Medical Advisor

The duties and responsibilities for a GS-0601-15 Medical Advisor generally include, but are not limited to, the following:

• Providing expert advice of relevant medicine, public health, and health care financing programs (with special emphasis on Medicare), coding, and methods to prevent and detect fraud and abuse.
• Locating and reviewing medical literature and other medical and pharmacological information.
• Reviewing information provided to Department staff on case matters by defendants and others to corroborate the accuracy of any medical content included.
• Reviewing and analyzing medical records and presenting findings, either orally or in written reports.
• Providing medical representation for the Department of Justice at meetings relevant to health care fraud, as requested by management.
• Preparing oral and written presentations on medical and program policy issues as requested.
• Providing guidance to Department attorneys and staff in connection with Medicare and Medicaid billing codes.
• Recommending and proposing investigative steps or focus areas based upon review, from medical, clinical, or payor policy perspective, of health care data analysis.
• Preparing written recommendations and proposals with detailed rationale drawing on review of data analysis conducted by Civil Division, and distilling medical, clinical, and payor policy expertise into proposals.

As the federal agency whose mission is to ensure the fair and impartial administration of justice for all Americans, the Department of Justice is committed to fostering a diverse and inclusive work environment. To build and retain a workforce that reflects the diverse experiences and perspectives of the American people, we welcome applicants from the many communities, identities, races, ethnicities, backgrounds, abilities, religions, and cultures of the United States who share our commitment to public service.

Starting at $163,964 Per Year (GS 15)