Compliance Officer Jobs

About The Position

Requirements

• Meet at least one of the stated minimum qualification pathways: (1) an accredited four-year college degree in any field and five years of full-time investigative or closely related work involving specified regulatory, health care administration, quality assurance, or contract duties; (2) an accredited four-year college degree in any field and five years of full-time professional-level work interpreting and enforcing federal or state laws or department policies and procedures, or conducting quality assurance review of program compliance; (3) graduation from an accredited law school and two years of full-time work described in pathways 1 or 2, or in the practice of law; (4) nine total years of education and/or qualifying full-time experience, with 30 semester hours of accredited college coursework equaling one year of experience; (5) current, continuous state executive branch experience including two years of full-time management or supervisory work in interpreting and enforcing laws or department policies and procedures, or quality assurance review; or (6) current, continuous state executive branch experience including 18 months of full-time work as a Compliance Officer 1.
• Analyze reports and interpret data results to identify audit focus areas.
• Use critical thinking, logic, and reasoning to assess the strengths and weaknesses of alternative solutions or approaches.
• Understand and interpret federal and state requirements and apply them to state compliance.
• Communicate effectively to inform and foster productive relationships.
• Complete a background check as part of consideration for the position.
• Perform all work on behalf of Iowa Health and Human Services within the State of Iowa.

Responsibilities

• Oversee Iowa Medicaid Program Integrity audits and investigations enforcement activities.
• Ensure PI audits and investigations operations comply with federal and state laws, rules, guidelines, and program requirements.
• Maintain liaison with Iowa Attorney General staff and confer on cases, audits, or management activities referred for compliance or enforcement action.
• Serve as the Division’s operational and policy subject matter expert on audits and investigations.
• Assess state and vendor PI audit and investigation procedures and processes for potential risks and vulnerabilities to the Iowa Medicaid program.
• Establish a quality assurance program to promote operational and financial integrity of Iowa Medicaid internal operations.
• Confer with Attorney General staff and advise state Medicaid and vendor teams on the compliance and legality of procedures.
• Lead and coordinate audits and investigations involving Iowa Medicaid, vendors, and managed care entities.
• Lead and coordinate external entity federal and state audits of the Iowa Medicaid program.
• Analyze reports and interpret data results to identify focus areas for compliance or program integrity audits.
• Recommend actions based on review of relevant facts, data, policies, and available information.
• Evaluate areas of risk and identify recommended changes.
• Interpret federal and state requirements and determine how they apply to state compliance.
• Communicate effectively to inform others and foster productive relationships.

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• Paid time off, including vacation, sick leave, and paid holidays
• Retirement plans through IPERS and the Retirement Investors Club, including a state match of up to $75 per month
• Flexible spending accounts for medical and dependent care expenses
• Life insurance
• Free long-term disability insurance
• Employee Assistance Program
• Employee discount programs