Auditor Trainee (Program Integrity Auditor Trainee)

State of Illinois•Chicago, IL

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. 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. Employees receive a robust benefit package including: 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) If you are seeking a new opportunity, and this position appeals to you, please apply today! At the Illinois Department of Healthcare and Family Services (HFS), we value staff as our greatest asset. We work in a spirit of teamwork to help millions of Illinoisans access high quality healthcare and fulfill child support obligations to advance their physical, mental, and financial well-being. We provide healthcare coverage for children and adults through Medicaid and other medical programs, and we help ensure that children receive financial resources from both their parents through Child Support Services. The HFS Office of the Inspector General investigates, audits and reviews program activity to ensure the integrity of our programs is maintained. HFS is committed to promoting and preserving a workplace culture that embraces diversity, equity, and inclusion. We welcome and value employees with different backgrounds, life experiences, and talents. It is the collective sum of our individual differences that provides a broad perspective, leading to greater innovation and achievement. In recruiting for our team, we recognize the unique contributions of each applicant regardless of culture, ethnicity, race, national origin, sex, gender identity and expression, age, religion, disability, and sexual orientation. HFS is an equal opportunity employer.

Requirements

Requires possession of a bachelor’s degree with coursework concentration in accounting or business administration
Requires the ability to pass a background check and self-disclosure of criminal history
Requires the ability to maintain and utilize state issued equipment such as a laptop
Requires the ability to travel in the performance of duties, with overnight stays as appropriate
The conditions of employment listed here are incorporated and related to any of the job duties as listed in the job description

Nice To Haves

One (1) year of experience working with auditing theory and procedures
One (1) year of experience working with and interpreting medical programs, policies, and procedures
One (1) year of experience utilizing computer software, including, Microsoft Word, Excel, Outlook, or any computer software related to medical records systems to conduct audits and develop reports
One (1) year of experience drafting written audit reports
One (1) year of experience auditing, billing, or medical scribing using medical terminology
One (1) year of laboratory or pharmacy operations, or pharmacy retail experience

Responsibilities

Serves as Program Integrity Auditor Trainee by participating in an Agency-sponsored Medicaid provider auditortraining program of not more than 12 months in duration in the audit section
Completes assignments of increasing difficulty to gain experience and develop auditing skills
Completes assigned auditing projects to develop and refine knowledge of the tools and techniques utilized inperforming medical provider audits and in drafting comprehensive audit reports
Attends and participates in staff meetings and conferences
Performs other duties as required or assigned which are reasonably within the scope of the duties enumeratedabove

Benefits

Monday-Friday work schedule
Flexible work schedules are available in many program areas.
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)