Senior Auditor

State of Nebraska•Lincoln, NE

6d•Onsite

About The Position

Under administrative supervision from the Chief Auditor, the Senior Auditor investigates cases of complex white collar financial crimes and schemes committed by providers of medical services to Medicaid recipients, cases of the misuse of patient personal funds, and cases of patient abuse and neglect. This person designs and conducts full investigative audit and analysis procedures relating to criminal and civil investigative work involving methods of fraud examination and forensic accounting and the detection and investigation of frauds against the Medicaid program. They will perform financial investigations ranging from the routine to the most sensitive, complex and difficult white collar cases. The successful candidate will provide necessary facts upon which criminal and civil complaints can be filed. They must be able to prepare clear and comprehensive reports to explain his/her findings based off data that was gathered, compiled and analyzed. Typical tasks include analysis of financial documents, assisting with or conducting interviews, detailed report writing, analysis of Medicaid providers’ billings to detect fraudulent schemes and abnormal patterns, preparation of analytical charts, assisting the investigative and legal staff with case development and problem solving, and testifying in court.

Requirements

Bachelor's degree in accounting or closely related field.
Three to four years of experience in accounting or auditing.
Proficient in Microsoft Word, Excel, Powerpoint, and Access.
No felony, serious misdemeanor or domestic abuse related convictions.
Must pass a criminal history and abuse background check prior to an offer of employment.

Nice To Haves

Certified Fraud Examiner (CFE) designation.
Experience relating to fraud examinations.
Experience with medical terminology.
Experience with medical claims/claims analysis.
Experience involving application of state statutes, agency rules and regulations and court/administrative hearings process.

Responsibilities

Designs and conducts full investigative audit and analysis procedures relating to criminal and civil investigative work involving methods of fraud examination and forensic accounting and the detection and investigation of frauds against the Medicaid program.
Performs financial investigations ranging from the routine to the most sensitive, complex and difficult white collar cases.
Provides necessary facts upon which criminal and civil complaints can be filed.
Prepares clear and comprehensive reports to explain findings based off data that was gathered, compiled and analyzed.
Analyzes financial documents.
Assists with or conducts interviews.
Writes detailed reports.
Analyzes Medicaid providers’ billings to detect fraudulent schemes and abnormal patterns.
Prepares analytical charts.
Assists the investigative and legal staff with case development and problem solving.
Testifies in court.