Program Integrity PERM Audit Coordinator

State of Oregon • Salem, OR

1d • $5,554 - $8,522 • Hybrid

About The Position

This position is part of the Program Integrity Audit Unit in the Office for Program Integrity which reports directly to the Chief Financial Officer of the Fiscal Operations Division of OHA. 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 audits of providers participating in Oregon’s Medicaid program. 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. In addition, this position serves as the state coordinator for the federal Payment Error Rate Measurement (PERM) cycle, leading all phases of each three-year cycle and facilitating all communication and coordination among CMS, federal contractors, state staff, and Medicaid and CHIP providers. Because this work directly affects Oregon’s Medicaid funding and impacts over one million diverse beneficiaries, the role requires strong analytical skills, excellent communication, independent judgment, and a demonstrated understanding of health equity and PIAU’s mission.

Requirements

• A Bachelor's degree in a business-related field, such as business administration, public administration, finance, economics, computer science, etc., AND two years of auditing experience.
• OR Twenty quarter hours of college courses in a business or financial field such as the areas listed above AND two additional years of auditing experience may substitute for the degree.
• Transcripts must be submitted for all required or related courses.

Nice To Haves

• Experience in using Generally Accepted Governmental Auditing Standards as prescribed by the U.S. Government Accountability Office, also referred to as the Yellow Book.
• Skill in auditing techniques: reviewing and analyzing accounting records and program data; collecting evidence, documenting work papers appropriately and identifying audit exceptions; conducting interviews, inquiry, and communication with auditee personnel at various administrative levels; developing computer assisted auditing techniques; analyzing and evaluating the results of statistical samples to support audit findings.
• Experience in risk analysis for evaluation of internal and management controls.
• Experience within the Dental or Behavioral Health 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 and effectively communicating problems and recommendations in support of audit findings.
• Skill in presenting audit findings (e.g., graphs, charts, etc.).
• Skill in researching compliance and operational issues and State or Federal regulations applicable to the organizational unit under review.
• Strong analytical, independent judgement and excellent customer service skills.
• Ability to manage multiple audits and other projects and be able to organize and prioritize work to meet deadlines and have flexibility and work demand tolerance.
• Must be proficient in Microsoft Office products such as Outlook, Word, Excel, Teams and PowerPoint.
• Experience in creating and maintaining a work environment that is respectful and accepting of diversity among team members and the people we serve.
• Preference may be given to applicants with experience in the dental or behavioral health fields.

Responsibilities

• Conduct audits of providers participating in Oregon’s Medicaid program to detect, identify, and deter medical program fraud, waste, and abuse.
• Monitor and ensure provider compliance with federal, state, and agency rules and regulations.
• Serve as the state coordinator for the federal Payment Error Rate Measurement (PERM) cycle, leading all phases of each three-year cycle.
• Facilitate communication and coordination among CMS, federal contractors, state staff, and Medicaid and CHIP providers for the PERM cycle.

Benefits

• Excellent, low-cost medical, vision, and dental coverage for you and your family.
• Optional benefits like life insurance, disability coverage, deferred compensation, and FSA options for health and childcare.
• Generous paid time off: 11 holidays, 3 personal days, monthly sick leave, and vacation accrual starting at 8 hours/month.
• Potential eligibility for the Public Service Loan Forgiveness Program.
• Retirement security through Public Employees Retirement System (PERS)/Oregon Public Service Retirement Plan (OPSRP).
• Training and development opportunities to grow your career with the State of Oregon.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level