Audit Evaluation & Review Analyst

AUDIT EVALUATION & REVIEW ANALYST -  1

Requisition No: 866139

Agency:
Office of the Attorney General

Working Title:

AUDIT EVALUATION & REVIEW ANALYST -  1

This is a re-advertisement. Prior applicants need not re-apply.

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 Audit Evaluation & Review Analyst position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Tampa, Florida or Orlando, Florida, and involves auditing complex multi-million-dollar healthcare fraud investigations that can result in criminal and/or civil litigation.

Pay
: $60,935.16 Annually

Qualifications
:

• Six (6) years of work experience in the area of professional auditing or financial analysis experience; or
• A bachelor’s degree from an accredited college or university with a major in accounting, finance or a related area and at least two (2) years work experience as stated above; or
• A master’s or other advanced degree from an accredited college or university in accounting, finance, business or related area and one (1) year of work experience as stated above;
• A Certified Public Accountant (C.P.A.) or Certified Internal Auditor (C.I.A.) license can substitute for one (1) year of required work 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:

40% 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:

• Reviewing resident trust accounts
• Guiding and directing Medicaid Analysts as needed
• Conducting random sampling in accordance with HHS-OIG standards
• Calculating Medicaid over payments and exploitation losses
• Providing financial interpretation and guidance as required by Assistant Attorneys General, Lead Investigators and Medical Investigators

30% Serve as lead investigator on cases involving suspected Cost Report Fraud and Prospective Payment System Medicaid provider fraud involving:

• Nursing Homes
• Hospitals
• Intermediate Care Facilities for Individuals with Intellectually Disabilities (ICF/IID)

25% Provide complex analysis (including link analysis) and interpretation of:

• Bank and credit card statements
• IRS tax returns, both corporate and individual
• Target assets subject to seizure
• Financial records, including general ledger, trial balance, income statement, balance sheet, and statement of cash flow

5% Perform other related duties as assigned.

Candidate Profile Must be completed in its entirety.

• Include supervisor names and phone numbers for all periods of employment.
• Account for and explain any gaps in employment so that the hiring process is not delayed.
• Experience, education, training, knowledge, skills and/or abilities as well as responses to pre-qualifying questions must be verifiable to meet the minimum qualifications.
• It is unacceptable to use the statement “See Resume” in place of entering work history.
• If you experience problems applying online, please call the People First Service Center at .

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 ).
• Flexible Spending Accounts
• Tuition waivers.
• And more! For a more complete list of benefits, visit

IMPORTANT NOTICE
:
To be considered for the position, all applicants must:

• Submit a complete and accurate application profile necessary for qualifying such as…