Complaint Intake Analyst

State of California; California (MO); On-site; USD 50,000 - 85,000; Full time

Job summary

The State of California, Department of Justice, Division of Medi-Cal Fraud and Elder Abuse (DMFEA), seeks an Analyst I to review reports via email inboxes and a toll-free line, determine appropriate actions, and prepare intake-ready documentation.

You will enter Medi-Cal fraud and elder abuse cases into the DMFEA case management system, support the Complaint Intake Unit, and coordinate with CAT, FET, and other teams to route matters as needed.

Qualifications

• Strong attention to detail and the ability to produce accurate, thorough, and quality work.
• Strong analytical and writing skills (ability to organize information in a logical order).
• Ability to prepare and format documents in Microsoft Word and Adobe Acrobat.
• Ability to take direction from management, stakeholders, and others.
• Ability to quickly learn and apply new systems, policies, procedures, and processes.
• Ability to effectively prioritize and manage multiple assignments and competing deadlines while maintaining productivity and accuracy.
• Experience entering data in a case management system or ProLaw.
• Knowledge and experience with MS Word, MS Teams, MS Excel and Outlook.

Responsibilities

• Review reports, monitor four vanity email inboxes and toll-free complaint line for reports of Medi-Cal Fraud and elder abuse.
• Review and analyze submitted reports to determine the appropriate course of action, prepare intake-ready reports, and refer matters outside the unit’s scope to the appropriate county, state, or federal agency.
• Evaluate and enter Medi-Cal fraud, elder abuse, and related complaints in the DMFEA’s case management system.
• Support the daily functions of the Complaint Intake Unit (CIU), the Division of Medi-Cal Fraud and Elder Abuse’s centralized complaint intake unit.

Skills

Analytical skills

Written communication

Attention to detail

Document formatting

Data entry

ProLaw

MS Word

MS Teams

MS Excel

Outlook

Tools

Microsoft Word

Adobe Acrobat

ProLaw

MS Teams

MS Excel

Outlook

Job description

Are you interested in joining a friendly team in a prestigious State agency that seeks to ensure the justice and safety of our most vulnerable citizens and help safeguard the state's Medi-Cal program? If you are a detailed problem solver with strong analytical and organizational skills, then the California Department of Justice, Division of Medi-Cal Fraud and Elder Abuse (DMFEA), is looking for you!

Under the direction of the Supervisor I, the Analyst I reviews reports monitors four vanity e-mail inboxes and toll-free complaint line for reports of Medi-Cal Fraud and elder abuse. The Analyst I reviews and analyzes submitted reports to determine the appropriate course of action, prepares qualify reports for intake, and refers matters outside the unit’s scope of authority to the appropriate county, state, or federal agency. The Analyst I is responsible for evaluating and entering Medi-Cal fraud, elder abuse, and related complaints in the DMFEA’s case management system. Complaints without merit are to be closed by the CIU as directed by the Complaint Assessment Team (CAT,) Facilities Enforcement Team (FET,) and Investigations and Criminal, Civil Prosecutions sections. The Analyst I supports the daily functions of the Complaint Intake Unit (CIU), which is the Division of Medi-Cal Fraud and Elder Abuse’s (DMFEA) centralized complaint intake unit.

You will find additional information about the job in the Duty Statement.

Minimum Requirements You will find the Minimum Requirements in the Class Specification.

• ANALYST I

Desirable Qualifications

In addition to evaluating each candidate's relative ability, as demonstrated by quality and breadth of experience, the following factors will provide the basis for competitively evaluating each candidate:

• Strong attention to detail and the ability to produce accurate, thorough, and quality work.

• Strong analytical and writing skills (ability to organize information in a logical order).

• Ability to prepare and format documents in Microsoft Word and Adobe Acrobat.

• Ability to take direction from management, stakeholders, and others.

• Ability to quickly learn and apply new systems, policies, procedures, and processes.

• Ability to effectively prioritize and manage multiple assignments and competing deadlines while maintaining productivity and accuracy.

• Experience entering data in a case management system or ProLaw.

• Knowledge and experience with MS Word, MS Teams, MS Excel and Outlook.