Medicaid Data Analyst

If you are interested in applying for this position, please visit www.wisc.jobsand search for Job ID "12426" or "Medicaid Data Analyst". We DO NOT accept applications from sources other than www.wisc.jobs.

Applications submitted here will NOT be reviewed or considered.

Job Title: Medicaid Data Analyst

Job ID:12426

Location: Madison

Agency: Justice

Full/Part Time: Full-Time

Regular/Temporary: Regular

It is the mission of the Wisconsin Department of Justice (DOJ) to protect the public and ensure that justice is done. To continue to meet this mission, the principles of equity, inclusion, and employee well-being have become a foundation for all work performed at DOJ, on behalf of
Wisconsinites.

The DOJ is committed to developing and supporting a workforce and culture that is rich in diversity and innovation. It is the department’s goal to ensure that all DOJ employees are empowered to be authentic, claim belonging, and thrive. This is your opportunity to make and be the difference.

In addition to working with a dynamic group of people, we offer amazing benefits, such as excellent health insurance, ample paid leave, flexible work schedules, and an employee assistance program that offers a variety of programs and resources to help promote wellness.

Furthermore, employment within the state of Wisconsin provides job stability, work/life balance, and numerous intrinsic rewards from doing meaningful work.

Do you want to help make a difference in the lives of the public. The DOJ is currently looking for highly motivated and talented individuals to join our Division of Legal Services as a Data Analyst (Auditor-Senior) in the Medicaid Fraud Control and Elder Abuse Unit.

This position is headquartered at the Risser Justice Center located at 17 West Main Street in
Madison.

The deadline to apply for this job announcement is Sunday, December 10, 2023, at 11:59pm. For any questions, please contact Pamela Fredrick, Human Resources Specialist at fredrickpj@doj.state.wi.us or (608) 419-3546.

Position Summary
Under general supervision of the Deputy Unit Director, the Data Analyst position performs data processing functions coupled with sophisticated data analysis to identify anomalies indicative of fraud. The Data Analyst performs complex data extraction and analysis, at an advanced level, to assist in the investigation and prosecution of healthcare fraud committed against the Medicaid program, and the investigation of financial exploitation of vulnerable adults. The Data Analyst is primarily responsible for timely and accurately extracting, collecting, identifying, analyzing, and interpreting trends or patterns in complex Medicaid claims data, with the goal of identifying patterns or trends that suggest fraudulent activity, supporting, refuting or defining the allegations of fraud, highlighting useful information, suggesting conclusions, and supporting decision-making relative to criminal and civil fraud investigations. The Data Analyst also collects, identifies, analyzes and interprets financial, demographic, legal, social and other data sets, obtained from various sources.

Salary Information

The Auditor-Senior position is in pay schedule 07 and pay range 03. The starting pay will be between $32.00 - $37.00/hour (approx. $66,560 - $76,960 annually). Pay for current or former state employees will follow the provisions found in the State of Wisconsin Compensation Plan. A 12-month probationary period may be required.

Job Details
This position may be eligible to work remotely up to 60% as part of a hybrid schedule, following an initial training period. Travel to the headquarters is not eligible for travel reimbursement.

High speed internet access is required to meet the needs of remote work.
The Department of Justice does not sponsor work visas at the time of hire or anytime during employment. All persons hired will be required to verify identity and eligibility to work in the
United States and complete the required Employment Eligibility Form I-9.
A background check, including fingerprints, will be completed on applicants prior to selection.

Qualifications
Please address the following in your resume and/or letter of qualifications.
Minimally qualified applicants must have education, training and/or experience in the following:

• Proficiency using advanced Microsoft Excel, Access, or Power BI functions (such as pivot tables, macros, advanced sorts, etc).
• Working with financial or medical records and/or claims to check for accuracy and/or fraud.
• Drafting reports of findings.
• Managing multiple tasks and prioritizing competing deadlines.

In addition to the minimum qualifications, a well-qualified applicant will have education, training, and/or experience in the following:

• Working in a legal or law enforcement environment, which may include preparing materials for use in a trial setting or participating in court proceedings.
• Writing SQL or other queries to create reports from databases.
• Working with Medicaid rules or regulations or other healthcare fraud case types.

How To Apply

Apply online! To apply, visit wisc.jobs, search for the Job ID or Job Title, click on “Apply for Job” to start the application process. Once logged in, click “Apply for Job” and follow the steps outlined in the application process. You will be required to submit a letter of qualifications and resume.

Each time you apply for a job; you should update and tailor your resume and letter of qualifications. You should clearly describe your education, training, and experience related to the items listed in the “Qualifications” section of the job announcement. These qualifications should be addressed in your resume and expanded upon in your letter of qualifications. This will allow a fuller assessment regarding your qualifications and those required for the job applying for.

Your resume should include the following:

• Your educational background including any course work that relates to the position in which you are applying.
• Your employment history, including experiences and/or duties and a summary of accomplishments and skills learned or used.
• Any training or experience, including volunteer work or internships, you have related specifically to the “Qualifications” section of the assessment.
• Spell out any acronyms and/or abbreviations the first time used.

Your letter of qualifications should include:

• Additional information regarding your past work experience, including volunteer work and internships, or coursework you have taken.
• Highlights of your most relevant skills and experiences as they related to the specific job you are applying for.
• Specific examples that clearly demonstrates your level of expertise.

What not to include in your resume or letter of qualifications:
Your application materials should not include any information that is not job-related, such as race, color, religion, sex, national origin, age, creed, disability, or genetic information. Further, do not include any self-identifying information such as photos, social security numbers, political affiliation, citizen status or conviction records.

Application materials will be evaluated, and the most qualified applicants will be invited to participate in the next step of the process. References will be requested from top candidates once interviews have taken place.

NOTE: Current/former State employees interested in a permissive transfer, demotion or reinstatement consideration must also apply.

The State of Wisconsin is an Equal Opportunity and Affirmative Action employer seeking a diverse and talented workforce. Veterans, women, people of color, LGBTQIA+, and people with disabilities are encouraged to apply. We provide reasonable accommodations to qualified applicants and employees with disabilities.

We appreciate the time and effort it takes to apply for positions. If any questions arise, please contact Pamela Fredrick, Human Resources Specialist, at fredrickpj@doj.state.wi.us or (608) 419-3546.

Deadline to Apply

The deadline to apply for this job announcement is Sunday, December 10, 2023, at 11:59 PM.

Job Type: Full-time

Pay: $32.00 - $37.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance

Work Location: Hybrid remote in Madison, WI 53703