·Attach copies of official undergraduate transcripts (unofficial accepted during application process)
·If the file is too large to attach please email the document(s) to hr@law.ga.gov to include the position title - application material(s) in the subject line.
The mission of the Department of Law is to serve the citizens of the State of Georgia by providing legal representation of the highest quality to the agencies, officers and employees of state government and by honorably and vigorously carrying out the constitutional and statutory responsibilities of the Attorney General. The position filled through this announcement will serve within the Audits section of the Medicaid Fraud Division.
Job Summary
Assists in performing various audit and financial investigative procedures on Medicaid providers suspected of having committed Medicaid fraud or abuse, which includes collecting, evaluating and analyzing data & other evidence, preparing analyses, identifying the amounts and types of fraud, preparing trial exhibits such as graphs, charts, reports, etc., and serving as an expert witness during the prosecution of Medicaid fraud cases. Works as part of a multi-disciplinary team, which typically includes a prosecutor, investigators, an auditor, a nurse investigator, and an intelligence analyst.
Duties & Responsibilities
Obtains and maintains comprehensive knowledge of operations and reimbursement policies of Medicare and Medicaid programs.
Works with investigative team to plan the financial and audit strategy for criminal and civil fraud investigations.
Participates in meetings throughout an investigation to discuss various aspects of the case.
Analyzes data and summarizes findings on audit procedures and financial matters related to the case.
Collects, evaluates and analyzes evidence obtained during the course of an investigation and forms conclusions based on the analyses; Prepares the necessary papers to document the results of the analyses and the conclusions formed.
Assists in conducting search warrants and handling evidence in accordance with Unit policy.
Prepares analyses identifying the amounts and types of fraud; Prepares written report that summarizes the conclusions reached during an investigation.
Prepares trial exhibits such as analyses, graphs, reports, etc. The trial exhibits should help judges and/or jury members better understand the testimony given.
Serves as a summary witness during the prosecution of alleged Medicaid fraud cases, as well as grand jury proceedings, motion hearing, and sentencing hearings.
Other duties as assigned
The above statements are intended to describe the general nature and level of work being performed by persons assigned to this title. They may not include all job duties performed by employees on this job title, and every position does not necessarily require these duties.
Minimum Qualifications
·Bachelor's degree from an accredited college or university with a major in accounting or a related field.
Preferred Qualifications:
In addition to meeting the minimum qualifications, meet one or more of the following:
·Audit experience in medical claims and/or claims data.
·Certification as a CPA or a CFE (Certified Fraud Examiner).
Additional Information:
A criminal background check is completed on all candidates; employment is also contingent upon the completion and satisfactory results of the background investigation. Candidates that are being strongly considered for the position will also be required to submit a Department of Law employment application & waiver, Georgia Department of Revenue Tax Clearance letter and copies of official college transcripts.
Due to the volume of applications received, we are unable to provide information on application status by phone or e-mail. All applicants will be considered, but may be screened for the preferred qualifications of the position, and may not necessarily receive an interview.
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Position requires the candidate to hold a Bachelor's degree from an accredited college or university with a major in accounting or a related field. Preference will be given to those with an accounting degree as well as auditing experience, medical claims and/or claims data. Certification as a CPA or a CFE (Certified Fraud Examiner) is a plus.
Being in great health enables you to do great work. As a State of Georgia employee, you have
access to comprehensive and affordable healthcare plans that best suit your needs.
We offer three Health Reimbursement Arrangement (HRA) plans, three Health Maintenance Organization
(HMO) plans, a High Deductible Health Plan (HDHP), and four Medicare Advantage plan options
for retirees enrolled in Medicare.
Georgia state government makes preparing for your future a top priority. Our retirement plans are designed to help you establish long-term financial security.
Georgia State Employees’ Pension and Savings Plan (GSEPS) is a combination Defined Benefit/ Defined Contribution plan with the following components:
Defined Benefit Plan (pension) - Multiple pension plans are available based on the type of entity you are employed by and your length/years of service.
Defined Contribution Plan (401(k)) - New employees are automatically enrolled at a 5% contribution rate, allowing for the maximum employer match to be contributed to the employee’s account.
The State of Georgia’s paid time off program aims to maximize productivity inside and outside of the workplace by providing serval leave programs including holiday, annual, sick, and administrative leave.
Holiday Leave
Employees receive 13 paid holidays a year, as declared by the Governor.
Annual and Sick Leave
Annual and Sick Leave accrual begins the first day of employment.
Administrative Leave
Examples include leave for blood donation, jury duty and military duty.
The Flexible Benefits program offers a wide range of coverage levels to advance total wellness for you and your family.
Our current offerings include vision, dental, life insurance, accidental death and dismemberment, short-term and long-term disability, long term care, critical illness, legal and flexible spending accounts.
Supporting employees in their efforts to manage work and personal needs is high priority. We invest in your employee experience with various programs to provide work-life balance.
Wellness Plan
The State of Georgia provides a wellness plan with all healthcare options that pays you for focusing on your health.
Employee Assistance Program
State entities that participate in the Employee Assistance Program can offer employees and their families access to provider referrals, counselors, and other resources to help meet the demands of life outside of the workplace.
Flexible Work Schedules
Many state entities allow employees to work from home, work alternative work schedules or work a combination of both.
Employee Discounts – Being a state employee has its perks!
Various attraction, shopping, technology, and travel discounts can be found at http://team.georgia.gov
Employee Purchasing Program
Eligible employees can purchase items and pay through payroll deductions for up to 6-month or 12-month terms.
Georgia State Charitable Contributions Program – Support your favorite charity!
During the annual charity campaign, employees can contribute to a charity of choice by making a one-time monetary donation or setting up a yearlong payroll deduction.