Now Hiring! TBI Announces Three Open Positions

 

TBI MEDICAID FRAUD AUDITOR

Medicaid Fraud Control Division

1 Vacancy

TBI Headquarters, Davidson County

 Job Duties:

Requests TennCare claims billing information and summary reports at the request of Medicaid Fraud TBI Special Agents for the purpose of investigative support. Compiles and audits potential Medicaid fraud financial information to include bank statements, credit card statements, financial statements, tax records, etc., in support of Medicaid fraud criminal and civil investigations. Reviews data to include, claims data, Controlled Substance Monitoring Database (CSMD), TennCare claims billing information, and Pharmacy Benefits Manager (PBM), etc., in order to identify anomalies, outliers, and trends in support of Medicaid fraud criminal and civil investigations. Audits financial records to include, bank statements, credit card statements, financial statements, tax records, etc., in order to identify anomalies, outliers, and trends in support of Medicaid fraud criminal and civil investigations. Audits Electronic Health Records (EHR)/ Electronic Medical Records (EMR) in order to identify anomalies, outliers, and trends in support of Medicaid fraud criminal and civil investigations. Develops and utilizes custom investigative tools and applications to include computer programs in support of Medicaid fraud criminal and civil investigations. Interprets and explains TennCare claims billing information and summary reports to Medicaid Fraud TBI Special Agents, Nurse Consultants, and external law enforcement entities. Interprets and explains Medicaid fraud financial information to include bank statements, credit card statements, financial statements, tax records, etc., to Medicaid Fraud TBI Special Agents, Nurse Consultants, and external law enforcement entities.

Minimum Qualifications:

Graduation from an accredited college or university with a bachelor’s degree and experience equivalent to two years full-time professional work in accounting/finance, computer science, statistics, economics, analytics, healthcare, or developing research.

Monthly Salary: $4,091 – $6,546

For Additional Information Contact:

TBI Human Resources Unit at TBI.HR@tn.gov.

 To Apply:

Please visit the Tennessee Department of Human Resources website at www.tn.gov/hr. Apply on Job Opening 7376. This position will be posted March 18, 2020 – March 24, 2020, for five business days.

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INTELLIGENCE ANALYST 1

Fusion Center

2 Vacancies

TBI Headquarters, Davidson County

Job Duties:

Responsible for providing analytical support to federal, state, and local law enforcement agencies statewide and nationwide, in response to requests for assistance. Specifically, provides analytical aid to law enforcement through the six designated TBI Criminal Intelligence Unit (CIU) programs: AMBER Alert, Gangs, Human Trafficking, Missing Children, Sex Offender Registry, and Top Ten Most Wanted Fugitives. Collects data and information regarding identified law enforcement areas of study for the preparation of publications. This position also requires knowledge and familiarity with products in the Microsoft Office Suite including Excel, PowerPoint, Publisher, and Word.

Minimum Qualifications:

Education and Experience: Graduation from an accredited college or university with a bachelor’s degree.

Monthly Salary: $2,637 – $4,220

For Additional Information Contact: 

TBI Human Resources Unit at TBI.HR@tn.gov. 

To Apply: 

Please visit the Tennessee Department of Human Resources website at www.tn.gov/hr. Apply on Job Opening 7438. This position will be posted March 18, 2020 – March 24, 2020, for five business days.

 

 

Pursuant to the State of Tennessee’s Workplace Discrimination and Harassment policy, the State is firmly committed to the principle of fair and equal employment opportunities for its citizens and strives to protect the rights and opportunities of all people to seek, obtain, and hold employment without being subjected to illegal discrimination and harassment in the workplace. It is the State’s policy to provide an environment free of discrimination and harassment of an individual because of that person’s race, color, national origin, age (40 and over), sex, pregnancy, religion, creed, disability, veteran’s status or any other category protected by state and/or federal civil rights laws.