Kansas Medicaid Inspector General

Website Office of the Kansas Attorney General

The Office of the Kansas Attorney General (OAG) is accepting applications to hire a Medicaid Inspector General. Reporting directly to the Attorney General, the Medicaid Inspector General provides the highest level of direction and oversight of the Office of the Medicaid Inspector General (OMIG) to include strategic planning, organization, procedures and policies in support of the OMIG’s mission to provide increased accountability, integrity and oversight of the state Medicaid program, MediKan program and Children’s Health Insurance Program (CHIP) or their successor programs. This is accomplished through performance of audits, investigations, and performance reviews of these programs.

In accordance with state law, the Medicaid Inspector General shall be appointed by the Attorney General with the advice and consent of the senate and subject to confirmation by the senate.  Appointment to the position shall serve for a term which will expire on January 15 of each year in which the whole senate is sworn in for a new term.  Consecutive reappointments are possible.

For more information, refer to K.S.A. 75-7427.

The Medicaid Inspector General’s responsibilities may include but are not limited to the following:

  • Detection and investigation of fraud, waste, abuse and illegal acts relating directly to such programs.
  • Conduct performance reviews and supervise activities to detect and investigate fraud, waste, abuse and illegal acts
  • Solicit, receive and investigate complaints
  • Audit state programs (not only KDHE and KDADS), contractors, vendors, and health care providers related to ensuring appropriate payments are made for services rendered and to the recovery of overpayments
  • Investigate fraud, waste, abuse, or illegal acts committed by clients of the programs or by consumers of services of such programs
  • Monitor the adherence to the terms of any contract between a state agency (not only KDHE) and any organization with which the state agency has entered into a contract to make claims payments
  • Keep the Attorney General apprised of efforts relative to OMIG’s mission.  Report findings of credible evidence of fraud, waste, abuse, or illegal acts found to the Attorney General.
  • Referral of appropriate cases for administrative action, civil action, or criminal prosecution.
  • Refer to the appropriate authority or entity matters for civil and administrative enforcement actions against any individual or entity that engages in improper practices relative to such programs
  • Make information and evidence obtained available to the appropriate officials and consult with the deputy attorney general for Medicaid Fraud and Abuse Division and other state and federal law enforcement officials for coordination of criminal investigations and prosecutions
  • Ensure the preparation of cases, preservation of evidence, provision of testimony and support administrative hearings and other legal or administrative proceedings.
  • Perform other functions necessary or appropriate to fulfill the duties and responsibilities of the OMIG in accordance with federal and state law
  • Participate in the appointment of agents, investigators, assistants, and other officers and employees as may be needed for the performance of duties
  • Represent the OMIG with federal, state, and county entities and other stakeholders regarding Medicaid program integrity issues, including multi-agency investigations and prosecutions, resources, and strategic direction
  • Oversee and direct the analysis and reporting of current organizational structure, and methods and protocols in use; consider recommendations for changes or improvements; ensure implementation of adopted ideas and monitor progress
  • Prepare annual reports, findings and recommendations regarding the office’s investigations into reports of fraud, waste, abuse and illegal acts relating to any such programs.

Additional Duties: Additional duties may be added at any time. This announcement does not state or imply that these are the only activities to be performed. You would be expected to follow other job-related instructions and perform other job-related duties as requested.

Qualifications:

Education

  • Graduation from an accredited four-year college or university with major course work in business administration, business management, health care management, or related field(s).

Licensing & Certification

  • A valid driver’s license when operating a state vehicle, a private vehicle, or a rental vehicle for the benefit of the State

Minimum Qualifications

Medicaid Inspector General must possess:

  • experience with professional standards that relate to the fields of auditing and investigations in government
  • demonstrated knowledge, skills, abilities and experience in conducting audits or investigations and shall be familiar with the programs subject to oversight by the OMIG
  • at time of appointment, or obtain within one (1) year after appointment, certification as a certified inspector general from a national organization that provides training to inspectors general
  • excellent verbal and written communication

Preferred Qualifications

  • Lawyer with government or private sector performance auditing and accountability experience or a qualified professional with extensive experience in those same areas.

Post-Offer, Pre-employment Requirements

As a condition of employment, candidate(s) are subject to a pre-employment screening process to include a fingerprint and name-based criminal history records check and reference/background check of past and present employers. The pre-employment screening process will be waived for current OAG personnel who have previously completed the screening requirements.

In this position you would be authorized access to private information to the extent necessary to perform the assigned duties. Employees of the OAG are required to protect against unauthorized access to such information, ensure the security and privacy of such information, and disclose any anticipated threats or hazards to such information. Employees must be very careful not to release this information to the public or to other individuals, including but not limited to OAG employees who have not been authorized or who do not have a legitimate organizational, departmental, or business need to know. Any questions regarding release of such information to another person should be directed to the employee’s supervisor.

Recruiter Contact Information:

Name: Deann Tiede
Email: careers@ag.ks.gov
Phone: (785) 296-3716

For more details and to apply, see online job announcement found here.

To apply for this job please visit jobs.sok.ks.gov.