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*Applicants must at least have a bachelor's degree in accounting.
*
Work Schedule: 3 days in-office/ 2 days remote work.
Interested in fighting health care fraud using your analytical and quantitative skills? Seeking to help recover stolen funds, protect the Medi-Cal Program against false claims submitted for payment to the State of California and help protect the vulnerable population?
The Division of Medi-Cal Fraud and Elder Abuse is looking for talented auditors with superlative data management and investigative skills and a commitment to detecting and combating fraud – this is an opportunity highly qualified applicants should not miss.
Job duties include, but not limited to:
1.
Conducts complex civil audits and investigations for the Civil Section, including:
a.
Work with auditors and attorneys from other state Medicaid Fraud Control Units and/or Federal Assistant United States Attorneys to combat global health fraud.
b.
Obtains and analyzes information from Medi-Cal claims database(s) associated with cases and complaints of alleged Medi-Cal provider fraud.
c.
Identifies, gathers, and maintains voluminous data relevant to such allegations.
d.
Estimating and calculating monetary losses to the Medi-Cal program.
e.
Conducting interviews, performing any and all fieldwork needed for the audit or investigation, compiling and evaluating competent evidentiary material, developing audit findings, preparing detailed reports of investigation and schedules of findings that result from investigative activities and records examinations.
f.
Participating in meetings, depositions, and interviews with qui tam relators, investigative, legal, and managerial staff, as well as private law firms and various governmental agencies.
g.
Developing forensic investigative strategies and identifying resources necessary to perform various audit and investigative assignments.
h.
Collaborating with teams of attorneys, paralegals, support staff, investigators, agents and auditors, and other analysts both within and beyond the Division.
Job Type: Full-time
Pay: $4,012.
00 - $8,617.
00 per month
Benefits:
* 401(k)
* 401(k) matching
* Dental insurance
* Health insurance
* Life insurance
* Paid time off
* Parental leave
* Professional development assistance
* Vision insurance
Schedule:
* 8 hour shift
* Monday to Friday
Ability to Relocate:
* Sacramento, CA 95833: Relocate before starting work (Required)
Work Location: Hybrid remote in Sacramento, CA 95833
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