Auditor II

State of North Carolina

1d•Hybrid

About The Position

The Auditor is responsible for performing financial, compliance, and operational auditing activities associated with State Directed Payments (SDPs) for Public Ambulance Providers and Local Health Departments participating in North Carolina Medicaid. This role ensures that all cost data, Certified Public Expenditures (CPEs), and financial submissions meet state and federal requirements while supporting accurate calculation, reconciliation, and documentation of Medicaid-directed payments. The Auditor conducts detailed reviews of provider financial statements, expenditure reports, cost allocations, and supporting documentation to validate allowable costs and certify public expenditures. Work includes coordinating with county governments, public ambulance entities, local health departments, and internal state Medicaid teams to obtain necessary data and ensure compliance with reporting timelines. The Auditor prepares SDP financial models, verifies intergovernmental transfer (IGT) requirements when applicable, reconciles payment calculations, and documents methodologies consistent with CMS and NC Medicaid guidance. This position also assists with audit readiness, responding to federal or state inquiries, developing internal controls, and supporting continuous improvement of SDP processes.

Requirements

Bachelor’s degree in accounting from an appropriately accredited institution and two (2) years of accounting/auditing experience in the preparation of interpretive or analytical accounting/financial statements and reports; or Bachelor’s degree in business administration or other field from an appropriately accredited institution with twelve (12) semester hours in accounting and two (2) years of experience as specified above; or Associate’s degree in accounting from an appropriately accredited institution and four (4) years of experience as specified above; or equivalent combination or education and experience.

Nice To Haves

Comprehensive Knowledge of Public-Sector Financial Practices: Strong understanding of governmental accounting principles, Medicaid financing, Certified Public Expenditures (CPEs), and federal/state audit standards, including the ability to interpret and apply Medicaid policy and CMS guidance.
Financial Analysis and Compliance Expertise: Ability to analyze financial statements, expenditure data, and cost allocation methodologies to ensure accuracy, compliance, and validation of allowable costs.
Audit, Risk, and Internal Controls Proficiency: Skilled in evaluating internal controls, assessing risk, identifying discrepancies, and documenting audit procedures thoroughly and in accordance with established standards.
Data Management and Technical Skills: Proficient in Excel and financial management systems, with experience developing and reviewing financial models for State Directed Payment calculations, reconciliations, and cost reporting.
Communication, Coordination, and Organizational Skills: Strong written and verbal communication skills to convey audit findings and guidance, with the ability to manage deadlines, coordinate across stakeholders, and maintain well-organized audit documentation.

Responsibilities

Performing financial, compliance, and operational auditing activities associated with State Directed Payments (SDPs) for Public Ambulance Providers and Local Health Departments participating in North Carolina Medicaid.
Ensuring all cost data, Certified Public Expenditures (CPEs), and financial submissions meet state and federal requirements.
Supporting accurate calculation, reconciliation, and documentation of Medicaid-directed payments.
Conducting detailed reviews of provider financial statements, expenditure reports, cost allocations, and supporting documentation to validate allowable costs and certify public expenditures.
Coordinating with county governments, public ambulance entities, local health departments, and internal state Medicaid teams to obtain necessary data and ensure compliance with reporting timelines.
Preparing SDP financial models.
Verifying intergovernmental transfer (IGT) requirements when applicable.
Reconciling payment calculations.
Documenting methodologies consistent with CMS and NC Medicaid guidance.
Assisting with audit readiness.
Responding to federal or state inquiries.
Developing internal controls.
Supporting continuous improvement of SDP processes.