RESEARCH DATA SPECIALIST I

Interested in fighting healthcare fraud? Then the Division of Medi-Cal Fraud and Elder Abuse is the place you want to be. The mission of the Division of Medi-Cal Fraud and Elder Abuse as the State’s Medicaid Fraud Control Unit involves investigating and prosecuting, both criminally and civilly, (a) healthcare providers who defraud the Medi-Cal program and (b) those who abuse or neglect elderly and dependent adults in designated facilities.

The Division of Medi-Cal Fraud and Elder Abuse is looking for a talented Research Data Specialist I – this is an opportunity highly qualified applicants should not miss.

Under the general direction of the Supervising Management Auditor (SMA), independently and collaboratively conducts data mining and data analytics in order to identify and track aberrant patterns and trends of fraud, waste, and abuse in the service of DMFEA’s mission. The incumbent will be responsible for performing analyses of data obtained from various sources in order to develop, maintain, manage, and trend fraud investigation cases; developing and/or applying algorithms and queries to identify and track patterns of fraud and abuse/neglect, as well as identifying and tracking patterns and trends of aberrations in conduct; analyzing and assessing data mined from various sources, including from randomly sampled claims data, to test for compliance with relevant billing and claims-processing guidelines that affect all forms of healthcare delivery in public health programs; and preparing and presenting written and verbal reports that help identify particular areas of fraud, waste, and abuse that are ripe for focused investigative development and strategic case management, mainly where such harms affect the Medicaid program (including as to managed care) and as to elders and dependents falling within the scope of the Division's mission. The Research Data Specialist I will be able to summarize findings and be able to communicate those findings in writing and verbally.

Please let us know how you heard about our position by taking this brief survey:

• This position is located in the Division of Medi-Cal Fraud and Elder Abuse, Investigations Section, Sacramento Regional Office.

• Please disregard the SROA/Surplus language below, as the Department of Justice requires applicants to submit their SROA/Surplus Letter if that is the basis of their eligibility.

• Individuals who are new to State service or are looking to promote must have list eligibility in order to gain employment with the Department of Justice. To access the Research Data Specialist I Examination and obtain list eligibility, please click HERE. Additional exams and information can be found at https://oag.ca.gov/careers/exams.

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• Please note that all new to state employees will be given the minimum salary of the classification. For current state employees and/or those with reinstatement rights, your salary will be determined in accordance with the applicable laws, rules, and regulations.

• For more information about the department, please visit the Attorney General’s website at www.oag.ca.gov.

• A fingerprint check will be required.
• Clearly indicate JC-465873 and the title of this position in the "Examination or Job Title(s) For Which You Are Applying" section located on the first page of your State Application.

• Clearly indicate the basis of your eligibility in the "Explanations" section located on the first page of your State Application.

• If you are using education to meet the minimum qualifications for this position, you must submit a copy of your transcript or diploma. Unofficial school transcripts may be accepted during the application process; however, submission of official transcripts or your diploma is required prior to appointment.

Completed applications and all required documents must be received or postmarked by the Final Filing Date in order to be considered. Dates printed on Mobile Bar Codes, such as the Quick Response (QR) Codes available at the USPS, are not considered Postmark dates for the purpose of determining timely filing of an application.

Final Filing Date: 4/2/2025

Who May Apply

How To Apply

Required Application Package Documents

The following items are required to be submitted with your application. Applicants who do not submit the required items timely may not be considered for this job:

• Current version of the State Examination/Employment Application STD Form 678 (when not applying electronically), or the Electronic State Employment Application through your Applicant Account at www.CalCareers.ca.gov. All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to demonstrate how you meet the Minimum Qualifications for the position.
• Resume is required and must be included.
• Statement of Qualifications -

  A Statement of Qualifications (SOQ) is required. Applicants who do not submit an SOQ will not be considered for this position. The SOQ prompt is listed below.