Audit Evaluation & Review Analyst

Job Category: Finance and Business
Job Type: Full Time
Job Location: United States
Salary: $59

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 position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Miami, Florida and involves auditing complex multi-million-dollar healthcare fraud investigations that can result in criminal and/or civil litigation. This position’s primary duties require advanced knowledge and educational requirements of a bachelor’s degree with a major in accounting and five years of professional auditing or financial analysis experience. The ability to exercise discretion and judgment when applying the rules, regulations and laws of the Medicaid unit, both Federal and State.

Pay: $59,740.20 Annually

Qualifications:

A bachelor’s degree from an accredited college or university with a major in accounting or finance and at least three (3) years of professional auditing or financial analysis experience; or

a master’s or other advanced degree from an accredited college or university in accounting or business.

Possession of a Certified Public Accountant (C.P.A.) or Certified Internal Auditor (C.I.A.) certificate can substitute for one (1) year of the required 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:

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:

  • 1) Reviewing resident trust accounts.
  • 2) Guiding and directing Medicaid Analysts as needed.
  • 3) Conducting random sampling in accordance with HHS-OIG standards.
  • 4) Calculating Medicaid overpayments and exploitation losses.
  • 5) Providing financial interpretation and guidance as required by the Assistant Attorney General, Lead Investigator and Medical Investigator.

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