Medical Analyst

New York State Office of the Attorney General • New York, New York State, United States • $80.54k / year • 2w ago

Criminal Justice Division
Medicaid Fraud Control Unit – New York City
Medical Analysts
Reference No. MFCU_NYC_ MA_6368

Application Deadline is May 2, 2025
Opportunities for Registered Nurses

The Office of the New York State Attorney General’s (OAG) Medicaid Fraud Control Unit (MFCU) is seeking
experienced Registered Nurses to serve as Medical Analysts in its New York City office. Medical Analysts support the
unit by working in partnership with its attorneys, auditors, detectives, data analysts, 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 nation’s premier law enforcement agency
charged with ensuring the financial integrity of New York state’s $94 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 unit’s 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 matters that highlight MFCU’s important work include OAG’s 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 securing $8.6M and significant reforms to nursing home after repeated financial
fraud and resident mistreatment; the indictment and arraignment of owner of NYC pharmacy for allegedly stealing
millions from Medicaid; and the sentencing of a former owner of over 20 pharmacies for running $11 Million
Medicaid fraud targeting vulnerable HIV patients.

Duties:

Assisting with screening and evaluating complaints of abuse and neglect for initial follow-up, identifying

aberrant diagnoses and treatments, and aiding staff in understanding medical terminology and billing codes;

Identifying and reviewing medical records and analyzing medical documentation to identify potential fraud,

abuse, mistreatment and neglect, including testifying as to such analyses in grand jury proceedings and
trials;

Assisting detectives in field interviews of medical personnel and experts;
Aiding attorneys in recruiting and preparing health care witnesses (pharmacists, nurses, aides,

administrators, physicians, dentists, etc.) for legal proceedings, including grand jury or trial;

Supporting attorneys in preparing for legal proceedings and reviewing legal documents for proper medical

terminology;

Monitoring the development and revision of professional standards within nursing and other medical fields

of relevance to the unit’s mission and advising attorneys and others on such developments and revisions;
and

Interacting with professional boards and regulatory groups as directed by attorneys in furtherance of the

unit’s mission.

Qualifications:

A current New York State Registered Professional Nurse’s license;
A minimum of seven (7) years of clinical experience;
Knowledge of the current standards and scope of practice for the profession of nursing, as well as

knowledge of the general scope and responsibilities of nursing home staff and consultants;

Excellent interpersonal, communication, teamwork, analytical, and writing skills, including the ability to

function as an integral part of an investigative team and work in a group setting; and

Technology proficiency that preferably includes a knowledge of and experience using Microsoft Office

applications such as Outlook, Word, and Excel, and comfort with videoconferencing.

Preferred Skills and Experience:

Nursing administration (e.g., Director of Nursing, Administrator, Risk Manager, In-Service Coordinator),

including current or past employment within a long-term care facility;

Conducting investigations related to resident abuse, mistreatment, or neglect, as well as quality assurance

issues;

Case management, MDS 3.0 Resident Assessment, and/or managed care;
Prior experience as a legal nurse consultant; and
Knowledge of state and federal rules and regulations related to health care, particularly the Medicaid

program.

The salary for this position is $80,537 + $3,400 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
o ptions 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.

How to Apply
Applications must be submitted online.

To ensure consideration, applications must be received by close of business on May 2, 2025.

Applicants must be prepared to submit a complete application consisting of the following:

Cover Letter

You may address your letter to Legal Recruitment.
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 the OAG’s ability to better serve the diverse population of this state.

Resume
Medical Writing Sample
List of three (3) references

Only submit professional 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, your references will not be contacted until after you interview for the position.

If you have questions regarding a position with OAG, the application process, or need assistance with submitting your application, please
contact Legal Recruitment via email at recruitment@ag.ny.gov or phone at 212-416-8080.