Forensic Data Specialist I/II

Position InformationSection: Medicaid Fraud Control Section/Criminal Law DivisionClass: Forensic Data Specialist I/IILocation: Harrisburg or NorristownTelework: This position will report to the headquartered location a minimum of 2 days per week. Youmay have the opportunity to telework the remainder of the week, if desired and based on business need. Position Type: Full-time, Non-civil service, Non-unionWork Hours: 8: 30 – 5: 00Salary Range: Forensic Data Specialist I – Starting salary of $57,487Forensic Data Specialist II – Starting salary of $65,741Basic FunctionThis position works in partnership with Office of Attorney General attorneys, agents, auditors, and analysts on cases, referrals, data mining, and global matters alleging Medicaid fraud.

An employee in this position performs data analytics work which involves the formulation and implementation of database queries, the construction and analysis of large datasets to identify statistical outliers or anomalies, and data compilation and presentation in support of health care fraud investigations. This employee will work closely with attorneys, agents, auditors, and analysts to refine data analysis of health care billing pertinent to criminal and/or regulatory investigations into the Medicaid Fraud and Abuse amendments, the Neglect of Care-Dependent Persons Act, and other applicable state and federal regulations.

An employee in this position will access PA Department of Human Services (DHS) data warehouses to query and extract data as needed for case work. Additionally, this position requires cooperative team analysis of ongoing trends in Medicaid cost and provider reimbursements to develop and identify new strategies for data analysis in support of evolving approaches to identifying and proving Medicaid fraud.

The position also requires the employee to research and understand data maintained by DHS or Managed Care Organizations (MCOs) to initiate, monitor, and deliver requested data; update and maintain resource records/organizational process assets; and perform complex analysis, reporting, and presentations for cases.

Examples Of DutiesQueries DHS data warehouses in order to deliver claims and Electronic Visit Verification (EVV) data and analysis reports for matters and cases while ensuring the protection of private health informationCompiles and parses large datasets for review by case agents and for courtroom presentations using Excel, Access, or similar data systemsConsults with attorneys, agents, auditors, and analysts regarding parameters for obtaining data and conducting analysisParticipates in conference calls and meetings related to case investigation strategies and provides input regarding data retrieval and analysisDevelops new analytical methodologies to available data to identify, capture, and present statistical anomalies within Medicaid billing dataPerforms quality control and assurance of analysis and data deliveries through peer review using inspection, sampling, process analysis, and code reviewMentors Medicaid analysts and provides direction related to claims analysis and data retrieval from the DHS data warehousesContinues to strengthen programming skills and improve data queries and analysisTestifies as a witness in court proceedings resulting from data provision as requestedAssists with informational sessions on data sources, tools, and analyticsMinimum Experience And TrainingForensic Data Specialist IAn Associate’s degree from an accredited institution in information technology, data science, computer science, statistics, or a related program and two years of data analytics or programming language experience ORA Bachelor’s degree from an accredited institution in information technology, data science, computer science, statistics, or a related program ORFour years of data analytics or programming language experienceForensic Data Specialist IIAn Associate’s degree from an accredited institution in information technology, data science, computer science, statistics, or a related program and four years of data analytics or programming language experience ORA Bachelor’s degree from an accredited institution in information technology, data science, computer science, statistics, or a related program and two years of data analytics or programming language experience ORA Master’s degree from an accredited institution in information technology, data science, computer science, statistics, or a related program ORSix years of data analytics or programming language experiencePreferred Knowledge, Skills, And AbilitiesSkills in computer programming including experience in or knowledge with SQL, R, SAS, Python, or similar programming languages used for data extraction or analysisAbility to formulate analytical database queries and strategies in support of investigative objectivesSkills in computer use including proficiency with Microsoft Office Suite, especially Excel and Access, and data management systemsFamiliarity with spreadsheet, database, or data management systemsUnderstanding of privacy and data protection lawsSkills in project management and effective use of resources including documenting tasks on a timely and accurate basis, budgeting resources, and managing completion datesAbility to use judgment, tact, and discretionAbility to communicate effectively, both verbally and in writingAbility to elicit information from attorneys and agentsAbility to maintain records, and prepare reports and correspondence related to the workAbility to effectively testify as a witness in all courtsAbility to organize work, establish priorities, and maintain good interpersonal relations and communications with all staff, outside agencies, and the publicGeneral knowledge of the functioning and processes of the civil/criminal justice systemThe ability to research data sources and tools to implement into investigations and educate attorneys, agents, auditors, and analysts on how to effectively utilize these resourcesExperience with medical and health care billing processes and data systemsKnowledge of the Medicaid programKnowledge of geospatial analysis programs such as ArcGISHealth BenefitsThis position qualifies you for the Commonwealth's benefits package which includes medical, prescription, dental, and vision coverage.

Medical coverage is available on your first day of employment! Prescription is also available on your first day, for an additional cost for the first 90 days of employment. Dental and vision are available after 90 days of employment as well. Flexible Spending Accounts (FSA) are available to all employees, regardless of enrollment in our benefits. Paid Time OffOAG employees receive 12 paid holidays each calendar year, along with earning paid vacation time and sick leave each pay period. RetirementFor new employees, the State Employees' Retirement System offers various options for enrollment into our retirement plans.

You will receive specific information on these options shortly after you begin employment. To learn more about the benefits available to OAG employees, please review the Summary of Employee Benefits. 01What is your highest level of education?Some High SchoolHigh School or GEDSome CollegeTechnical CollegeAssociate's DegreeBachelor's DegreeMaster's DegreeDoctorate02Do you have a degree in information technology, data science, computer science, statistics, or a related program?YesNo03How many years of data analytics or programming language experience do you have?NoneLess than 1 year1-2 years2-3 years3-4 years4-5 years5-6 years6+ years Required Question