Governmental Auditor 2 (GA2)

Oregon Health AuthorityKeizer, OR
293d$5,066 - $7,774

About The Position

The Oregon Health Authority's Fiscal and Operations Division has a fantastic opportunity for a Governmental Auditor 2 to join an excellent team. This is a Full-Time, Permanent, Classified position with the Office of Program Integrity (OPI). The mission of the OPI is to ensure program integrity of the Medicaid program through auditing, investigations, research, and policy development. In this role, you will conduct compliance audits of providers participating in Medicaid programs. The audit function is designed to detect, identify, and deter medical program fraud, waste, and abuse, and to monitor and ensure provider compliance with federal, state, and agency rules and regulations. This position will perform independent audits of simple and complex issues of different provider types to ensure compliance with federal and state Medicaid rules and regulations. You will be responsible for educating providers, CCOs, and other organizations of the audit process and OHA rules and regulations to ensure compliance. This strategic position is integral to the integrity of Oregon's Medicaid funding, which ultimately impacts the health and access to services by over one million Medicaid beneficiaries in Oregon.

Requirements

  • A Bachelor's degree in a business-related field, such as business administration, public administration, finance, economics, or computer science.
  • Two years of auditing experience.
  • Twenty quarter hours of college courses in a business or financial field may substitute for the degree with two additional years of auditing experience.
  • Successful completion of the duties and training as an Oregon Governmental Auditor (Entry) will substitute for one year of auditing experience.

Nice To Haves

  • Experience in using Generally Accepted Governmental Auditing Standards (Yellow Book).
  • Skill in auditing techniques: reviewing and analyzing accounting records and program data.
  • Experience in risk analysis for evaluation of internal and management controls.
  • Experience within the Medical, Dental, or Behavioral healthcare field.
  • Experience in provider healthcare billing.
  • Holds certification in a coding or auditing discipline.
  • Skill in oral and written communications, preparing clear and concise reports.
  • Excellent customer service skills.
  • Ability to manage multiple audits and other projects.

Responsibilities

  • Conduct compliance audits of providers participating in Medicaid programs.
  • Perform independent audits of simple and complex issues of different provider types.
  • Educate providers, CCOs, and other organizations about the audit process and OHA rules and regulations.
  • Interact and partner with the Medicaid Fraud Unit at the Department of Justice.
  • Support the appeals process with providers, CCOs, and their representatives.
  • Ensure excellent communication, analytical mindset, professional judgement, and problem-solving skills.
  • Work independently and engage in all activities and projects assigned to the unit.

Benefits

  • Exceptional medical, vision, and dental benefits packages.
  • 11 paid holidays each year.
  • 3 additional paid 'Personal Business Days' each year.
  • 8 hours of paid sick leave accumulated every month.
  • Progressive vacation leave accrual with increases every 5 years.
  • Pension and retirement programs.
  • Optional benefits include short-term disability, long-term disability, deferred compensation savings program, and flexible spending accounts.
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service