Senior Auditor – Medicaid Program

Website Wisconsin Department of Health Services, Office of Inspector General

The Department of Health Services (DHS) strives to protect and promote the health and safety of all people of Wisconsin through the efforts of a dedicated and diverse workforce. DHS works to ensure access to individuals, families, and communities to achieve positive health outcomes in the areas of abuse prevention, mental health, public health, family care, long-term care, and much more.

The Office of the Inspector General (OIG) is seeking to fill a Limited Term Employment (LTE) Auditor Senior in Madison, Wisconsin.

The OIG reports directly to the DHS Secretary and is charged with protecting the taxpayers of Wisconsin by preventing and detecting fraud, abuse, and waste of public assistance programs such as Medicaid, FoodShare, WIC, and FamilyCare.

DHS is located at 1 West Wilson Street in the heart of downtown Madison, near the State Capitol, the Madison Metro route and the Capital City bike path. DHS is one of the largest and most diverse state agencies in Wisconsin, with an annual budget of roughly $11.5 billion and more than 6,100 employees.

This position will work approximately 20 hours per week within the OIG business hours of 9:00 am – 3:00 pm, Monday through Friday.

This position will be headquartered at 1 W. Wilson St in Madison but may have the opportunity to work fully remote based on agency approval at the time of offer.  If fully remote, this schedule may vary based on training or operational need.

Of special note:

  • LTE positions are not civil service classified positions, do not give any rights to a permanent civil service classified position and do not lead to permanent status.
  • Wisconsin residency is required for LTE positions.
  • No more than 1039 hours may be worked in a 12-month year
    Position Summary
  • This LTE position will conduct audits of cost reports submitted by Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC) and facilitate interim and quarterly payments.

This auditor position works to develop/conduct routine and complex specialized compliance, program, operational, procedural, investigative, and financial audits of health care entities that are reimbursed by the Title XIX Wisconsin Medicaid Program.  Such entities provide a variety of unique specialized medical care and services to Medicaid recipients and may include:

  • Physicians/physician clinics, pharmacies, therapies (occupational, physical, speech), ambulances, federally qualified health centers, nursing homes, hospitals, labs, durable medical equipment suppliers, etc.
  • The major goals are to ensure that medical care and services were rendered to Program beneficiaries and those incidents and practices did not cause a direct or indirect financial loss to the Medicaid Program or to beneficiaries and their families.

Salary Information
The starting salary is between $27.00 and $33.00 per hour, depending on experience. The pay schedule and range is 07-03.

Job Details
All applicants who may be appointed to this position will be required to allow DHS to conduct a background check to determine whether the circumstances of any conviction may be related to the job being filled.

All state employees are required to report their COVID vaccination status, whether they are vaccinated or not, and must provide supporting documentation if vaccinated. Newly hired employees will be required to submit this information within their first two weeks of employment.

This position requires travel to conduct onsite provider audits. Occasional overnight stays may be required.  Selected candidate must have the ability to drive a State vehicle or provide one’s own transportation.

Qualifications
Minimally qualified applicants will have all of the following:

  • Bachelor’s degree or greater in accounting or equivalent training and experience in accounting and/or auditing.
  • Experience conducting record reviews, compliance reviews, audits, or other evaluative tasks.
  • Experience reviewing financial statements and allocating costs appropriately.

Well-qualified applicants will also have one or more of the following:

  • Experience conducting audits in a medical setting.
  • Experience using software analysis tools such as interChange or Business Objects to pull, analyze, and apply data to complete an audit or project.
  • Experience presenting audit or project results in both written and verbal communications.

Interested applicants apply at wisc.jobs  – Job ID# 7000

To apply for this job please visit wj.wi.gov.