Investigative Analyst Specialist

The Office of Attorney General/Medicaid Fraud Control Unit has a vacancy. The position of Investigative Analyst will be domiciled in Baton Rouge, Louisiana, EBR Parish. Offers of employment are contingent upon satisfactory background check, reference verifications, and drug test.

Applicants may check the status of their application at any time by selecting the "Application Status" link after logging into their account. Below are the most common status messages and their meanings:

• Application Received - Your application has been submitted successfully.  
• Evaluating Experience - Your application is being reviewed by Human Resources to ensure you meet the minimum qualifications for this position.   
• Eligible for Consideration - You are among a group of applicants who MAY be selected for this position.   
• Referred to the Hiring Manager for Review - Your application has been delivered to the hiring manager. You may or may not be called for an interview.   
• Position Filled - Someone has been selected for the position.   
• Position Canceled - The agency has decided not to fill the position. 

Resumes will be accepted as an attachment to your application; however, all relevant education and experience must be included at the time you apply.
 
Applicants qualifying based on college training or receipt of a baccalaureate degree will be required to submit an official college transcript to verify credentials claimed prior to appointment. Please make every effort to attach a copy of your transcript to your online application. Transcripts may be faxed to (225) 326-6795.
 
For further information about this vacancy, please contact:

Minimum Qualifications: 

• Bachelor's degree in Data Science, Statistic, Information Systems, Criminal Justice, or related fields;
• Proficiency in SQL, Excel, and Access, with experience in data analysis and visualization, especially in fraud detection;
• Experience in analyzing healthcare or Medicaid claims data, with a focus on detecting fraud, waste, or abuse in such environment.

• Experience in healthcare fraud investigation within a government agency or Medicaid fraud control unit;
• Proficiency with data visualization tools to present findings effectively;
• Experience in conducting in-house training for team members on SQL programming, data analytics, or related investigative tools.

The Louisiana Medicaid Fraud Control Unit (MFCU) is a state law enforcement agency whose mission is to investigate and prosecute health care providers who have defrauded the Medicaid program. The MFCU also investigates and prosecutes allegations of abuse and neglect of residents in health care facilities.

The MFCU utilizes a team-based approach to uncover abuse and neglect of residents and complex financial fraud committed by healthcare providers, including hospitals, nursing homes, pharmacies, physicians, dentists, nurses, and other Medicaid providers.  The MFCU holds offenders accountable through criminal prosecution and civil litigation.  From inception through disposition, the programmer/data specialist will assist attorneys and investigators in criminal and civil investigations and prosecutions.

The duties and requirements of an Investigative Analyst in the Medicaid Fraud Control Uni shall include, but are not limited to the following:
 

• Collaborate with Special Agents and Assistant Attorneys General on Medicaid Fraud and Abuse investigations and prosecutions.
• Research, analyze, and evaluate criminal intelligence information and healthcare claims data from a variety of sources.
• Prepare a variety of documents, reports, and spreadsheets related to assigned projects and cases.
• Conduct in-depth data mining and analysis using SQL to identify patterns indicative of fraud in Medicaid claims.
• Assist in maintaining data quality and integrity throughout the analysis process.
• In-house training of analyst staff on analytics, SQL programming and other related functions, as needed