Forensic Auditor: Support Healthcare Fraud Investigations (6342)

Division of Criminal Justice

Medicaid Fraud Control Unit – Syracuse

Forensic Accountant/Auditor

Reference No. MFCU_SYR_FAA_6342

Application Deadline is October 11, 2024

Entry-Level Opportunity for College Graduates

The Office of the New York State Attorney General’s (OAG) Medicaid Fraud Control Unit (MFCU) seeks forensic accountants/auditors (FAA) for its Syracuse 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 $100 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 the 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 significant cases include the sentencing of a former not-for-profit executive for stealing hundreds of thousands of dollars from Medicaid and a settlement with a Central New York doctor to resolve a Medicaid fraud investigation involving Medicaid overpayments for “up-coded” medical services.

Qualifications:

• A minimum of a four-year college degree, either specifically in accounting, finance, 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:

• 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.

The annual salary for this position is $66,964. 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.

HOW TO APPLY

Applications are being received online. To apply, please visit our careers website: www.ag.ny.gov/job-postings

To ensure consideration, applications must be received by close of business on October 11, 2024.

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 a position with MFCU 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 the 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.
• List of three (3) references

­ Only submit professional references (i.e., supervisor or professor), 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.

If you have questions regarding a position or need assistance with submitting your application, please contact Legal Recruitment via email at recruitment@ag.ny.gov or phone at 212-416-8080.

For more information about the OAG, please visit our website: ag.ny.gov