited college or university with a major in accounting or finance and at least three (3) years of professional auditing or financial analysis experience; or a master's or other advanced degree from an accredited college or university in accounting or business.Possession of a Certified Public Accountant (C.P.A.) or Certified Internal Auditor (C.I.A.) certificate can substitute for one (1) year of the required experience.**SKILLS VERIFICATION TEST** All applicants who meet the screening criteria/minimum job requirements will be required to take a timed Skills Verification Test. Applicants must receive a core of at least 70% to move to the interview phase.The Work You Will Do:
The responsibilities of this position include, but are not limited to the following:Reviewing resident trust accounts.Guiding and directing Medicaid Analysts as needed.Conducting random sampling in accordance with HHS-OIG standards.Calculating Medicaid overpayments and exploitation losses.Providing financial interpretation and guidance as required by the Assistant Attorney General, Lead Investigator and Medical Investigator.Serve as lead investigator on cases involving suspected Cost Report Fraud: 1) Nursing Homes, 2) Hospitals, and 3) Intermediate Care Facilities for Individuals with Intellectually Disabilities (ICF/IID).In this capacity, an Auditor gathers or assists in gathering financial evidence; performs audits, examinations and reviews of financial evidence gathered in accordance with the Agency's and the Medicaid Fraud Control Unit's (MFCU) standard operating procedures, the U.S. Generally Accepted Accounting Principles (GAAP), the U.S. Generally Accepted Auditing Standards (GAAS), and other applicable financial standards/procedures governed by authoritative bodies and organizations.Auditing and analyzing complex financials of the managed care provider including their provider network. Analyze and interpret managed care encounter data. Communicating the results of your analysis clearly and concisely, in both written and verbal forms to internal personnel and case database as well as outside parties.Provide complex analysis (including link analysis) and interpretation of: 1) Bank and credit card statements, 2) IRS tax returns, both corporate and individual, 3) Target assets subject to seizure, 4) Financial records, including general ledger, trial balance, income statement, balance sheet, and statement of cash flow.Perform other related duties as assigned.The Benefits of Working for the State of Florida:
Working for the State of Florida is more than a paycheck. The State’s total compensation package for employees features a highly competitive set of employee benefits including: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 www.mybenefits.myflorida.com.IMPORTANT NOTICE:
To be considered for the position, all applicants must:Submit a complete and accurate application profile necessary for qualifying such as dates of service, reason for leaving, etc. In addition, all applicants must ensure all employment and/or detailed information about work experience is listed on the application (including military service, self-employment, job-related volunteer work, internships, etc.) and that gaps in employment are explained.Ensure that applicant responses to qualifying questions are verifiable by skills and/or experience stated on the employment application and/or resume. Applicants who do not respond to the qualifying questions will not be considered for this position.The elements of the selection process may include a skill assessment exercise.Current and future vacancies may be filled from this advertisement for a period of up to six months. Following the six-month period, a new application must be submitted to an open advertisement to be considered for that vacancy.OAG employees are paid biweekly. All state employees are required to participate in the direct deposit program.CRIMINAL BACKGROUND CHECKS/DRUG FREE WORKPLACE:
All OAG positions are "sensitive or special trust" and require favorable results on a background investigation including fingerprinting. The State of Florida supports a Drug-Free Workplace, all employees are subject to reasonable suspicion or other drug testing in accordance with the Drug-Free Workplace Act.E-VERIFY STATEMENT:
The Office of the Attorney General participates in the U.S. government’s employment eligibility verification program (e-verify). E-verify is a program that electronically confirms an employee’s eligibility to work in the United States after completion of the employment eligibility verification form (i-9).PERSONS WITH DISABILITY/ADA STATEMENT:
The OAG supports the employment of individuals with disabilities and encourages them to seek employment within our agency. If you need an accommodation because of a disability, as defined by the Americans with Disabilities Act, in order to participate in the application process, please notify the People First Service Center.REMINDERS:
Male applicants born on or after October 1, 1962, will not be eligible for hire or promotion unless they are registered with the Selective Service System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from SSS.The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center.The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with the Drug-Free Workplace Act.VETERANS’ PREFERENCE:
Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans’ Preference will receive preference in employment for Career Service vacancies and are encouraged to apply.
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Date: Oct 11, 2024Requisition No: 838977Agency: Office of the Attorney GeneralWorking Title: AUDIT EVALUATION & REVIEW ANALYST - 41000827 1Our 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 position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Miami, Florida and involves auditing complex multi-million-dollar healthcare fraud investigations that can result in criminal and/or civil litigation. This position’s primary duties require advanced knowledge and educational requirements of a bachelor’s degree with a major in accounting and five years of professional auditing or financial analysis experience. The ability to exercise discretion and judgment when applying the rules, regulations and laws of the Medicaid unit, both Federal and State.Pay:
$59,740.20 AnnuallyQualifications:A bachelor's degree from an accredited college or university with a major in accounting or finance and at least three (3) years of professional auditing or financial analysis experience; or a master's or other advanced degree from an accredited college or university in accounting or business.Possession of a Certified Public Accountant (C.P.A.) or Certified Internal Auditor (C.I.A.) certificate can substitute for one (1) year of the required experience.**SKILLS VERIFICATION TEST** All applicants who meet the screening criteria/minimum job requirements will be required to take a timed Skills Verification Test. Applicants must receive a core of at least 70% to move to the interview phase.The Work You Will Do:
The responsibilities of this position include, but are not limited to the following:Reviewing resident trust accounts.Guiding and directing Medicaid Analysts as needed.Conducting random sampling in accordance with HHS-OIG standards.Calculating Medicaid overpayments and exploitation losses.Providing financial interpretation and guidance as required by the Assistant Attorney General, Lead Investigator and Medical Investigator.Serve as lead investigator on cases involving suspected Cost Report Fraud: 1) Nursing Homes, 2) Hospitals, and 3) Intermediate Care Facilities for Individuals with Intellectually Disabilities (ICF/IID).In this capacity, an Auditor gathers or assists in gathering financial evidence; performs audits, examinations and reviews of financial evidence gathered in accordance with the Agency's and the Medicaid Fraud Control Unit's (MFCU) standard operating procedures, the U.S. Generally Accepted Accounting Principles (GAAP), the U.S. Generally Accepted Auditing Standards (GAAS), and other applicable financial standards/procedures governed by authoritative bodies and organizations.Auditing and analyzing complex financials of the managed care provider including their provider network. Analyze and interpret managed care encounter data. Communicating the results of your analysis clearly and concisely, in both written and verbal forms to internal personnel and case database as well as outside parties.Provide complex analysis (including link analysis) and interpretation of: 1) Bank and credit card statements, 2) IRS tax returns, both corporate and individual, 3) Target assets subject to seizure, 4) Financial records, including general ledger, trial balance, income statement, balance sheet, and statement of cash flow.Perform other related duties as assigned.The Benefits of Working for the State of Florida:
Working for the State of Florida is more than a paycheck. The State’s total compensation package for employees features a highly competitive set of employee benefits including: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 www.mybenefits.myflorida.com.IMPORTANT NOTICE:
To be considered for the position, all applicants must:Submit a complete and accurate application profile necessary for qualifying such as dates of service, reason for leaving, etc. In addition, all applicants must ensure all employment and/or detailed information about work experience is listed on the application (including military service, self-employment, job-related volunteer work, internships, etc.) and that gaps in employment are explained.Ensure that applicant responses to qualifying questions are verifiable by skills and/or experience stated on the employment application and/or resume. Applicants who do not respond to the qualifying questions will not be considered for this position.The elements of the selection process may include a skill assessment exercise.Current and future vacancies may be filled from this advertisement for a period of up to six months. Following the six-month period, a new application must be submitted to an open advertisement to be considered for that vacancy.OAG employees are paid biweekly. All state employees are required to participate in the direct deposit program.CRIMINAL BACKGROUND CHECKS/DRUG FREE WORKPLACE:
All OAG positions are "sensitive or special trust" and require favorable results on a background investigation including fingerprinting. The State of Florida supports a Drug-Free Workplace, all employees are subject to reasonable suspicion or other drug testing in accordance with the Drug-Free Workplace Act.E-VERIFY STATEMENT:
The Office of the Attorney General participates in the U.S. government’s employment eligibility verification program (e-verify). E-verify is a program that electronically confirms an employee’s eligibility to work in the United States after completion of the employment eligibility verification form (i-9).PERSONS WITH DISABILITY/ADA STATEMENT:
The OAG supports the employment of individuals with disabilities and encourages them to seek employment within our agency. If you need an accommodation because of a disability, as defined by the Americans with Disabilities Act, in order to participate in the application process, please notify the People First Service Center.REMINDERS:
Male applicants born on or after October 1, 1962, will not be eligible for hire or promotion unless they are registered with the Selective Service System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from SSS.The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center.The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with the Drug-Free Workplace Act.VETERANS’ PREFERENCE:
Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans’ Preference will receive preference in employment for Career Service vacancies and are encouraged to apply.
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