Data Science & Informatics Specialist , Medicaid Fraud Control Division, Olympia

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The Attorney General’s Office is recruiting for a permanent full time Data Science & Informatics Specialist 2 in the Medicaid Fraud & Abuse Division. This position is located in Olympia, Washington, and is represented by the Washington Federation of State Employees (WFSE).

Data Science & Informatics Specialist 2 Salary Range 72: $93,804 - $126,168. The base pay offered will take into account internal equity and may vary depending on the preferred candidate’s job‑related knowledge, skills, and experience.

The AGO provides a workplace that is understanding of work‑life balance and promotes advancement by offering a wide variety of professional development and growth opportunities.

Washington State offers one of the most competitive benefits packages in the nation, including Medical/Dental/Vision for employees & dependent(s);
Vacation, Sick, and Other Leave; 11 Paid Holidays per year;
Public Employees Retirement System (PERS) plans; and Life Insurance. Beyond these traditional benefits, we offer Dependent Care Assistance, Flexible Spending Accounts, Public Service Loan Forgiveness, Tuition Waiver, Deferred Compensation, Employee Recognition Leave, and more. With the goal of employee health and wellness, we also offer:

• Flexible schedules and part‑time/hybrid telework options;
• A Wellness Program, an Infants in the Workplace Program, and the Employee Assistance Program, which provides counseling, webinar, and other cost‑free support resources;
• Numerous employee‑driven affinity groups to foster community and connection, including Bereavement, Elder Care, Parenting, POC, LGBTQ+, Veterans and more. The AGO is a place to belong and make a difference!

The work of the Office’s Medicaid Fraud Control Division (MFCD) focuses on both criminal and civil law enforcement. The 75% federally funded MFCD’s mission is combating provider fraud, abuse and neglect in residential facilities and involving Medicaid recipients in non‑institutional settings.

MFCD’s Headquarters is located in Olympia, Washington with some team members also located at the AGO’s Spokane Office and Seattle Office. The Division currently has a staff of 60 FTEs, including attorneys, auditors, special agents, data analysts, clinical health investigators and professional support staff.

MFCD involves protecting not only the Medicaid program of roughly 13 billion dollars per annum, but also its most vulnerable persons, typically elderly persons in residential facilities or persons abused or neglected by a Medicaid Provider. In many of our cases, there is no precedent so MFCD is consistently on the cutting edge of legal theories and issues. The cases range from abuse and neglect of persons in nursing homes, large scale organized individual and corporate civil and criminal fraudulent activity to national whistle blower actions.

Our staff is a highly professional, fun and seasoned analytical investigative team. MFCD is unique in that all cases have an attorney, special agent, data analyst assigned with legal support. This, and the great people who make up the division, gives MFC a particularly terrific team atmosphere.

Perform research, querying, and analysis of complex Medicaid claim and encounter data; review financial, billing and healthcare records to identify and detect trends, anomalies and patterns indicative of fraud.

• Conduct investigative steps to identify, research and assess allegations of fraudulent billings and/or other issues.
• Design, write and execute data queries utilizing SQL and other available programming language to query Medicaid data.
• Designs and implements advanced statistical models and data algorithms.
• Use developed SQL queries and software applications to conduct complex quantitative and qualitative analysis to…