Share this Job

68063492 - SYSTEMS PROJECT CONSULTANT

Date: Oct 7, 2020

The State Personnel System is an E-Verify employer. For more information click on our E-Verify website.

Requisition No: 248241 

Agency: Agency for Health Care Administration

Working Title: 68063492 - SYSTEMS PROJECT CONSULTANT

Position Number: 68063492 

Salary:  $1,673.36-$3,302.59 BI WEEKLY 

Posting Closing Date: 10/21/2020 

This is a full time career service position, with regularly scheduled hours of Monday-Friday 8:00 a.m. to 5 p.m. This Systems Project Consultant position is anticipated to be filled at a rate of $43,507.36 - $85,867.24 per year based on the selected candidate's experience. This position may involve travel related activities from 1-25%.  Successful completion of a criminal background investigation is a condition of employment. 

 

The Florida Medicaid program is one of the five largest in the country, and has an estimated $28 billion annual budget. Each month Florida Medicaid covers medical services for almost 4 million recipients. To most effectively serve this large patient population, one of the Agency goals is to ensure fewer budgeted dollars are lost to fraud, abuse, and waste. The Bureau of Medicaid Program Integrity (MPI) does this specifically through audits and investigations of healthcare providers suspected of engaging in fraudulent or abusive behavior, as well as overpayment recoveries, administrative sanctions, and the referral of suspected fraud or other criminal activities for law enforcement investigation.

 

This Systems Project Consultant position will support the fraud and abuse prevention efforts within the Bureau of Medicaid Program Integrity. 

 

The Data Analysis Unit is a dynamic and fast-paced unit within MPI that works closely with other units to serve the overall bureau mission. To address the complexity and scope of fraudulent and abusive behavior in the Florida Medicaid program, the Data Analysis Unit is responsible for developing novel methods and technologies to fight fraud, abuse, and waste. To do this, the highly collaborative and innovative unit relies on a team with diverse educational and experience backgrounds.

 

This position requires a strong background in data science/statistical methods as well as a desire to innovate. The selected candidate will assist in detecting and developing leads related to fraud, abuse, and waste through research and analysis of complex health and business-related data.  Included in the functions of this position are activities such as:

 

•Compiling, cleaning, and processing data from unstructured sources

•Utilizing large data sets from structured data sources such as data warehouses and public data repositories

•Creating analysis pipelines that integrate data from many independent sources (both structured and unstructured)

•Building high quality models to generate leads for investigation

•Writing SQL queries/stored-procedures in Microsoft SQL Server and Oracle SQL Developer

•Performing complex analysis in statistical programming languages such as R and Python

•Creation of interactive data visualization in tools such as Tableau, Power BI, or R Shiny as well as generating static data reports

 

MPI provides a multitude of training opportunities for all MPI employees to enhance their professional growth.  This position offers an excellent array of benefits, including:  

                 

•Health insurance

•Life insurance

•Dental, vision and supplemental insurance     

•Retirement benefits   

•Vacation and sick leave

•Paid holidays

•Opportunities for career advancement

•Tuition waiver for public college courses

•Training opportunities

 

 

For more information, please view MPI's section of "Florida's Efforts to Control Medicaid Fraud and Abuse FY 2018-2019" located at: http://ahca.myflorida.com/MCHQ/MPI/docs/FraudReports/FraudReport2018-19.pdf

 

 

KNOWLEDGE, SKILLS, AND ABILITIES:

• Excellent programming skills in SQL.

• Excellent programming skills in Python or R

• Experienced with advanced mathematical and statistical concepts

• Ability to troubleshoot and debug code efficiently

• Knowledge of data mining principles, practices, and techniques

• Understanding of various machine learning methods and their practical application

• Ability to correctly identify, analyze, and interpret trends or patterns in complex data sets

• Ability to communicate technical observations or concepts to non-technical stakeholders

MINIMUM QUALIFICATIONS:

•Two years of experience in an analytical field with a focus on programming or statistics.

•Two years of experience working with large data sets, that may include data warehouses and public data repositories.

•Three years of experience in SQL, as well as Python or R.

•Advanced skills in Microsoft Excel including functions, PowerQuery, data models, and VBA.

•Preference will be given to candidates with a graduate degree from an accredited college or university in data analysis, informatics, business intelligence, mathematics, statistics, actuarial science, biomedical science, or a substantially similar academic discipline.

•Experience as described above can substitute on a year-for-year basis for the preferred college education

 CONTACT PERSON: Sterling Abney 850-412-4600

The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.

Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.

VETERANS’ PREFERENCE.  Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans’ Preference will receive preference in employment for Career Service vacancies and are encouraged to apply.  Candidates claiming Veterans’ Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code.  Veterans’ Preference documentation requirements are available by clicking here.  All documentation is due by the close of the vacancy announcement. 


Nearest Major Market: Tallahassee