Two Job Openings Announced at TBI Headquarters

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.

Substitution of Experience for Education: Full-time professional work in accounting/finance, computer science, statistics, economics, analytics, healthcare, legal or developing research may substitute for the required education.

Monthly Salary: $4,450 – $6,658

For Additional Information Contact: TBI Human Resources Unit at TBI.HR@tbi.tn.gov.

To Apply: Please visit the Tennessee Department of Human Resources website at www.tn.gov/hr. Apply on Job Opening 51474. This position will be posted October 12, 2023 – October 18, 2023, for five business days.

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Job Duties: Responsible for receiving forensic evidence into the laboratory from law enforcement officers. Advises submitting agencies on recommended laboratory testing of evidence and notifies submitting agencies or individuals to retrieve completed evidence. Creates case files and enters data, including demographic case data and laboratory test assignments, using the Laboratory Information Management System (LIMS). Maintains the location and security of evidence in the vault area and maintains case records. Distributes evidence within the crime laboratory under proper chain of custody, performs basic clerical activities, and testifies in court as required regarding chain of custody. Assists Forensic Scientists with case work. This may include evidence screening, instrumental techniques, and/or other duties as assigned to assist with case work. Performs case folder clerical management duties such as case assignment and case folder filing. Performs basic laboratory quality control duties including reagent preparation, equipment checks, and safety checks. Performs laboratory housekeeping responsibilities including cleaning glassware and management of laboratory supplies.

Minimum Qualifications: Education and Experience: Education equivalent to graduation from a standard high school and two years of full-time experience in one or a combination of the following areas: (1) any professional laboratory work or; (2) non-professional laboratory work receiving and classifying evidence or; (3) any professional law enforcement work or; (4) non-professional law enforcement work receiving and classifying evidence.

OR

Substitution of Education for Experience: Course work credit received from an accredited college or university may substitute for the required experience on a month-for-month basis to a maximum of two years (e.g. 45 quarter hours may substitute for one year of the required experience).

Monthly Salary: $3,542 – $5,300

For Additional Information Contact: TBI Human Resources Unit at TBI.HR@tbi.tn.gov.

To Apply: Please visit the Tennessee Department of Human Resources website at www.tn.gov/careers. Apply on job opening 51412. This position will be posted on October 12, 2023 – October 18, 2023 for five (5) 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.