Audit Supervisor
Audit Supervisor
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$ 65000 - 67099
1 Vacancy
Job Description
AHCCCS
Arizona Health Care Cost Containment System
Accountability Community Innovation Leadership Passion Quality Respect Courage Teamwork
The Arizona Health Care Cost Containment System (AHCCCS) Arizonas Medicaid agency is driven by its mission to deliver comprehensive costeffective health care to Arizonans in need. AHCCCS is a nationally acclaimed model among Medicaid programs and a recipient of multiple awards for excellence in workplace effectiveness and flexibility.
AHCCCS employees are passionate about their work committed to high performance and dedicated to serving the citizens of Arizona. Among government agencies AHCCCS is recognized for high employee engagement and satisfaction supportive leadership and flexible work environments including remote work opportunities. With career paths for seasoned professionals in a variety of fields entrylevel positions and internship opportunities AHCCCS offers meaningful career opportunities in a competitive industry.
Come join our dynamic and dedicated team.
Audit Supervisor
Office of Inspector General (OIG)
Address:801 E. Jefferson Street Phoenix AZ 85034
All AHCCCS Employees must reside within the state of Arizona.
Salary: $65000 $67099
Grade: 24
Position will remain open until filled.
This position will supervise the daily activities of the OIG Fraud Prevention Unit. Plan and participate in both internal and external activities of the unit and direct complex audit and investigative functions involving potential violations of both state and federal statutes rules and regulations and policies and procedures. May interact with law enforcement AHCCCS divisions and regulatory agencies to coordinate investigations of overlapping jurisdictions.
Major duties and responsibilities include but are not limited to:
Provide appropriate direction to investigators for ongoing investigations. Analyzes data collected during the investigation and reports findings to the appropriate place for case disposition. Review completed work assignments review reports of investigations and make recommendations for change or improvement. Reviews and approves all final case reports.
Performs effective case and project briefing to the DIG DAD and the IG as appropriate. Serves as the final quality control review to ensure that all technical and reporting standards are met. Evaluate coach counsel and provide training.
Track cost avoidance savings as a result of audits and investigations performed by employees of the fraud prevention unit. Use spreadsheets and case tracking software to deliver metrics and goals set for the unit. Active participant in software modernization projects and seeks future development and growth for FPU duties.
Supervise the daily activities of the Fraud Prevention Unit consisting of planning scheduling prioritizing work activity setting up workload controls determining priorities monitoring activity progress and setting goals. Ensuring that the CMS AHCCCS and related policies are applied. Approves annual leave and other related duties.
Communicates effectively with members of the public and internal staff orally and in writing. Provide new and ongoing training. Identify and develop relationships with other referring agencies such as: Social Security Administration Department of Transportation and the Department of Child Safety.
Attends meetings with management to provide updates discuss recommendations regarding policy issues related to the Fraud Prevention Unit. Reviews national literature and best practices attends professional conferences and recommends ways to more effectively control fraud and abuse in the AHCCCS program.
Participate in AMS development of Metrics and lead measures establish goals facilitate weekly huddles participating in GEMBA walks.
Other duties as assigned as related to the position (typically 5 10
Knowledge:
Preparation of detailed computerized spreadsheets computerized AHCCCS and the AZ Department of Economic Security (DES) mainframe systems to effectively extract relevant information
Microsoft Windows software Excel spreadsheet software
Basic understanding of data base software Medicaid Programs and Prepaid Medical Management Information System (PMMIS) and/or DES Eligibility System (AZTECS)
Various types of eligibility programs including but not limited to Social Security Disability Long Term Care program Supplemental Security Income Temporary Assistance to Needy Families (TANF) program and the Sixth Omnibus Budget Reconciliation Act (SOBRA)
Income and resource requirements for eligibility for each of these varied programs
Proper methods of interviewing suspects witnesses and victims and of the rules regarding the admissibility of statement admissions and confessions
State Personnel Rules
AMS guidelines and LEAN initiatives
Skills:
Computing summarizing and aggregating qualitative and quantitative data in an accurate and timely manner
Troubleshooting and problem solving
Research methodologies
Developing and using spreadsheets
Interviewing techniques to elicit information
Effective verbal and written communication with the ability to compose reports correspondence and policy
Organizing documenting and preparing investigative reports
Interpersonal relations as applied to contact with benefit recipients landlords employers public and private organization representatives
Abilities:
Motivate people and work within a team environment
Clearly state what is expected so that there will be no misunderstandings among employees
Function effectively in an orderly and purposeful manner in situations of stress or tension
Think analytically
Deal with multiple tasks at one time
See/listen to multiple sides of an issue
Operate a State Vehicle and maintain an AZ Drivers License in good standing
Arizona Drivers License.
Minimum:
Two years experience as an Auditor or closely related field. Two or more years showing increased workflow responsibilities.Experience in modernization projects and experience in briefing.
Preferred:
Two or more years experience providing direct supervision and overseeing daily activities of a section (or) Degree in Criminal Justice or related field or Certified Fraud Examiner (CFE) Certification or Certified Professional Coder (CPC) and two or more years of responsible investigative experience preferably in government healthcare law enforcement insurance or managed care organization.
Four or more years of responsible investigative experience in Government/Healthcare and or Degree in Criminal Justice or related field.
Successfully pass fingerprint background check prior employment verifications and reference checks; employment is contingent upon completion of the abovementioned process and the agencys ability to reasonably accommodate any restrictions.
Travel may be required for State business. Employees who drive on state business must complete any required driver training (see Arizona Administrative Code R210207.12.)If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business then the following requirements apply:Drivers License Requirements.
All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (EVerify).
Among the many benefits of a career with the State of Arizona there are:
10 paid holidays per year
Paid Vacation and Sick time off 13 and 12 days per year respectively) start earning it your 1st day (prorated for parttime employees)
Paid Parental LeaveUp to 12 weeks per year paid leave for newborn or newlyplaced foster/adopted child.Learn more about the Paid Parental Leave pilot programhere.
Other Leaves Bereavement civic duty and military.
A topranked retirement program with lifetime pension benefits
A robust and affordable insurance plan including medical dental life and disability insurance
Participation eligibility in the Public Service Loan Forgiveness Program (must meet qualifications)
RideShare and Public Transit Subsidy
A variety of learning and career development opportunities
By providing the option of a fulltime or parttime remote work schedule employees enjoy improved work/life balance report higher job satisfaction and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion.
For a complete list of benefits provided by The State of Arizona please visit ourbenefits page.
Lifetime Pension Benefit Program
Administered through the Arizona State Retirement System (ASRS)
Defined benefit plan that provides for lifelong income upon retirement.
Required participation for LongTerm Disability (LTD) and ASRS Retirement plan.
Pretaxed payroll contributions begin after a 27week waiting period (prior contributions may waive the waiting period).
Deferred Retirement Compensation Program
Voluntary participation.
Program administered through Nationwide.
Taxdeferred retirement investments through payroll deductions.
Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing .
Requests should be made as early as possible to allow time to arrange the accommodation. The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.
Required Experience:
Manager
Employment Type
Full-Time
