Unit : Medicaid Fraud Control Unit
Location: Atlanta, Georgia
Job Opening Date: 11/12/2015
Job Closing Date: 11/25/2015
Salary: $42,000 to $60,000 (depending on experience)
Duties & Responsibilities
As part of an investigative team in the preparation of cases of healthcare fraud, the Nurse Investigator applies clinical knowledge and experience by interpreting medical records and comparing service documentation to medical claims submitted. Makes determinations based on criteria that is relevant to the fraud investigations; prepares charts, graphs and other demonstrative exhibits to illustrate findings; performs duties as part of an investigative team. May prepare trial exhibits as well as serve as an expert witness at trial.
Minimum Training & Experience
MINIMUM Qualifications: This position requires an active RN License, two (2) years of clinical experience and one (1) year experience working with medical claims. Preference will be given to those applicants who hold a Bachelors of Science in Nursing; additional years of clinical experience; additional years experience in the analysis of medical claims and/or claims data; experience in the detection and investigation of healthcare fraud
Along with a resume, applicants must complete and submit a Department of Law (General) application & waiver, which may be found on the Department’s website at: http://law.ga.gov/application-forms ALONG with a copy of their RN License. Applicants will be asked to provide a copy of their official college transcript(s). Please mail your completed application, resume & copy of license 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. SALARY IS COMMENSURATE WITH EXPERIENCE.
All qualified and interested applicants should submit their resume, copy of their RN License 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', 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