What are the responsibilities and job description for the Forensic Accountant/Auditor, Medicaid Fraud Control Unit - Albany (MFCU ALB_FAA_6262) position at Attorney General, Office of the?
- 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.
- 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 for the position include:
- 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 for the position.
The Office of the New York State Attorney General’s (OAG) Medicaid Fraud Control Unit (MFCU) is seeking Forensic Accountants/Auditors (FAAs) for its Albany office.
Improper and fraudulent use of Medicaid funds can impact access to critical healthcare services for low-income New Yorkers and costs taxpayers millions of dollars annually. 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 FAAs, 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 report investigating allegations of COVID-19-related neglect of nursing home residents across New York State.
The FAAs support 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. Several matters that highlight MFCU’s important work include securing $7.1 million from the owners of a Saratoga county nursing home for years of fraud and neglect and a settlement of more than $800,000 with a Capital Region medical transportation company for Medicaid fraudulent billing.
The annual salary for this position is $63,120. 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.
Per Office of the Attorney General policy, confirmation of vaccination status is a condition of employment for this position. If you are not fully vaccinated, you may be required to provide regular negative COVID-19 PCR test results at a frequency determined by the agency. The agency will consider religious and reasonable accommodations. For more information, please contact recruitment@ag.ny.gov.
Salary : $800,000