You are here

Auditor, Investigative - Medicaid Fraud

Division : Medicaid Fraud Control Unit
Location: Atlanta, GA
Job Opening Date: 05/28/2014
Job Closing Date:  06/13/2014

Duties & Responsibilities

This position is part of the Medicaid Fraud Control Units’ newly formed Civil Team.  The primary responsibility of this position is to assist in the performance of financial and medical audits on Medicaid providers suspected of having committed Medicaid fraud or abuse.

Duties include, but are not limited to:  collecting, analyzing, and evaluating claims data and other evidence from the Department of Community Health and other sources; identifying the amounts and types of fraud; conducting and coordinating statistical sampling of data; preparing reports to be used in court and in settlement negotiations; researching policy and utilizations questions; conducting interviews; researching providers in GAMMIS and other systems; preparing pretrial exhibits such as graphs, charts, reports; and providing expert courtroom testimony.  POSITION IS OPEN UNTIL FILLED.

Minimum Training & Experience

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 auditing experience—medical claims and/or claims data.  Certification as a CPA or a CFE (Certified Fraud Examiner) is a plus.

Additional Information

SALARY IS COMMENSURATE WITH EXPERIENCE. In addition to a resume, applicants must complete and submit a Department of Law (General) application & waiver, which can be found under 'vacancies' . Please mail your completed application & resume to the address below, Attn: WK Brown, Director of Human Resources.  Applications will be screened for the position's preferred qualifications. A criminal background check is completed on interviewed applicants who are being strongly considered for the position.

All qualified and interested applicants should submit their resume, as well as a completed Department of Law application & waiver to:

Human Resources Director
Department of Law
40 Capitol Square S.W.
Atlanta, Georgia 30334

You will find the 'general' application under 'Careers', then click applications.

The Office of THE ATTORNEY GENERAL does not discriminate on the basis of race, color, national origin, sex, religion, age or disability in employment or services

FOR FURTHER INFORMATION WRITE OR CALL
Human Resources * 40 Capitol Square * Atlanta, GA. 30334
(404) 656-3305