Requisition No: 838977
Agency: Office of the Attorney General
Working Title: AUDIT EVALUATION & REVIEW ANALYST - 41000827 1
Pay Plan: Career Service
Position Number: 41000827
Salary: $59,740.20 Annually
Posting Closing Date: 11/11/2024
Total Compensation Estimator Tool
Our 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 Annually
Qualifications:
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:
Requires the use of professional judgement and experience regarding Medicaid Laws and Regulations and the ability to provide financial expertise to the investigative team by:
• 1) Reviewing resident trust accounts.
• 2) Guiding and directing Medicaid Analysts as needed.
• 3) Conducting random sampling in accordance with HHS-OIG standards.
• 4) Calculating Medicaid overpayments and exploitation losses.
• 5) 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 authorative bodies and organizations such as the Financial Accounting Standards Board (FASB), the Auditing Standards Board (ASB), the Accounting and Review Services Committee (ARSC), the Securities and Exchange Commission (SEC), the American Institute of Certified Public Accountants (AICPA).
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 (For more information, please click www.myfrs.com).
• 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
Location: Miami, FL
Posted: Oct. 14, 2024, 8:22 a.m.
Apply Now Company Website