Assistant Auditor (Program Integrity Auditor I)

State of Illinois•Chicago, IL

23h

About The Position

The Department of Healthcare and Family Services (HFS), Office of Inspector General (OIG), Bureau of Medicaid Integrity, is seeking to hire an Auditor Trainee. Under direct supervision of the Senior Auditor and Audit Supervisor, the successful candidate will conduct external audits of simple areas as well as segments of complex areas. The candidate must complete an agency-sponsored program integrity auditor training program. This includes financial and compliance reviews in Medicaid programs and provider post payments. The Auditor Trainee will utilize various agency software programs and networks to retrieve, analyze, and conduct specialized reviews of complex data for OIG to non-compliance patterns by Medicaid providers. Additional duties include routinely requesting and reviewing billing, financial, contractual, and other types of records from pharmacies and/or laboratories. The ideal candidate will possess knowledge of Medicaid policies, rules, and regulations, and HFS medical programs. The candidate must have the ability to multitask and work with complex spreadsheets, data reports, while accurately tracking this information. It will be important to be highly organized, demonstrate the ability to exercise sound judgment in the identification of priorities, work collaboratively with internal and external partners and proactively address issues, and to ensure timely completion of all work. Knowledge of medical terminology is preferred. HFS values employees with different backgrounds, life experiences, and talents.

Requirements

Requires knowledge, skill, and mental development equivalent to a bachelor’s degree, preferably with major course work in accounting or business administration
Requires satisfactory completion of an agency-sponsored program integrity auditor training program
Requires the ability to pass a background check and self-disclosure of criminal history
Requires the ability to travel in the performance of duties, with overnight stays as appropriate
Requires the ability to utilize and maintain state issued equipment such as a laptop

Nice To Haves

One (1) year of experience working with program integrity review theory and procedures
One (1) year of experience drafting written audit reports
One (1) year of experience auditing in a Medical Assistance Program
One (1) year of experience utilizing computer software relating to audit programs
One (1) year of experience utilizing medical terminology to conduct audits

Responsibilities

Serves as an Assistant Auditor by assisting senior auditors in conducting on-site fiscal analysis and proceduralaudits of medical providers
Gathers information requested by senior auditors for comprehensive audit reports that contain audit findings,calculations of discrepancies, computations, and recommendations
Provides assistance with supplying detailed and highly sophisticated testimony utilized for administrative hearings regarding the analysis methodology used and the professional principles, concepts, and procedures involved in the conduct of reviews and review findings that result in the termination or suspension of providers from the Medical Assistance Program, or the recovery of overpayments made to such providers
Contacts providers to be audited by senior auditors
Confers with supervisor and senior auditor in revising audit scope
Performs other duties as required or assigned which are reasonably within the scope of the duties enumerated above

Benefits

Monday-Friday work schedule
Flexible work schedules are available in many program areas. (Remote work may be an option for certain positions.)
Health, Life, Vision, and Dental Insurance
Pension Plan
Paid Parental Leave
Deferred Compensation Program and other pre-tax benefit programs (Medical/Daycare)
Employees earn (12) paid Sick Days annually.
New Employees earn (10) paid Vacation Days their first year of service and can earn up to (25) paid Vacation Days annually.
Employees earn (3) paid Personal Days annually.
(13-14) paid holidays annually (based on start date)