MEDICAID FRAUD ANALYST II - 41001287

Requisition No: 851390 

Agency: Office of the Attorney General

Working Title: MEDICAID FRAUD ANALYST II - 41001287

 Pay Plan: Career Service

Position Number: 41001287 

Salary:  $56,650.00 Annually 

Posting Closing Date: 05/08/2025 

Total Compensation Estimator Tool

 

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 with the Medicaid Fraud Control Unit in Tallahassee, Florida.

 

Pay: $56,650.00 Annually

 

Qualifications: 

Five (5) years of experience in research, investigations, investigative analysis or statistics; or
A Bachelor degree from an accredited college or university and one (1) year of professional experience in research, investigations, investigative analysis or statistics.

 

Preference will be given to candidates who have experience compiling and analyzing investigative information, or experience in the use of spreadsheets and relational database applications.

**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
score of at least 70% to move to the interview phase.

 

The Work You Will Do: An employee in this position provides analytical support for attorneys and investigators in Florida-specific and multistate health care fraud investigations and litigation matters. An employee in this position also performs work conducting detailed research and analysis of investigative information relating to alleged violations of applicable laws pertaining to health care fraud, in the administration of the Medicaid program, and/or the alleged abuse or neglect of patients in health care facilities governed by the State Medicaid program. An employee in this position may also perform as lead analyst on specialized complex civil enforcement investigations and litigation matters and analytical projects.

 

Additional roles and duties to design and write new EDW ad hoc reports and queries, serve as a MFCU analyst providing EDW support throughout the MFCU, and serve as an instructor on the new EDW to the various MFCU regional offices, in support of Operations & Management Consultant I and Operations & Management Consultant II. 

 

The responsibilities of this position include, but are not limited to the following: 

 

• 35% Create customized downloads from on-line Medicaid claims data warehouse as requested by investigators, attorneys, and multistate investigative and litigation teams.

 

• 25% Prepare reports/schedules/charts pertaining to all aspects of the analysis and research for use in criminal prosecution, civil actions and administrative referrals.

 

• 20%  Assists and supports Medicaid fraud investigators and attorneys in the compilation and analysis of investigative information and the development of damages models for use in Florida-specific and multistate health care fraud investigations and litigation. Obtains and analyzes large amounts of data to: interpret and summarize health care fraud activity, calculate damages sustained to the Florida Medicaid program, determine significance, completeness and usefulness of data, recognize and identify patterns and trends, and brief investigators and attorneys.

 

• 10% Extract information from investigative databases. Compile, analyze and disseminate intelligence information retrieved from various computer databases/systems. Perform various duties related to computers.

 

• 5% Assist in the prosecution of Medicaid fraud and/or patient abuse to include testimony in courts of law pertaining to the investigation.

 

• 5% Other duties as assigned.

 

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