MyFlorida AUDIT EVALUATION & REVIEW ANALYST - 41001237 in WEST PALM BEACH, Florida

AUDIT EVALUATION & REVIEW ANALYST - 41001237

Date:Oct 11, 2017

Location:WEST PALM BEACH, FL, US, 33401

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Requisition No: 22037

Agency: Office of the Attorney General

Working Title: AUDIT EVALUATION & REVIEW ANALYST - 41001237

Position Number: 41001237

Salary: $50,000-$60,000

Posting Closing Date: 11/01/2017

INTRODUCTORY STATEMENT: The Office of the Attorney General, Department of Legal Affairs (OAG) is a pre-eminent, constitutional office, which serves as the chief lawyer to all state agencies and provides legal protections for Floridians against fraud and through the enforcement of the state’s laws. The OAG, is a cabinet agency in the executive branch of Florida state government.

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 your application (including military service, self-employment, job-related volunteer work, internships, part-time employment, etc.) and that gaps in employment are explained. Applicants who do not provide all information necessary to qualify, will not be considered for this position.

Verify 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 pursuant to s. 110.113 Florida Statutes.

MINIMUM REQUIREMENTS:

A bachelor's degree from an accredited college or university with a major in accounting and Five 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 or possession of a Certified Public Accountant (C.P.A.) or Certified Internal Auditor (C.I.A.) certificate can substitute for one year of the required experience.

JOB SUMMARY: This position is located in the Medicaid Fraud Control Unit and involves auditing of complex multi-million dollar health care fraud investigations that can result in criminal and/or civil litigation.

KSA/EXAMPLES OF WORK PERFORMED:

This positions primary duties require advance knowledge and educational requirements of a bachelors degree with a major in accounting and five years of professional auditing or financial analysis experience. The ability to exercise discretion and judgement when applying the rules, regulations and laws of the Medicaid unit, both Federal and State 

 

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,  

3) Calculating Medicaid overpayments and exploitation losses, 

4) 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.

VETERAN RECRUITMENT STATEMENT: The OAG values the service provided by veterans and their families and supports the hiring of returning service members and military spouses. Applicants eligible for veterans' preference will receive preference in employment and are encouraged to apply, pursuant to chapter 295, Florida statutes. However, applicants claiming veterans' preferencemust attach supporting documentation with each application submission that includes character of service (for example, dd form214 member copy #4) along with any other documentation as required by rule 55a-7, Florida administrative code. All documentation is due by the closing date of the vacancy announcement. For information on the supporting documentation required, clickhere. If you have trouble attaching the documentation, contact our HR office at 850-414-3900.

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 at 877-562-7287. If you need accommodation during the selection process, please notify the hiring authority in advance to allow sufficient time to provide the accommodation.

CRIMINAL BACKGROUND CHECKS/ DRUG FREE WORKPLACE: All OAG positions are "sensitive or special trust" and require favorable results on a background investigation including fingerprinting, pursuant to s. 110.1127(2)(a), F.S. The State of Florida supports a Drug-Free Workplace, all employees are subject to reasonable suspicion or other drug testing in accordance with section 112.0455, F.S., Drug-Free Workplace Act.

We hire only U.S. citizens and those lawfully authorized to work in the U.S.

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).

REMINDERS: Male applicants born on or after October 1, 1962, will not be eligible forhireorpromotionunless they are registered with the Selective Services System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from SSS. For more information, please visit the SSS website at: https: //www.sss.gov.

If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida. Your current retirement benefits may be canceled, suspended or deemed ineligible depending upon the date of your retirement.

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 (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., 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. Candidates claiming Veterans’ Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Veterans’ Preference documentation requirements are available by clickinghere. All documentation is due by the close of the vacancy announcement.

Nearest Major Market:Palm BeachNearest Secondary Market:Miami