Persons requiring reasonable accommodation in the application process or requiring information in an alternative format may contact the recruitment team at Those with a hearing impairment in need of accommodation are encouraged to contact the Washington Relay Service at or
Position And Salary
The Attorney General's Office is recruiting for a permanent full time Data Scientist in the Medicaid Fraud Control Division. This position is located in Olympia, Washington, and is represented by the Washington Federation of State Employees (WFSE).
Data Science & Informatics Specialist 1 Salary Range 68: $84,984 - $114,264
The base pay offered will take into account internal equity and may vary depending on the preferred candidate's job-related knowledge, skills, and experience.
The AGO provides a workplace that is understanding of work-life balance and promotes advancement by offering a wide variety of professional development and growth opportunities.
Excellent Benefits
Washington State offers one of the most competitive benefits packages in the nation, including Medical/Dental/Vision for employees & dependent(s); Vacation, Sick, and Other Leave; 11 Paid Holidays per year; Public Employees Retirement System (PERS) plans; and Life Insurance.
Beyond these traditional benefits, we offer Dependent Care Assistance, Flexible Spending Accounts, Public Service Loan Forgiveness, Tuition Waiver, Deferred Compensation, Employee Recognition Leave, and more.
With the goal of employee health and wellness, we also offer:
Flexible schedules and part-time/hybrid telework options;
A Wellness Program, an Infants in the Workplace Program, and the Employee Assistance Program, which provides counseling, webinar, and other cost-free support resources;
Numerous employee-driven affinity groups to foster community and connection, including Bereavement, Elder Care, Parenting, POC, LGBTQ+, Veterans and more. The AGO is a place to belong and make a difference
About The Medicaid Control Division
The work of the Office's Medicaid Fraud Control Division (MFCD) focuses on both criminal and civil law enforcement.
The 75% federally funded MFCD's mission is combating provider fraud, abuse and neglect in residential facilities and involving Medicaid recipients in non-institutional settings.
MFCD's Headquarters is located in Olympia, Washington with some team members also located at the AGO's Spokane Office and Seattle Office.
The Division currently has a staff of 60 FTEs, including attorneys, auditors, special agents, data analysts, clinical health investigators and professional support staff.
MFCD involves protecting not only the Medicaid program of roughly 13 billion dollars per annum, but also its most vulnerable persons, typically elderly persons in residential facilities or persons abused or neglected by a Medicaid Provider.
In many of our cases, there is no precedent so MFCD is consistently on the cutting edge of legal theories and issues.
The cases range from abuse and neglect of persons in nursing homes, large scale organized individual and corporate civil and criminal fraudulent activity to national whistleblower actions.
Our staff is a highly professional, fun and seasoned analytical investigative team. MFCD is unique in that all cases have an attorney, special agent, data analyst assigned with legal support. This, and the great people who make up the division, gives MFC a particularly terrific team atmosphere.
Duties and Essential Functions of a Data Science & Informatics Specialist 1:
Perform research, querying, and analysis of complex Medicaid claim and encounter data; and review financial, billing and healthcare records to identify and detect trends, anomalies and patterns indicative of fraud.
Assist in designing, writing and executing data queries utilizing SQL and other available programming language to query Medicaid data.
Assist in the designs and implementation of advanced statistical models and data algorithms.
Assist in investigative steps to identify, research and assess allegations of fraudulent billings and/or other issues.
Use developed SQL queries and software applications to conduct complex quantitative and qualitative analysis to identify potential fraud schemes for case development.
Analyze complex healthcare service claim and encounter data to determine utilization of complaint/allegation and respond to data requests.
Research Medicaid billing and program guides, policies, state and federal regulations; payment methodologies; billed medical, dental and social services procedure and applicable modifier codes; and diagnosis codes.
Research and understand medical coding systems and guidelines for CPT, HCPCS, ICD, DRG, EAPG, etc.; and the use and application of these codes to identify billing and coding irregularities.
Examine, analyze and research financial and billing documents; audit documents, and healthcare records obtained during the intake process, and/or collected from search warrants and Civil Investigative Demands.
Collaborate with senior data scientists to review analytical reports, spreadsheets, data visualizations and associated documents.
Maintain all reports, documents, spreadsheets, correspondence and other pertinent documentation in electronic format.
There will be a full training program to assist you with becoming familiar with the data and how to query Medicaid data.
If you're looking for a great place to work with positive environment, then this is the job for you
This recruitment announcement may be used to fill multiple open positions for the same classification, in addition to the position(s) listed in this announcement.
Qualifications
Bachelor's degree in informatics, data science, mathematics, computer science, statistics, biostatistics, epidemiology, or a related technical or quantitative field, and one (1) year of experience performing data science or informatics data work.
Experience working in a specialty area, such as public health or healthcare; and/or working with data visualization software and programming may be desired.
Additional qualifying experience may substitute year for year, for required education
Preferred Certification: Certified Public Accountant (CPA), Accredited Financial Examiner (AFE) or Certified Financial Examiner (CFE)
Skills And Abilities
Proficiency with Microsoft Excel, with the ability to develop complex spreadsheets with macros, multiple math functions, advanced filters, and links to external sources of information.
Basic skills and experience with medical coding terminology and systems (CPT, HCPCS, ICD9, ICD10).
Basic knowledge of medical billings.
Basic skills and experience with Microsoft Word, Microsoft Outlook, Microsoft Access; and experience with Adobe Acrobat.
Most desirable candidates will have working knowledge of RAT-STATS, SQL, and SAS.
Knowledge of financial/data analytics.
Conditions Of Employment
A background check consisting of employment history, professional references and educational verification (e.g., degree, license, or official transcript) may be conducted.
Prior to any offer, the applicant selected will be required to submit to and pass a fingerprint-based criminal background check conducted by the Washington State Patrol, Criminal Records Division.
The incumbent will submit to additional background checks as a condition of employment every five (5) years thereafter.
About The Washington State Office Of The Attorney General
The Attorney General's Office (AGO) touches the lives of every resident in this state.
We serve more than 230 state agencies, boards, commissions, colleges and universities, as well as the Legislature and the Governor.
The Office is comprised of nearly 700 attorneys and 800 professional staff, all working together to deliver the highest quality professional legal services to Washington state officials, agencies, and entities.
This includes:Economic justice and consumer protections (safeguarding consumers, protecting youth, seniors, and other vulnerable populations)
Social justice and civil rights (addressing discrimination, environmental protection, and veteran and military resources)
Criminal justice and public safety (investigative and prosecutorial support, financial crimes)
And much more
Our agency also has national reach, representing the State of Washington before the Supreme Court, the Court of Appeals and trial courts in all cases that involve the state's interest.
If you want to make a difference, we may be the perfect fit for you Learn more about the AGO here.
Commitment to Diversity
Diversity is critical to the success of the mission of the AGO. This means recognizing, respecting, and appreciating all cultures and backgrounds and fostering the inclusion of differences between people.
Appreciating, valuing and implementing principles of diversity permits AGO employees to achieve their fullest potential in an inclusive, respectful environment.
One recent measure of the AGO's commitment to diversity can be found in its nomination for Rainbow Alliance and Inclusion Network's "Outstanding Agency Award" in 2019.
Our commitment to employee wellness is reflected in earning the 2024 Zo8 Washington Wellness Award.
Application Instructions
In addition to completing the online application, applicants must attach the following documents to their profile in order to be considered for this position:
A letter of interest, describing your specific qualifications for the position;
A current resume detailing experience and education.
Read The Following Information Completely
Carefully review your application for accuracy, spelling and grammar before submitting.
You may not reapply to this posting for 30 days.
The initial screening of applications will be solely based on the contents and completeness of the "work experience" and "education" sections of your application in , completeness of the application material submitted, and responses to the supplemental questionnaire.
A resume will not substitute for completing the "work experience" section of the application.
All information may be verified and documentation may be required.
The Washington State Office of the Attorney General does not use the E-Verify system; therefore, we are not eligible to extend STEM Optional Practical Training (OPT).
For more information, please
Equal Employment Opportunity and Accommodations Requests
Honoring diversity, equity and inclusion means that as an agency, and as individuals, we are committed to ensuring that all employees and volunteers enjoy a respectful, safe and supportive working environment.
Only by fostering the inclusion of people from all backgrounds, cultures and attributes, can AGO employees and volunteers achieve their fullest potential and best advance the goals and mission of the AGO.
The AGO is an equal opportunity employer and does not discriminate on the basis of race, creed, color, national origin, sex, marital status, sexual orientation/gender identity, age, disability, honorably discharged veteran or military status, retaliation or the use of a trained dog guide or service animal by a person with a disability.
Persons requiring reasonable accommodation in the application process or requiring information in an alternative format may contact the recruitment team at Those with a hearing impairment in need of accommodation are encouraged to contact the Washington Relay Service at or
For questions regarding this recruitment or assistance with the application process, please contact the recruitment team at
If you are having technical difficulties creating, accessing or completing your application, please call NEOGOV toll-free at or
More than Just a Paycheck
Employee benefits are not just about the kind of services you get, they are also about how much you may have to pay out of pocket.
Washington State offers one of the most competitive benefits packages in the nation.
We understand that your life revolves around more than just your career. Like everyone, your first priority is ensuring that you and your family will maintain health and financial security. That's why choice is a key component of our benefits package.
We have a selection of health and retirement plans, paid leave, staff training and other compensation benefits that you can mix and match to meet your current and future needs.
Read About Our Benefits
The following information describes typical benefits available for full-time employees who are expected to work more than six months. Actual benefits may vary by appointment type or be prorated for other than full-time work (e.g. part-time); view the job posting for benefits details for job types other than full-time.
Note: If the position offers benefits which differ from the following, the job posting should include the specific benefits.
Insurance Benefits
Employees and their families are covered by medical (including vision), dental and basic life insurance. There are multiple medical plans with affordable monthly premiums that offer coverage throughout the state.
Staff are eligible to enroll each year in a medical flexible spending account which enables them to use tax-deferred dollars toward their health care expenses.
Employees are also covered by basic life and long-term disability insurance, with the option to purchase additional coverage amounts.
To view premium rates, coverage choice in your area and how to enroll, please visit the Public Employees Benefits Board (PEBB) website.
The Washington Wellness program from the Health Care Authority works with PEBB to support our workplace wellness programs.
Dependent care assistance allows the employee to save pre-tax dollars for a child or elder care expenses.
Other insurance coverage for auto, boat, home, and renter insurance is available through payroll deduction.
The Washington State Employee Assistance Program promotes the health and well-being of employees.
Retirement And Deferred Compensation
State Employees are members of the Washington Public Employees' Retirement System (PERS). New employees have the option of two employer contributed retirement programs. For additional information, check out the Department of Retirement Systems' web site.
Employees also have the ability to participate in the Deferred Compensation Program (DCP).
This is a supplemental retirement savings program (similar to an IRA) that allows you control over the amount of pre-tax salary dollars you defer as well as the flexibility to choose between multiple investment options.
Social Security
All state employees are covered by the federal Social Security and Medicare systems. The state and the employee pay an equal amount into the system.
Public Service Loan Forgiveness
If you are employed by a government or not-for-profit organization, and meet the qualifying criteria, you may be eligible to receive student loan forgiveness under the Public Service Loan Forgiveness Program.
Holidays
Full-time and part-time employees are entitled to paid holidays and one paid personal holiday per calendar year.
Note: Employees who are members of certain Unions may be entitled to additional personal leave day(s), please refer to position specific Collective Bargaining Agreements for more information.
Full-time employees who work full monthly schedules qualify for holiday compensation if they are employed before the holiday and are in pay status for at least 80 nonovertime hours during the month of the holiday; or for the entire work shift preceding the holiday.
Part-time employees who are in pay status during the month of the holiday qualify for the holiday on a pro-rata basis.
Compensation for holidays (including personal holiday) will be proportionate to the number of hours in pay status in the month to that required for full-time employment, excluding all holiday hours.
Pay status includes hours worked and time on paid leave.
Sick Leave
Full-time employees earn eight hours of sick leave per month.
Overtime eligible employees who are in pay status for less than 80 hours per month, earn a monthly proportionate to the number of hours in pay status, in the month to that required for full-time employment.
Overtime exempt employees who are in pay status for less than 80 hours per month do not earn a monthly accrual of sick leave.
Sick leave accruals for part-time employees will be proportionate to the number of hours in pay status, in the month to that required for full-time employment.
Pay status includes hours worked, time on paid leave and paid holiday.
Vacation (Annual Leave)
Full-time employees accrue vacation leave at the rates specified in WAC or the applicable collective bargaining agreement (CBA).
Full-time employees who are in pay status for less than 80 nonovertime hours in a month do not earn a monthly accrual of vacation leave.
Part-time employees accrue vacation leave hours in accordance with WAC or the applicable collective bargaining agreement (CBA) on a pro rata basis.
Vacation leave accrual will be proportionate to the number of hours in pay status, in the month to that required for full-time employment.
Pay status includes hours worked, time on paid leave and paid holiday.
As provided in WAC , an employer may authorize a lump-sum accrual of vacation leave or accelerate the vacation leave accrual rate to support the recruitment and/or retention of a candidate or employee for a Washington Management Service position.
Vacation leave accrual rates may only be accelerated using the rates established WAC
Note: Most agencies follow the civil service rules covering leave and holidays for exempt employees even though there is no requirement for them to do so.
However, agencies are required to adhere to the applicable RCWs pertaining holidays and leave.
Military Leave
Washington State supports members of the armed forces with 21 days paid military leave per year.
Bereavement Leave
Most employees whose family member or household member dies, or for loss of pregnancy, are entitled to five (5) days of paid bereavement leave.
In addition, the employer may approve other available leave types for the purpose of bereavement leave.
Additional Leave
Leave Sharing
Parental Leave
Family and Medical Leave Act (FMLA)
Leave Without Pay
Please visit the State HR Website for more detailed information regarding benefits.
Updated
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(1000all) Your Preferred Name
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(1000all) Your Pronoun(s)
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1000all Are you legally authorized to work in the United States?
Yes
No
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1000all Will you now or in the future require sponsorship for employment visa status?
Yes
No
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1000allclassified.
By clicking yes, I acknowledge that if I am the preferred candidate for this position, I will be required to submit to and pass a fingerprint-based criminal background check conducted by the Washington State Patrol (WSP), Criminal Records Division, as a condition of employment and every five (5) years thereafter.
Incumbent may also be required to submit to and pass a criminal background check at any time during the period of employment if, in the scope of their employment and assigned duties, they are identified as a witness by an Assistant Attorney General prosecuting a criminal case.
By clicking no, I will be removed from further consideration for this position.
Yes
No
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1000allconflict: Have you participated, whether as an attorney, paralegal, legal assistant, or in any other capacity, in the representation of any party in a matter where the party's interest was materially adverse to that of the State, its agencies, or its officers or employees? If yes, please identify all such matters, including the parties to the matter, the court and cause number of the matter, and your role in the matter.
If no, please enter N/A. If you require additional space, please attach additional sheets and indicate your attachment here.
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1000allconflict: Have you participated as a judge, arbitrator, mediator, adjudicative officer, or as a law clerk to such a person, in a matter in which the State or any of its agencies, officers, or employees were a party? If yes, please identify all such matters, including the parties to the matter, the court and cause number of the matter, and your role in the matter.
If no, please enter N/A. If you require additional space, please attach additional sheets and indicate your attachment here.
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1000allconflict: Is there any other matter, person, entity, or personal interest that might present a conflict of interest or otherwise limit your ability to perform work for the Attorney General's Office or represent a state agency, officer, or employee? If yes, please identify such matters, persons, entities, or personal interests with sufficient detail to allow the Attorney General's Office to understand the nature of the potential conflict of interest.
You are not required to disclose any pending or contemplated complaint or dispute for which the law allows you to remain anonymous; however, you are responsible for not accepting assignments that would violate conflict of interest or confidentiality provisions of the Rules of Professional Conduct or other laws with regard to such matters.
If no, please enter N/A. If you require additional space, please attach additional sheets and indicate your attachment here.
Required Question
