Health Care Fraud Analyst-AG

Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.

The Ohio Attorney General's Office is currently seeking two knowledgeable and motivated individuals for the position of Medicaid Fraud Analyst available in the Health Care Fraud Section. This position will work a hybrid in-person/remote schedule. There may be changes to this schedule based on training and operational needs. The Office is headquartered in downtown Columbus, Ohio.

The purpose of the Medicaid Fraud Analyst position is to provide analytical and technical support to criminal investigative teams. The successful candidate will perform the following duties, which include but are not limited to:

·       Independently collect, sort, and analyze sophisticated datasets including medical billing claims data, financial records, and geo-location data, using Microsoft Excel, Access, and/or SQL.

·       Draft technical reports and summarize findings based on data analysis.

·       Utilize various tools and software packages (e.g. databases, spreadsheets, analytical software suites, Microsoft SQL, Microsoft Reporting Services, Data Visualization programs) to query datasets and create detailed, accurate reports to document findings and conclusions.

·       Employ various programming languages (PHP, Python, VB, C++, Java, etc.) to build tools to assist in processing data sets and maintaining analyst support processes.

·       Research and query various law enforcement and public databases to identify information related to individuals and businesses.

·       Assist in the development and installation of covert and/or overt surveillance platforms including audio, video, and GPS tracking devices.

·       Provide technical expertise related to imaging and analyzing seized electronic media.

·       Assist law enforcement officers and Special Agents in the execution of search warrants by coordinating documentation of the execution, serving as photographer, identifying and tagging all electronic devices and media, and accurately documenting the collection of evidence.  

At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes:

• Medical Coverage
• Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period
• Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
• Childbirth, Adoption, and Foster Care leave
• Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)
• Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation)

*Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.

The Ohio Attorney General’s Office has played a vital role in shaping Ohio’s past and present and the work it does today helps chart the state’s future. The office consists of nearly 30 distinct sections that advocate for consumers and victims of crime, assist the criminal justice community, provide legal counsel for state offices and agencies, and enforce certain state laws. In these and other capacities, staff members interact with tens of thousands of Ohioans each year. 

4 years of experience in computer programming, computer/electronic system &/or accounting; valid driver’s license. 

-Or Associate’s degree in computer programming, computer/electronic system, accounting or related field; 2 years experience in computer programming, computer/electronic system or accounting; valid driver’s license. 

-Or Bachelor’s degree in computer programming, computer/electronic systems, accounting, or related field; valid driver’s license. 

Job Skills\: Professional, analyzation, attention to detail, decision making, confidentiality

The Attorney General’s Office is a dynamic organization that offers career opportunities across many different disciplines to people from all backgrounds and experiences. We do not discriminate in any way. All people are equal under the law, and it is so at the AGO. This is a workplace where talent gains you entry and performance determines your career path.  Staff can join and lead employee resource groups and participate in online or in-person events to learn about the experiences of others.

Employees of the Attorney General's Office must have been in their current positions for at least 12 months in order to be eligible for consideration.

The Attorney General's Office may fill additional, similar positions as a result of this posting.

The Ohio Attorney General’s Office is an Equal Opportunity Employer.

AGO#\: 25-10-191

Selected candidate(s) will be subject to the following background checks:

Criminal history

Driving record

Taxes

Drug Test

In addition, an Internet search may be conducted of publicly available and job-related information through social media

(Facebook, LinkedIn, Twitter, etc.) or through the use of search engines (Google, Bing, etc.).