Forensic Auditor: Investigate Complex Healthcare Fraud(6433)

NY HELP No

Agency Attorney General, Office of the

Title Forensic Auditor: Investigate Complex Healthcare Fraud(6433)

Occupational Category Financial, Accounting, Auditing

Salary Grade NS

Bargaining Unit M/C - Managerial/Confidential (Unrepresented)

Salary Range From $68973 to $68973 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Exempt Class

Travel Percentage 0%

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 8:30 AM

To 5 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? Yes

Telecommuting allowed? Yes

County Albany

Street Address The Capitol

City Albany

State NY

Zip Code 12224

Duties Description Criminal Justice Division Medicaid Fraud Control Unit - Albany Forensic Accountant/Auditor Reference No. MFCU ALB FAA_6433Application Deadline is May 1, 2026Salary is $68,973To be considered for this opportunity, submit a complete application online at ag.ny.gov/job-postings/otherThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) seeks a forensic accountant/auditor (FAA) for its Albany office. The FAA supports the unit by working in partnership with its attorneys, detectives, data analysts, nurses, and legal support analysts to conduct complex, long-term healthcare fraud investigations.The Medicaid program provides health coverage to millions of New Yorkers, including low-income persons, children, elderly adults, and people with developmental disabilities. MFCU is the nation's premier law enforcement agency charged with ensuring the financial integrity of New York state's $96 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies, doctors, hospitals, and nursing homes, who engage in Medicaid billing schemes that cause harm to Medicaid recipients and the loss of millions of dollars to the state of New York. MFCU also works to protect elderly and disabled New Yorkers by investigating reports of abuse and neglect in nursing homes and other residential health care facilities in the state. Possessing both civil and criminal enforcement powers, MFCU uses various state laws to bring civil actions and criminal proceedings, including asset forfeiture actions. Many of the unit's investigations are conducted in coordination with other federal, state, or local government and prosecutorial agencies, and have resulted in large-scale criminal convictions and the recovery of millions of dollars of taxpayer money. Several recent matters that highlight MFCU's important work include OAG's report concerning neglect of nursing home residents across New York state during the COVID-19 pandemic, and the recent filing of four major lawsuits against nursing homes, including Centers Health Care, Cold Spring Hills Center for Nursing and Rehabilitation, The Villages of Orleans Health and Rehabilitation Center, and Fulton Commons Care Center, Inc. Additional recent significant cases include the securing of $1.3M from Albany pediatric nursing home for years of resident neglect; convictions and sentences of five taxi company owners for stealing millions from Medicaid; securing over $7.1 million from a former Saratoga county nursing home for years of fraud and neglect; and a settlement for more than $860,000 from a capital region medical transportation company for defrauding Medicaid.

Minimum Qualifications Qualifications:- A minimum of a four-year college degree, either specifically in accounting, finance, economics, applied statistics, computer science with data analysis, or equivalent post-college work experience.- Excellent analytical, communication, and organizational skills.- The ability to function as an integral part of an investigative team and work in a group setting.- Knowledge of fundamental computer applications, such as Word, Excel, and Access.- Proficiency with presentation software, such as PowerPoint.Preferred Qualifications/Skills:- The ability to review financial records and advise or assist in the investigation of alleged fraud.- Designation as a Certified Fraud Examiner.- Experience with statistical sampling and/or advanced statistical training.- Knowledge of the healthcare industry and medical coding concepts (CPT, ICD-9/10, DRGs) and/or experience analyzing health care claims data.- A CPA is not required; but the position qualifies for CPA accreditation purposes.

Additional Comments The annual salary for this position is $68,973. As an employee of OAG, you will join a team of dedicated individuals who work to serve the people of our state through a wide variety of occupations. We offer a comprehensive New York state benefits package, including paid leave, health, dental, vision and retirement benefits, and family-friendly policies. Additionally, OAG offers a robust Workplace Flexibilities Program with multiple options for employees, including telecommuting (up to two days per week) and alternative work schedules.Candidates from diverse backgrounds are encouraged to apply. The OAG is an equal opportunity employer and is committed to workplace diversity.

Some positions may require additional credentials or a background check to verify your identity.

Name Legal Recruitment

Telephone 2124168080

Fax

Email Address [email protected]

Address

Street 28 Liberty Street

Legal Recruitment Unit - 28 Liberty Street

City New York

State NY

Zip Code 10005

Notes on Applying Applications must be submitted online via this link: LGR\ JOB\ ID,P10\ POSITIONTYPE,P10\ LGR\ WRITING\ SAMPLE\ IND:6904,28,YApplicants must be prepared to submit a complete application consisting of the following:- Cover Letter: You may address your letter to the Legal Recruitment Unit. Indicate why you are interested in this position and what makes you a strong candidate. You may wish to include information about what life experiences you will bring to the position that will enhance OAG's ability to better serve the diverse population of this state.- Resume- Writing Sample: Your sample should demonstrate your ability to analyze and organize information into an effective document that is well-organized and error-free. If needed, please include a cover page to provide the reviewer with any relevant context or background information. - Reference List: Submit a list of three (3) professional references; supervisory references are preferred. For each reference, indicate the nature and duration of your relationship. Include contact information and email addresses for each reference. Please note that your references will not be contacted until after you interview for the position.The OAG provides reasonable accommodations to applicants with disabilities. If you have questions regarding a position with OAG, the application process, or need assistance with submitting your application, please contact Legal Recruitment via email at [email protected] or phone at 212-416-8080.