Duties

Summary

This position is located in the Fraud Section of the Commercial Litigation Branch in the Civil Division of the Department of Justice. The office is looking for well-qualified analysts capable of analyzing, from a data perspective, civil cases involving healthcare matters.

Learn more about this agency

Responsibilities

As a Data Analyst, you will be responsible for:

• Conducting quantitative analysis of data relating to health care fraud and victimization patterns.
• Assisting Civil Fraud attorneys, investigators, and management, as well as U.S. Attorney(s) Offices and agency partners, by providing information and quantitative analysis of data sets, sources, and files to support them in completing their projects and assignments.
• Evaluating and assessing the quality, outcomes, and impacts of programs related to healthcare fraud and opioid abuse.
• Providing input into statistical analysis, social science research methodologies, metric development, strategic programming, and information sharing/data interoperability.
• Providing training sessions for the Fraud Section on how to conduct quantitative and qualitative analysis, using available data sources including Acumen and data sources shared by partner agencies.
• Reviewing legal and healthcare research studies, data analysis, and program evaluations for methodological soundness and policy relevance.
• Performing quantitative analysis to validate and reconcile databases with internal and external data sets

Travel Required

Occasional travel - You may be expected to travel for this position.

Supervisory status
No

Promotion Potential
13

Requirements

Conditions of Employment

• Must be a U.S. Citizen or National
• Must complete a Background Investigation to include drug testing
• Selective Service Registration is required, as applicable
• May require completion of one year probationary period

Qualifications

To be found fully qualified for this position, you must demonstrate, in the body of your resume, qualifying experience working with and analyzing Medicare and/or Medicaid patient-level data. If you fail to address this factor you will be determined NOT qualified for the position and will NOT receive further consideration.

In addition, candidates must possess one of the following basic requirements to receive consideration for this position:

1) A Bachelor's degree in behavioral or social science such as research and quantitative methods, anthropology, sociology, political science, public health (epidemiology, bio-statistics, health behavior, health systems), health administration, etc. or a related discipline, such as statistics. OR
2) Four years of related experience that demonstrates you have acquired knowledge of one or more of the behavioral sciences equivalent to a major in the field (at least 24 semester hours). This experience must demonstrate that you have the knowledge, skills, and abilities sufficient to perform the work in the occupation. OR
3) A combination of education as described in 1 above and experience described in 2 above that provides the knowledge of one or more of the behavioral or social sciences equivalent to a major in the field. When combining education with experience, first determine your total qualifying education as a percentage of the education required for the grade level; then determine your experience as a percentage of the experience required for the grade level; finally, add the two percentages. (For example, divide your semester hours by 120 then divide your months of experience by 48; add the two percentages. The total must equal at least 100%.

In addition to the basic requirement, you must meet the minimum qualifications:

To qualify for the GS-12, you must have one year of specialized experience equivalent to at least the GS-11 grade level in the Federal Service that demonstrates your ability to design and employ algorithms to discover patterns in data sets; identify relevant data including internal and external data sources; and prepare documents and supporting information in compliance with applicable laws and regulations.

To qualify for the GS-13, you must have one year of specialized experience equivalent to at least the GS-12 grade level in the Federal Service that demonstrates your ability to provide judgment and advice on statistical, social science research methodologies, and policy development; and identify project goals to meet policy and planning needs and requirements.

• Time-in-Grade: Federal employees must meet time-in-grade requirements.
• You MUST meet all qualification requirements by the closing date of this announcement.
• YOUR RESUME MUST support your responses to the online questionnaire and the qualification requirements. Failure to do so may result in an ineligible rating.

Education

All academic degrees and coursework must be completed at a college or university that has obtained accreditation or pre-accreditation status from an accrediting body recognized by the U.S. Department of Education. For a list of schools that meet this criteria, see www.ed.gov.

OR

Education completed in foreign colleges or universities may be used to meet the above education requirements if you can show that the foreign education is comparable to that received in an accredited educational institution in the United States. It is your responsibility to timely provide such evidence by submitting proof of creditability of education as evaluated by a credentialing agency with your application materials. More information may be found at https://www2.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html .

All documentation must be in English or include an English translation. https://www2.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html .

Additional information

Career Transition Assistance Programs: These programs apply to employees who have been involuntarily separated from a Federal service position within the competitive service or Federal service employees whose positions have been deemed surplus or no longer needed. To receive selection priority for this position, you must: (1) meet CTAP or ICTAP eligibility criteria; (2) be rated well-qualified for the position with a score of 85 or above; and, (3) submit the appropriate documentation to support your CTAP or ICTAP eligibility. For more information visit: http://www.opm.gov/rif/employee_guides/career_transition.asp .

Veteran Preference: If you are entitled to or claim veteran preference (VP), you should indicate the type of veteran preference (5 or 10 points) you are claiming on your résumé. In order to determine your eligibility, you can find additional information at: http://www.opm.gov/policy-data-oversight/veterans-services/vet-guide/ .

NOTE: To verify your veteran preference entitlement, please submit a copy of the Member Copy 4 of your DD-214(Certificate of Release or Discharge from Active Duty); official statement of service from your command if you are currently on active duty; or other official documentation (e.g., documentation of receipt of a campaign badge or expeditionary medal) that shows your military service was performed under honorable conditions. (1) If you are claiming 10-point preference, you must submit Member Copy 4 of your DD-214 in addition to the supporting documentation required and identified on the reserves side of the SF-15, Application for 10 Point Veteran Preference. (2) If you are claiming 10-point DERIVED PREFERENCE as a relative you must submit Member Copy of the veteran's DD-214, and an SF-15, Application for 10-point veteran preference" in addition to the supporting documentation required and identified on the reverse side of this form. If you fail to do so, you will receive consideration as a non-veteran.

DOJ EEO Statement/Policy: http://www.justice.gov/jmd/eeos/08-eeo-policy.pdf

Reasonable Accommodation Statement: Federal agencies must provide reasonable accommodation to applicants with disabilities where appropriate. Applicants requiring reasonable accommodation for any part of the application and hiring process should contact the hiring agency directly. Determinations on requests for reasonable accommodation will be made on a case-by-case basis.

Schedule A: DOJ welcomes and encourages applications from persons with disabilities and is firmly committed to satisfying its affirmative obligations under the Rehabilitation Act of 1973 to ensure that persons with disabilities have every opportunity to be hired and advanced on the basis of merit within the Department. DOJ also encourages eligible Schedule A applicants to submit their resumes to resume@benderconsult.com, and reference "Federal Career Opportunities" in the subject line. Additional information is found at: www.benderconsult.com .

Selective Service: If you are a male applicant born after December 31, 1959, you must certify that you have registered with the Selective Service System, or are exempt from having to do so under the Selective Service Law. Additional information is found at: www.sss.gov .

How You Will Be Evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

Your application will be evaluated and rated under DOJ's Category Rating and Selection Procedures. Your resume and supporting documentation will be used to determine whether you meet the job qualifications listed on this announcement. If you are basically qualified for this job, your resume and supporting documentation will be compared to your responses on the Occupational Questionnaire. If you rate yourself higher than is supported by your application materials, your responses may be adjusted and/or you may be excluded from consideration for this job. If it is determined you meet minimum qualification requirements, your application will then be placed in one of three categories: Best Qualified, Highly Qualified, or Qualified. Within these categories, applicants eligible for Veterans' Preference will receive selection priority over non-veteran preference eligibles.

All applicants' qualifications will be evaluated on the following competencies (knowledge, skills, and other characteristics):

• Compliance
• Computer Skills
• Data Management
• Decision Making
• Reasoning

Please Note: The Selecting Official may select additional candidates if more positions become available within 90 days after the HR office issues the selection certificate.

Background checks and security clearance

Security clearance
Not Required

Drug test required
Yes

Position sensitivity and risk
Moderate Risk (MR)

Trust determination process
Suitability/Fitness

Required Documents

• Resume showing relevant experience. Your resume showing relevant experience and dates the experience was obtained. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. (cover letter optional).
• Veteran documentation, (if applicable).
• SF-50 (most recent career/career conditional, if applicable); or for reinstatement to Federal service purposes, the SF-50 that shows you have acquired competitive status
• CTAP/ICTAP documentation, (if applicable)
• Schedule (A) Documentation (if applicable)
• An unofficial college transcript (Note: If you are selected for this position, official transcript(s) will be required prior to your first day.) (Use if education is being credited for the purpose of meeting minimum qualification requirements or if grade point average is being used to determine superior academic achievement.)
• Your Responses to the Occupational Questionnaire.

If you are relying on your education to meet qualification requirements:

Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education .

Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.