Auditor - Senior - Madison, United States - State of Wisconsin

State of Wisconsin Madison, United States

4 weeks ago

Description

Introduction

The Department of Health Services strives to protect and promote the health and safety of all people of Wisconsin through the efforts of a dedicated and diverse workforce. DHS works to ensure access to individuals, families, and communities to achieve positive health outcomes in the areas of abuse prevention, mental health, public health, family care, long-term care, and much more.

The Office of the Inspector General (OIG) is seeking to fill an Auditor Senior vacancy. The OIG reports directly to the DHS Secretary and is charged with protecting the taxpayers of Wisconsin by preventing and detecting fraud, abuse, and waste of public assistance programs such as Medicaid, FoodShare, WIC, IRIS, and FamilyCare.

This position will be headquartered at 1 W. Wilson St in Madison. This position offers the option to work remotely 3 to 5 days per week with approval. This position may be required to report to an office or community location on occasion to complete certain tasks. This schedule may vary based on training or operational need.

As an employee of the State of Wisconsin, you'll also have access to an amazing benefits package , including:

3.5 weeks of vacation, 9 paid holidays and ample sick time.
Top rated health plan options starting at $39/month for single plans and $97/month for family plans, after 2 months of state service.
Premium pension plan with at least a 6.9% employer match in 2024. Plus, a tax advantaged supplemental retirement savings plan which allows you to save money directly from your paycheck for retirement. Use this Total Rewards Calculator to see the total value of our competitive benefits package
Several flex spending accounts: medical, dependent care, commuter, parking and High Deductible Health Savings.
A casual office atmosphere, flexible work schedules, and telework options depending on the position's requirements.
Well Wisconsin Wellness Program
A free and confidential employee assistance program that offers employees and their immediate family dependents a variety of tools, resources, and professional consultation services to support their health, goals, and overall well-being.
Public Service Loan Forgiveness Program employer.

Our diversity, equity and inclusion team strives to hire, develop and retain a talented workforce representative of the people of Wisconsin. We are searching for people with diverse backgrounds to join our dynamic and team-oriented environment. We promote professional growth and create a healthy work/life balance and inclusive culture.

Position Summary

As an Auditor Senior, you will work to develop and conduct routine and complex specialized compliance, program, operational, procedural, investigative, and financial audits of health care entities that are reimbursed by the Title XIX Wisconsin Medicaid Program. Such entities provide a variety of unique specialized medical care and services to Medicaid recipients and may include physicians/physician clinics, pharmacies, therapies (occupational, physical, speech), ambulances, nursing homes, hospitals, labs, durable medical equipment and supply providers, etc. The major goals are to assure that medical care and services were rendered to Program beneficiaries and those incidents and practices did not cause a direct or indirect financial loss to the Medicaid Program or to beneficiaries and their families.

You will also be responsible for the following duties:

Conducting on-site and desk audits of Medicaid providers for compliance with state and federal laws, rules and regulations. These audits detect fraud and abuse of the Medicaid Program in order to recover unauthorized Medicaid payments in situations where the Department cannot verify the actual provision of appropriate Medicaid services or the accuracy of the claim.
Researching federal and state Medicaid statutes, codes and other regulations and laws to determine and interpret legal provisions and guidelines, which apply to the audit and identify pertinent audit and investigative issues.
Preparing final audit reports with recommendations and final amount of overpayment identified.
Participating as a team member in strategic planning to develop provider specific strategies to raise the level of program integrity to reduce and/or eliminate fraud, waste and abuse.

Salary Information

The starting pay is between $30.00 and $37.00 per hour (approximately between $62,400 and $77,000 per year), depending on qualifications, plus excellent benefits. A 12-month probationary period is required.

Pay for current or former state employees will be set based on the rules that apply to compensation for the applicable transaction.

Job Details

All applicants who may be appointed to this position will be required to allow DHS to conduct a background check to determine whether the circumstances of any conviction may be related to the job being filled.

For positions that allow remote working flexibility, working outside of Wisconsin or in bordering cities will not be allowed except in extremely limited circumstances due to the need to report to an office location in Wisconsin on short notice.

Employees must have access to both a private workspace and secure high-speed internet for remote work option. Mileage reimbursement to the employee's headquarter location is not provided. Remote work flexibility will be discussed in more detail during the interview process.

DHS does not sponsor work visas for this position, thus, in compliance with federal law, selected candidates will be required to verify eligibility to work in the United States by completing the required I-9 form upon hire.

Qualifications

Minimally qualified applicants will have all of the following:

Experience conducting and leading audits.
Experience reading, interpreting, and applying policy or Administrative Code towards audits or projects.
Experience presenting audit or project results in both written and verbal communications.

Well-qualified applicants will also have one or more of the following:

Experience conducting audits in a hospital or nursing home setting.
Experience using software to extract, analyze, or aply data to complete an audit or project.
Experience working in a team setting to complete an audit or project.

Your letter of qualifications is limited to 2 page(s). For a guide on developing your resume and letter of qualifications and what should be included in these materials, click here .

How To Apply

Applying is easy Click "Apply for Job" to start your application process. Sign into your account or click "New User" to create an account before applying for the job. Follow the steps outlined in the application process to submit your application.

Helpful Information:

Once your application is submitted, no changes are allowed. Click "Save" to allow changes to your application as needed before submitting by the deadline.
You may want to save a copy of the job posting for referencing after the deadline.
Submitted materials will be evaluated by a panel of job experts according to the qualifications above.
Please monitor your email for communications related to this position.
Current or former permanent, classified, state employees must complete the online application process to be considered.
If viewing through an external site, please apply directly at Wisc.Jobs .
For technical assistance and general information, please see Frequently Asked Questions . For questions about the position, to request a copy of the full position description, or for other employment inquiries, please contact Mike Sansom at .

Deadline to Apply

The deadline to apply is May 30th at 11:59 pm.

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