Medical Advisor (GS-0601-15)

About the role

The Department of Justice is seeking a Medical Advisor at GS-0601-15 to advise on medicine, public health, health care financing programs (with special emphasis on Medicare), coding, and methods to prevent and detect fraud and abuse. The position requires a one-year full-time commitment.

Key responsibilities

• Provide expert advice on medicine, public health, health care financing programs, coding and fraud prevention and detection.
• Locate and review medical literature and medical and pharmacological information.
• Review information provided to Department staff on case matters to corroborate the accuracy of medical content.
• Review and analyze medical records and present findings orally or in written reports.
• Represent the Department of Justice at meetings on health care fraud, as requested by management.
• Prepare oral and written presentations on medical and program policy issues.
• Guide Department attorneys and staff on Medicare and Medicaid billing codes.
• Recommend investigative steps or focus areas based on medical, clinical or payor policy review of health care data analysis.
• Prepare written recommendations and proposals with detailed rationale, drawing on data analysis conducted by the Civil Division.

Required profile

• United States citizen or national; a pre-employment security investigation and background check including a drug screen is required.
• A Bachelor's or graduate/higher degree in a field related to medicine, health sciences or allied sciences.
• At least one full year of specialized experience equivalent to GS-14 in health care fraud prevention, detection and enforcement, such as advising on Medicare coverage, reviewing medical records, analyzing claims data or supporting fraud investigations.
• Foreign education must be shown as equivalent to U.S. standards, in English or with an English translation.

Selections may be made from this announcement; candidates may be asked to serve a one-year probationary period. The position is open to Career Transition Program participants who meet the stated criteria.