Review Vacancy
AgencyAttorney General, Office of the
TitleResearch Analyst -Medicaid Fraud Control Unit (NYC)
Bargaining UnitM/C - Management / Confidential (Unrepresented)
Salary RangeFrom $0 to $0 Annually
Minimum Qualifications Applicants must possess the following minimum qualifications:
• Bachelor’s degree in a healthcare or quantitative field of study;
• Experience or interest in statistical analysis and machine learning concepts;
• Extreme attention to detail and organized with the ability to creatively problem solve;
• Dynamic, self-starter with a proven ability to work in a collaborative environment;
• Excellent oral and written communication skills; and
• Strong proficiency in MS Excel and Access
The ideal candidate will have the following additional knowledge and experience:
• 1-3 years demonstrated experience in data analysis and data visualization;
• Knowledge of the healthcare industry and medical coding concepts (CPT, ICD-9 / 10, DRGs) preferred;
• Experience in SQL and a firm understanding of relational databases; and
• Knowledge or experience in any of the following considered a plus: R, Python, SPSS Modeler, data visualization tools (e.g. R ggplot, Shiny, Tableau).
Duties Description The New York State Office of the Attorney General’s (OAG) Medicaid Fraud Control Unit (MFCU) is seeking a Research Analyst to join its Electronic Investigative Support Group (EISG) based in New York City. The mission of MFCU is to investigate, prosecute and bring affirmative civil cases to recover taxpayer funds exploited by improper or fraudulent Medicaid billing schemes, as well as to investigate and prosecute allegations of abuse and neglect of residents in nursing homes and other residential healthcare facilities. The EISG manages a statewide network, consisting of 8 regional offices, and supports a 20+ terabyte data mart which serves as the main data source in the investigation and prosecution of healthcare fraud and abuse.
Duties include, but are not limited to:
• Analyzing healthcare data, Medicaid claims and other data mining resources to identify instances of fraud, waste and abuse;
• Collecting, cleansing, and formatting large quantities of data;
• Conducting exploratory data analysis and drafting potential anomaly metrics;
• Translating historical patterns of fraud, waste, and abuse into features for modeling;
• Collaborating with MFCU’s audit and investigative staff to validate potential models and record requirements for future development;
• Preparing reports and visualizations to document and present findings to Medicaid fraud investigators; and
• Documenting analytical process and model development.
Additional Comments OAG employees serve more than 19 million state residents 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. As an employee of the OAG, you will join a team of dedicated individuals who work to serve the people of our State.
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.
Email Address recruitment@ag.ny.gov
Address
Street NYS Office of the Attorney General, Legal Recruitment Bureau
28 Liberty
Notes on ApplyingHOW TO APPLY
Applications are being received online. To apply, please go to our website, https://ag.ny.gov/job-postings.
Reference No. MFCU_NYC_RA_6144
Applicants must be prepared to submit a complete application consisting of the following:
• Cover Letter (You may address to Legal Recruitment);
• Resume;
• Writing Sample; and a
• List of three (3) professional references with contact information and email addresses.
Please note: Failure to submit a complete application will delay the consideration of your application.
If you have questions regarding a position with the OAG s or you need assistance with submitting your application, please contact the Legal Recruitment via email at recruitment@ag.ny.gov or phone at 212-416-8080.
For more information about the OAG, please visit our website: www.ag.ny.gov