Forensic Auditor: Investigate Complex Healthcare Fraud,...

NY HELP No Agency Attorney General, Office of the Title Forensic Auditor: Investigate Complex Healthcare Fraud, 6405 Occupational Category Financial, Accounting, Auditing Salary Grade NS Bargaining Unit M/C - Managerial/Confidential (Unrepresented) Salary Range From $72973 to $72973 Annually Employment Type Full-Time Appointment Type Permanent Jurisdictional Class Exempt Class Travel Percentage 0% Workweek Mon-Fri Hours Per Week 37.5 Workday From 8:30 AM To 5 PM Flextime allowed? No Mandatory overtime? No Compressed workweek allowed? Yes Telecommuting allowed? Yes County Rockland Street Address One Blue Hill Plaza City Pearl River State NY Zip Code 10965 Duties Description Criminal Justice Division Medicaid Fraud Control Unit u2013 Pearl River (Rockland County)Forensic Accountant/Auditor Reference No. MFCU_PR_FAA_6405Application Deadline is October 31, 2025Salary is $68,973 plus $4,000 in location payTo be considered for this opportunity, submit a complete application online at ag.ny.gov/job-postings/otherThe Office of the New York State Attorney Generalu2019s (OAG) Medicaid Fraud Control Unit (MFCU) seeks a forensic accountant/auditor (FAA) for its Pearl River (Rockland County) office. The FAA supports the unit by working in partnership with its attorneys, detectives, data analysts, nurses, and legal support analysts to conduct complex, long-term healthcare fraud investigations.The Medicaid program provides health coverage to millions of New Yorkers, including low-income persons, children, elderly adults, and people with developmental disabilities. MFCU is the nationu2019s premier law enforcement agency charged with ensuring the financial integrity of New York stateu2019s $96 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies, doctors, hospitals, and nursing homes, who engage in Medicaid billing schemes that cause harm to Medicaid recipients and the loss of millions of dollars to the state of New York. MFCU also works to protect elderly and disabled New Yorkers by investigating reports of abuse and neglect in nursing homes and other residential health care facilities in the state. Possessing both civil and criminal enforcement powers, MFCU uses various state laws to bring civil actions and criminal proceedings, including asset forfeiture actions. Many of the unitu2019s investigations are conducted in coordination with other federal, state, or local government and prosecutorial agencies, and have resulted in large-scale criminal convictions and the recovery of millions of dollars of taxpayer money. Several recent matters that highlight MFCUu2019s important work include OAGu2019s report concerning neglect of nursing home residents across New York state during the COVID-19 pandemic, and the recent filing of four major lawsuits against nursing homes, including Centers Health Care, Cold Spring Hills Center for Nursing and Rehabilitation, The Villages of Orleans Health and Rehabilitation Center, and Fulton Commons Care Center, Inc. Additional significant cases include the: securing of settlements of more than $13 million in takedown of transportation companies for defrauding Medicaid, and conviction and sentencing of taxi company owners for stealing millions from Medicaid. Minimum Qualifications Qualifications:u2022 A minimum of a four-year college degree, either specifically in accounting, finance, economics, applied statistics, computer science with data analysis, or equivalent post-college work experience.u2022 Excellent analytical, communication, and organizational skills.u2022 The ability to function as an integral part of an investigative team and work in a group setting.u2022 Knowledge of fundamental computer applications, such as Word, Excel, and Access.u2022 Proficiency with presentation software, such as PowerPoint.Preferred Qualifications/Skills:u2022 The ability to review financial records and advise or assist in the investigation of alleged fraud.u2022 Designation as a Certified Fraud Examiner.u2022 Experience with statistical sampling and/or advanced statistical training.u2022 Knowledge of the healthcare industry and medical coding concepts (CPT, ICD-9 / 10, DRGs) and/or experience analyzing health care claims data.u2022 A CPA is not required; but the position qualifies for CPA accreditation purposes. Additional Comments The annual salary for this position is $68,973 plus $4,000 in location pay. As an employee of OAG, you will join a team of dedicated individuals who work to serve the people of our state 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. Additionally, OAG offers a robust Workplace Flexibilities Program with multiple options for employees, including telecommuting (up to two days per week) and alternative work schedules.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. Name Legal Recruitment Unit Telephone 2124168080 Fax Email Address Address Street NYS Office of the Attorney General Legal Recruitment Bureau - 28 Liberty St City New York State NY Zip Code 10005 Notes on Applying Applications must be submitted online at Applicants must be prepared to submit a complete application consisting of the following:u2022 Cover Letter: You may address your letter to the Legal Recruitment Unit. Indicate why you are interested in this position and what makes you a strong candidate. You may wish to include information about what life experiences you will bring to the position that will enhance OAGu2019s ability to better serve the diverse population of this state.u2022 Resumeu2022 Writing Sample: Your sample should demonstrate your ability to analyze and organize information into an effective document that is well-organized and error-free. If needed, please include a cover page to provide the reviewer with any relevant context or background information.u2022 Reference List: Submit a list of three (3) references; supervisory references are preferred. For each reference, indicate the nature and duration of your relationship. Include contact information and email addresses for each reference. Please note that your references will not be contacted until after you interview for the position.

Created: 2025-10-10