California Department of Justice · 6 hours ago
Auditor I
San Diego County, CA
Full-time
Hybrid
New Grad, Entry Level
$4,256/mo - $5,600/moThe California Department of Justice is seeking an Auditor I to join the Division of Medi-Cal Fraud and Elder Abuse. The role involves conducting complex civil audits and investigations to combat healthcare fraud, recover stolen funds, and protect the Medi-Cal Program against false claims.
Law EnforcementNon Profit
No H1B
U.S. Citizen Only
Responsibilities
Work with auditors and attorneys from other state Medicaid Fraud Control Units and/or Federal Assistant United States Attorneys to combat global health fraud. Review and provide claims data of suspected activity and assist in civil remediation
Obtains and analyzes information from Medi-Cal claims database(s) and other evidence obtained from a variety of sources associated with cases and complaints of alleged Medi-Cal provider fraud
Identifies, gathers, and maintains voluminous data relevant to such allegations
Estimating and calculating monetary losses to the Medi-Cal program, including determining the reasonableness of audit findings and evaluating such results through comparative analysis and independent third-party verification
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
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
Developing forensic investigative strategies and identifying resources necessary to perform various audit and investigative assignments
Collaborating with teams of attorneys, paralegals, support staff, investigators, agents and auditors, and other analysts both within and beyond the Division
Utilizing computerized audit techniques with tools including MIS/DSS claims database, Business Objects, Medi-Cal Management Information System, Lexis-Nexis, Microsoft Office Suite, SAS Enterprise Guide to develop programs and other information for sampling, cost evaluations, determining patterns, and trend analysis
Assisting in the preparation (including drafting) and service of subpoenas, as well as in the preparation of discovery requests and discovery responses
Assisting in the preparation of matters set for hearing, settlement, and trial, including testifying in civil hearings, depositions, and trials both in person and by affidavit
Qualification
Required
Candidates must at least have an equivalent to graduation from college, with specialization in accounting
Completion of a prescribed professional accounting curriculum
Completion of the equivalent of 19 semester hours of course work
Benefits
Work-life balance
11 paid holidays
Flexible paid leave options
Consistent wage increases
Pension retirement
Job stability
Health/Dental/Vision Insurance
Public Service Loan Forgiveness (PSLF) and more!
Company
California Department of Justice
California Department of Justice is a non profit Law Enforcement agency.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Hamid Formoli
Founder/Co-Chair-Middle Eastern and South Asian Employee Advisory Committee
Weslee Howell
Organization Development Partner - Office of Human Resources
Recent News
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