Audit and Review Analyst 4 Medicaid Program Integrity Manager - PCN 064104
Audit and Review Analyst 4 Medicaid Program Integrity Manager - PCN 064104
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Job Description
- Join the Department of Health!Were thrilled to welcome you!Weve made our application process more accessible than ever.Please take a look at our job announcement below.If you can see yourself in this role apply nowyour next opportunity awaits!This position is open to Alaskan Residents only.
What you will be doing:This role is ideal for individuals with expertise in financial oversight audit management and Medicaid program integrity. In this position you will:
- Serve as Alaskas Medicaid Program Integrity Office manager coordinating Medicaid audit and program integrity activities and ensuring compliance with state and federal regulations.
- Manage and oversee Medicaid quality assurance and audit activities for the Department of Health including management of provider overpayment recovery sanctions and selfaudit programs.
- Supervise and direct audit staff and oversee audit programs including recovery audits and federally required audits such as PERM ARRA and HITECH audits.
- Act as the primary liaison with other agencies on auditrelated matters coordinating closely with the Department of Laws Medicaid Fraud Control Unit federal oversight agencies and CMS Medicaid Integrity Contractors.
- Lead agency communications presenting audit findings recommending corrective actions and ensuring departmental compliance with audit recommendations.
Our mission values and culture:
The Department of Health is committed to promoting the health wellbeing and selfsufficiency of Alaskans through accountability and excellence in program management. This position directly contributes to this mission by ensuring efficient use of resources maintaining program integrity and fostering public trust.
Benefits of joining our team:
Joining our team offers significant professional development opportunities leadership experience in audit and financial oversight and the chance to shape critical crossdepartmental initiatives. We support flexible work schedules and telework opportunities and encourage a collaborative and supportive work environment.
The working environment you can expect:
This position is in the Frontier Building in midtown Anchorage a secured office space with free parking. We offer a professional office environment with daily collaboration among dedicated colleagues and the option for a hybrid work schedule as appropriate. Occasional travel for audits meetings or training sessions may be required.
Who we are looking for:
We are interested in candidates who possess some or all of the following positionspecific competencies:- Compliance: Knowledge of procedures for assessing evaluating and monitoring programs or projects for compliance with Federal laws regulations and guidance.
- Audit Reporting: Knowledge of the principles practices and techniques used to report audit findings (criteria condition cause effect and recommendation).
- Decision Making: Makes sound wellinformed and objective decisions; perceives the impact and implications of decisions; commits to action even in uncertain situations to accomplish organizational goals; causes change.
To view the general description and example of duties for this job class please go to the following link and search forAudit and Review Analyst 4: QualificationsMinimum Qualifications:CompetencyBased Minimum Qualifications Instructions
This job class uses competencybased minimum qualifications.Please ensure your application(through work history volunteer experience (duties summary) training education licenses certifications etc. supports how you have gained the knowledge skills abilities and behaviors (competencies) and that you possess the minimum required competencies for the job class.
Competency Description
The competency description(s) listed below have been designed to promote a common understanding of the essential elements of the job class. They highlight the more general and customary knowledge skills abilities (KSAs) tasks and behaviors used to describe the competency. They typically list expectations instead of specific tasks and are to be used only as parameters and guidelines. A competencys description is not intended to exclusively define every KSA task and behavior needed to meet the competency successfully but rather to provide the manager/agency with a broad reference of options as to how an applicant can meet the job expectation.
Please ensure your application (through work history training education licenses certifications etc. supports/demonstrates you possess the minimum required competencies for the job class.
Minimum QualificationsAny combination of education and/or experience that provides the applicant with competencies in:
- Auditing: Knowledge of generally accepted auditing standards and procedures for conducting financial and compliance economy and efficiency and program audits.
- Financial Systems: Knowledge of the standards architecture and specifications of automated financial systems including source documents system flows system interfaces and related internal controls.
- Organizational Awareness: Knows the organizations mission and functions and how its social political and technological systems work and operates effectively within them; this includes the programs policies procedures rules and regulations of the organization.
- Leadership: Influences motivates and challenges others; adapts leadership styles to a variety of situations.
- Manages Human Resources: Plans distributes and monitors work assignments; evaluates work performance and provides feedback to others on their performance.
Equivalent to those typically gained by:Certification as a Certified Public Accountant;And/orPostsecondary education in accounting public administration business administration or a closely related field that includes or is supplemented by 16 semester hours/24 quarter hours in accounting and 3 semester hours/4 quarter hours in auditing;And/orProgressively responsible professional experience performing the full range of audit functions that includes examination of agency operations and internal management fiscal and accounting controls and serving as an auditorincharge leading a team of lowerlevel auditors performing full scope audits.
Special Note:
Training and education are synonyms for the process of acquiring knowledge and skills through instruction. It includes instruction through formal and informal methods (such as classroom online selfstudy and onthejob) from accredited and unaccredited sources and longduration (such as a postsecondary degree) and shortduration (such as a seminar) programs.
Professional experience means work that is creative analytical evaluative and interpretive; requires a range and depth of specialized knowledge of the professions principles concepts theories and practices; and is performed with the power or right to decide or act according to ones own judgment.
Progressively responsible means indicating growth and/or advancement in complexity difficulty or level of responsibility.Additional Required Information
At the time of the interview please provide the following:
- Three 3 professional references whom we may contact by phone one 1 of whom must be your current or most recent supervisor if not already provided in the application.
- Current performance evaluation if available.
- A copy of academic transcripts (unofficial are okay; please ensure that the institution name/URL is listed on the transcripts) is used to support that you meet the minimum qualification competencies.
Please read the information below carefully. This applies to your application submission.SUPPLEMENTAL QUESTIONS
For your application to be evaluated youmustanswer the Supplemental Questions.
The State of Alaska uses four proficiency levels to measure and describe an applicants level of competence in applying certain behaviors knowledge skills and abilities to accomplish a specific task. The four proficiency levels are Mastery Fluency Literacy and Discovery. You must rate your proficiency level for each competency listed in the supplemental questions.
EDUCATION
To verify education is being used to meet and/or support the required minimum qualifications/competencies you must fill in the Education section of the application. If you have not obtained a degree please indicate the number of units completed. Copies of transcripts are required to verify educational credentials used to meet or support the minimum qualifications/competencies for a position and are required with each application. (Unofficial is okay; please ensure the institution/URL name is listed on the transcripts. Transcripts can be attached at the time of application or provided at the time of interview; if not transcripts will be required before employment.
SPECIAL INSTRUCTIONS FOR FOREIGN EDUCATION
If education is completed in a foreign college or university it may be used to meet the above requirements if applicable. If utilizing this education you must show that the education credentials have been submitted to a private organization that specializes in the interpretation of foreign educational credentials and that such education has been deemed to be at least equivalent to that gained in conventional U.S. education programs or an accredited U.S. state university reports the other institution as one whose transcript is given full value or full value is given in subject areas applicable to the curricula at the state university.It is your responsibility to provide such evidence when applying.The omission of the required documentation listed will result in an incomplete application and you will not receive further consideration.
WORK EXPERIENCEWhen using work experience not documented in your application please provide the employers name job title employment dates and whether you worked fulltime or parttime. Applications will be reviewed to determine if the responses are supported and if minimum qualifications are met. Work experience needed to meet the minimum qualifications must be documented in the application. If the application does not support minimum qualifications the applicant may not advance to the interview and selection phase of the recruitment.A resume will not be used to determine that minimum qualifications have been met for the position you are applying for.
If you have currently or previously been appointed to a flexibly staffed position please ensure your work experience within a flexibly staffed position indicates the actual dates employed at each level. Ensure your time and any subsequent flex promotion(s) are documented as a separate position. This is required as minimum qualifications require experience at a particular level in which the lower level may not be considered. If this information is not accurately reflected in your application this may cause the processing of your application for consideration to be delayed.
NOTE: Attaching a resume or curriculum vitae is not an alternative to filling out the application.Noting see resume or CV or any similar response on any portion of your application may lead to a determination your application is incomplete and removal from consideration for this job posting.
The State of Alaska does not provide VISA Employer sponsorships.MULTIPLE VACANCIES
This recruitment may be used for more than one 1 vacancy. The applicant pool acquired during this recruitment may be used for future vacancies for up to ninety 90 days after this recruitment closes. Interested applicants are encouraged to apply to each recruitment notice to ensure consideration for all vacancies.
APPLICATION NOTICE
You can ONLY apply for this position through the Workplace Alaska website or via hardcopy application. If you accessed this recruitment bulletin through a job search portal such as AlaskaJobs or any other database you MUST use a Workplace Alaska online or hardcopy application to apply successfully. Instructions on how to apply with Workplace Alaska may be found on the Workplace Alaska How to Apply webpage found here: regarding the application process can be directed to the Workplace Alaska hotline at(tollfree) or .If you choose to be contacted by email please ensure your email address is correct on your application and that the spam filter will permit email from the govermentjobs domains. For information on allowing emails from the governmentjobs domains visit the Lost Password Help page at STATEMENT
The State of Alaska complies with Title I of the Americans with Disabilities Act (ADA). Individuals with disabilities who require accommodation auxiliary aides or services or alternative communication formats please callin Juneau or TTY: Alaska Relay 711 oror correspond with the Division of Personnel & Labor Relations at P. O. Box 110201 Juneau AK. The State of Alaska is an equalopportunity employer.
WORKPLACE ALASKA APPLICATION QUESTIONS & ASSISTANCE
Questions regarding application submission or system operation errors should be directed to the Workplace Alaska hotline at(tollfree) orif you are in the Juneau area. Requests for information may also be emailed to.
For applicant password assistance pleasevisithttps:// InformationFor specific information about the position feel free to contact the hiring manager at:Name/Title: Betsy Wood / Associate Director Office of Health SavingsPhone:
Required Experience:
Manager
Employment Type
Remote
Company Industry
Key Skills
- Project / Program Management
- Program Management
- Data Collection
- Military Experience
- Microsoft Powerpoint
- Earned Value Management
- Sharepoint
- Microsoft Project
- Budgeting
- DoD Experience
- Financial Management
- Contracts
