USAJOBS · 1 month ago
Supervisory Medicaid Fraud Specialist
Location Negotiable After Selection, USA
Full-time
Hybrid
Mid, Senior Level
$146K/yr - $190K/yr
1+ years expThe position is located in the Department of Health and Human Services, Office of Inspector General, Office of Evaluation and Inspections. The role involves overseeing the Medicaid Fraud Control Unit Oversight Division, providing guidance for oversight functions, and supervising staff responsible for planning and research tasks.
ConsultingGovernmentHuman ResourcesInformation TechnologyInternetStaffing Agency
No H1B
U.S. Citizen Only
Responsibilities
Oversee the Medicaid Fraud Control Unit Oversight Division (MOD), which has oversight of the 53 State Medicaid Fraud Control Units (MFCUs) and recertifies and conducts onsite reviews of the MFCUs to ensure compliance with the 12 MFCU Performance Standards established by OIG, in accordance with section 13625 of the Omnibus Budget Reconciliation Act of 1993
Provide direction and guidance for MFCU oversight functions, working with OIG components, State MFCUs, and others to carry out the mission of MOD
Supervise and monitor research on legal and program issues concerning the interpretation, application, and enforcement of MFCU-related statues, rules, and regulations
Advise and inform OIG and other officials on matters under the Division's purview
Supervise MOD staff responsible for a variety of planning, reporting, research, data collection, and analytic tasks
Develop and direct the work of MOD staff, including establishing priorities and overseeing schedules for completion of work
Qualification
Required
U.S Citizenship is required
Registration with the Selective Service (if applicable)
Suitability for Federal employment determined by background investigation
One-year probationary period may be required
Time in grade must be met within 30 days of closing date of announcement
One-year supervisory probationary period may be required
Applicants must have 1 year of specialized experience equivalent to the next lower grade level in the Federal service which provided the applicant with the knowledge, skills and abilities to perform the duties of the position
Qualifying specialized experience must demonstrate the following: 1. Apply a wide range of qualitative and/or quantitative methods for the assessment and improvement of program effectiveness and improvement of complex processes related to Medicaid program integrity; 2. Administer oversight of programs that are responsible for preventing, detecting, or taking enforcement action against Medicaid fraud; AND 3. Contribute to the development of materials to advise and inform officials on matters of Medicaid program integrity effectiveness and improvement
Benefits
Telework eligible: Yes—Eligible for situational/ad-hoc telework.
Relocation expenses reimbursed: No
Direct Deposit: All Federal employees are required to have Federal salary payments made by direct deposit to a financial institution of their choosing.
Disabled Veteran Leave: HHS OIG participates in the Wounded Warrior Federal Leave Act of 2015.
Company
USAJOBS
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Funding
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