State of Illinois
AUDIT SUPERVISOR (PUBLIC SERVICE ADMINISTRATOR, OPT. 2)
State of Illinois, Chicago, Illinois, United States, 60290
Job Requisition ID: IG 42739
BPIS: 03496
Start Date: 11/19/2024Closing Date/Time: 12/05/2024Agency: Department of Healthcare and Family ServicesClass Title: PUBLIC SERVICE ADMINISTRATOR - 37015Skill Option: Fiscal Management/Accounting/Budget/ Internal Audit/Insurance/FinancialBilingual Option: NoneSalary: Anticipated Starting Salary $7,966/month to $9,000/monthJob Type: SalariedCategory: Full TimeCounty: CookNumber of Vacancies: 1Plan/BU: None
****A RESUME IS REQUIRED FOR THIS JOB POSTING****
Please attach a DETAILED Resume/Curriculum Vitae (CV), a copy of your transcripts or diploma for all degrees earned, and a copy of any applicable professional licensures to the MY DOCUMENTS section of your application. Please note that the Department of Healthcare and Family Services must verify proof of higher education for any degree earned (if applicable) before any offer can be extended. You WILL NOT be considered for the position if you attach a CMS100, CMS100b or any other document in lieu of a Resume or CV.
Working with the State of Illinois is a testament to the values of compassion, equity, and dedication that define our state. Whether you’re helping to improve schools, protect our natural resources, or support families in need, you’re part of something bigger—something that touches the lives of every person who calls Illinois home.No matter what state career you’re looking for, we offer jobs that fit your life and your schedule—flexible jobs that provide the gold standard of benefits. Our employees can take advantage of various avenues to advance their careers and realize their dreams. Our top-tier benefits and great retirement packages can help you build a rewarding career and lasting future with the State of Illinois.
Position Overview:
The Department of Healthcare and Family Services, Office of Inspector General, Bureau of Medicaid Integrity is seeking to hire a highly capable and experienced professional to serve as Audit Supervisor to oversee pharmacy provider audits. In this capacity, the Audit Supervisor will provide technical guidance and logistical support to the auditors and manage the audits to completion. The Audit Supervisor will be responsible for the quality and accuracy of the audit output through oversight starting with validations that the payment of claims complies with the regulations, feedback to the auditor for any auditing errors, communication to the auditee of discrepancies, and provide support in all audit conferences. This candidate will also be responsible for reviewing data to determine trends and make recommendations for future audits.
The ideal candidate will demonstrate a strong foundation in Medicaid policy, pharmacy claims processing and procedures, and problem-solving skills to address audits of high complexity. Ideal skills include the ability to exercise sound judgment in the identification of priorities, to work collaboratively with internal and external partners, proactively address issues, and to ensure timely completion of all work. The candidate will exhibit strong leadership skills to achieve set goals while demonstrating independent initiative. Strong written and verbal communication skills are essential to be successful in this role.
HFS values employees with different backgrounds, life experiences, and talents.Employees receive a robust benefit package including:• Monday-Friday work schedule • Flexible work schedules are available in many program areas. (Remote work may be an option for certain positions.)• Health, Life, Vision, and Dental Insurance• Pension Plan• Paid Parental Leave• Deferred Compensation Program and other pre-tax benefit programs (Medical/Daycare)• Employees earn (12) paid Sick Days annually.• New Employees earn (10) paid Vacation Days their first year of service and can earn up to (25) paid Vacation Days annually.• Employees earn (3) paid Personal Days annually.• (13-14) paid holidays annually (based on start date)If you are seeking a new opportunity, and this position appeals to you, please apply today!
At the Illinois Department of Healthcare and Family Services (HFS), we value staff as our greatest asset. We work in a spirit of teamwork to help millions of Illinoisans access high quality healthcare and fulfill child support obligations to advance their physical, mental, and financial well-being. We provide healthcare coverage for children and adults through Medicaid and other medical programs, and we help ensure that children receive financial resources from both their parents through Child Support Services. The HFS Office of the Inspector General investigates, audits and reviews program activity to ensure the integrity of our programs is maintained.
HFS is committed to promoting and preserving a workplace culture that embraces diversity, equity, and inclusion. We welcome and value employees with different backgrounds, life experiences, and talents. It is the collective sum of our individual differences that provides a broad perspective, leading to greater innovation and achievement. In recruiting for our team, we recognize the unique contributions of each applicant regardless of culture, ethnicity, race, national origin, sex, gender identity and expression, age, religion, disability, and sexual orientation. HFS is an equal opportunity employer.
Essential Functions
Subject to management approval, serves as an Audit Supervisor in the Office of Inspector General (OIG) for the Illinois Department of Healthcare and Family Services (HFS)Serves as full line supervisorConfers with providers in informal reviewsProvides input into the revision of audit manuals, standard operating procedures, audit protocols, and guidelines for obtaining goals/objectivesAttends staff meetings and conferences to keep abreast of any changes and/or revisionsPerforms other duties as required or assigned which are reasonably within the scope of the duties enumerated above
Minimum Qualifications
Requires knowledge, skill, and mental development equivalent to completion of four (4) years of college with courses in business administration, accounting, or financeRequires prior experience equivalent to three (3) years of progressively responsible administrative experience in the fields of fiscal management, accounting, budgeting, internal auditing, insurance and/or finance
Preferred Qualifications
Two (2) years of professional experience in pharmacy operations and complianceTwo (2) years of work experience utilizing the National Drug Code (NDC) DirectoryTwo (2) years of professional experience with computerized pharmacy information and dispensing systems, operations, and clinical pharmacy servicesTwo (2) years of professional auditing experienceTwo (2) years of professional experience drafting reportsOne (1) year of professional experience interpreting and applying Medicaid laws, rules, or policiesOne (1) year of work experience reviewing and analyzing medical or pharmacy claims data reportsOne (1) year professional experience serving in a supervisory or leadership role
Conditions of Employment
Requires completion of background check and self-disclosure of criminal historyRequires the ability to travel statewide in the performance of duties, with overnight stays as appropriateRequires the ability to utilize and maintain state issued equipment such as a laptopThis position has been found to meet the requirements in section 4A-101 of the Illinois Governmental Ethics Act requiring the occupant/employee to file a Statement of Economic Interest. The Illinois Governmental Ethics Act (5 ILCS 420/4A et seq.)requires certain state officials and employees to file annual Statements of Economic Interest with the Office of the Secretary of State that will be made available for examination and copying by the public. All employees required to file a Statement ofEconomic Interest are also required to file the Supplemental Statement of Economic Interest with the Executive Ethics Commission. (See Executive Order 15-09) Fines and penalties apply to untimely filingsRequires ability to attend seminars, conferences, and trainings to stay current on methods, tools, ideologies, or other industry related topics relevant to the job duties
The conditions of employment listed here are incorporated and related to any of the job duties as listed in the job description
Work Hours: Monday-Friday 8:30am-5:00 pmWork Location: 401 S Clinton St, Chicago, Illinois, 60607Email: HFS.OIGApps@illinois.govPosting Group: Leadership & Management
The main form of communication will be through email. Please check your “junk mail”, “spam”, or “other” folder for communication(s) regarding any submitted application(s). You may receive emails from the following addresses:
donotreply@SIL-P1.ns2cloud.comsystems@SIL-P1.ns2cloud.com
BPIS: 03496
Start Date: 11/19/2024Closing Date/Time: 12/05/2024Agency: Department of Healthcare and Family ServicesClass Title: PUBLIC SERVICE ADMINISTRATOR - 37015Skill Option: Fiscal Management/Accounting/Budget/ Internal Audit/Insurance/FinancialBilingual Option: NoneSalary: Anticipated Starting Salary $7,966/month to $9,000/monthJob Type: SalariedCategory: Full TimeCounty: CookNumber of Vacancies: 1Plan/BU: None
****A RESUME IS REQUIRED FOR THIS JOB POSTING****
Please attach a DETAILED Resume/Curriculum Vitae (CV), a copy of your transcripts or diploma for all degrees earned, and a copy of any applicable professional licensures to the MY DOCUMENTS section of your application. Please note that the Department of Healthcare and Family Services must verify proof of higher education for any degree earned (if applicable) before any offer can be extended. You WILL NOT be considered for the position if you attach a CMS100, CMS100b or any other document in lieu of a Resume or CV.
Working with the State of Illinois is a testament to the values of compassion, equity, and dedication that define our state. Whether you’re helping to improve schools, protect our natural resources, or support families in need, you’re part of something bigger—something that touches the lives of every person who calls Illinois home.No matter what state career you’re looking for, we offer jobs that fit your life and your schedule—flexible jobs that provide the gold standard of benefits. Our employees can take advantage of various avenues to advance their careers and realize their dreams. Our top-tier benefits and great retirement packages can help you build a rewarding career and lasting future with the State of Illinois.
Position Overview:
The Department of Healthcare and Family Services, Office of Inspector General, Bureau of Medicaid Integrity is seeking to hire a highly capable and experienced professional to serve as Audit Supervisor to oversee pharmacy provider audits. In this capacity, the Audit Supervisor will provide technical guidance and logistical support to the auditors and manage the audits to completion. The Audit Supervisor will be responsible for the quality and accuracy of the audit output through oversight starting with validations that the payment of claims complies with the regulations, feedback to the auditor for any auditing errors, communication to the auditee of discrepancies, and provide support in all audit conferences. This candidate will also be responsible for reviewing data to determine trends and make recommendations for future audits.
The ideal candidate will demonstrate a strong foundation in Medicaid policy, pharmacy claims processing and procedures, and problem-solving skills to address audits of high complexity. Ideal skills include the ability to exercise sound judgment in the identification of priorities, to work collaboratively with internal and external partners, proactively address issues, and to ensure timely completion of all work. The candidate will exhibit strong leadership skills to achieve set goals while demonstrating independent initiative. Strong written and verbal communication skills are essential to be successful in this role.
HFS values employees with different backgrounds, life experiences, and talents.Employees receive a robust benefit package including:• Monday-Friday work schedule • Flexible work schedules are available in many program areas. (Remote work may be an option for certain positions.)• Health, Life, Vision, and Dental Insurance• Pension Plan• Paid Parental Leave• Deferred Compensation Program and other pre-tax benefit programs (Medical/Daycare)• Employees earn (12) paid Sick Days annually.• New Employees earn (10) paid Vacation Days their first year of service and can earn up to (25) paid Vacation Days annually.• Employees earn (3) paid Personal Days annually.• (13-14) paid holidays annually (based on start date)If you are seeking a new opportunity, and this position appeals to you, please apply today!
At the Illinois Department of Healthcare and Family Services (HFS), we value staff as our greatest asset. We work in a spirit of teamwork to help millions of Illinoisans access high quality healthcare and fulfill child support obligations to advance their physical, mental, and financial well-being. We provide healthcare coverage for children and adults through Medicaid and other medical programs, and we help ensure that children receive financial resources from both their parents through Child Support Services. The HFS Office of the Inspector General investigates, audits and reviews program activity to ensure the integrity of our programs is maintained.
HFS is committed to promoting and preserving a workplace culture that embraces diversity, equity, and inclusion. We welcome and value employees with different backgrounds, life experiences, and talents. It is the collective sum of our individual differences that provides a broad perspective, leading to greater innovation and achievement. In recruiting for our team, we recognize the unique contributions of each applicant regardless of culture, ethnicity, race, national origin, sex, gender identity and expression, age, religion, disability, and sexual orientation. HFS is an equal opportunity employer.
Essential Functions
Subject to management approval, serves as an Audit Supervisor in the Office of Inspector General (OIG) for the Illinois Department of Healthcare and Family Services (HFS)Serves as full line supervisorConfers with providers in informal reviewsProvides input into the revision of audit manuals, standard operating procedures, audit protocols, and guidelines for obtaining goals/objectivesAttends staff meetings and conferences to keep abreast of any changes and/or revisionsPerforms other duties as required or assigned which are reasonably within the scope of the duties enumerated above
Minimum Qualifications
Requires knowledge, skill, and mental development equivalent to completion of four (4) years of college with courses in business administration, accounting, or financeRequires prior experience equivalent to three (3) years of progressively responsible administrative experience in the fields of fiscal management, accounting, budgeting, internal auditing, insurance and/or finance
Preferred Qualifications
Two (2) years of professional experience in pharmacy operations and complianceTwo (2) years of work experience utilizing the National Drug Code (NDC) DirectoryTwo (2) years of professional experience with computerized pharmacy information and dispensing systems, operations, and clinical pharmacy servicesTwo (2) years of professional auditing experienceTwo (2) years of professional experience drafting reportsOne (1) year of professional experience interpreting and applying Medicaid laws, rules, or policiesOne (1) year of work experience reviewing and analyzing medical or pharmacy claims data reportsOne (1) year professional experience serving in a supervisory or leadership role
Conditions of Employment
Requires completion of background check and self-disclosure of criminal historyRequires the ability to travel statewide in the performance of duties, with overnight stays as appropriateRequires the ability to utilize and maintain state issued equipment such as a laptopThis position has been found to meet the requirements in section 4A-101 of the Illinois Governmental Ethics Act requiring the occupant/employee to file a Statement of Economic Interest. The Illinois Governmental Ethics Act (5 ILCS 420/4A et seq.)requires certain state officials and employees to file annual Statements of Economic Interest with the Office of the Secretary of State that will be made available for examination and copying by the public. All employees required to file a Statement ofEconomic Interest are also required to file the Supplemental Statement of Economic Interest with the Executive Ethics Commission. (See Executive Order 15-09) Fines and penalties apply to untimely filingsRequires ability to attend seminars, conferences, and trainings to stay current on methods, tools, ideologies, or other industry related topics relevant to the job duties
The conditions of employment listed here are incorporated and related to any of the job duties as listed in the job description
Work Hours: Monday-Friday 8:30am-5:00 pmWork Location: 401 S Clinton St, Chicago, Illinois, 60607Email: HFS.OIGApps@illinois.govPosting Group: Leadership & Management
The main form of communication will be through email. Please check your “junk mail”, “spam”, or “other” folder for communication(s) regarding any submitted application(s). You may receive emails from the following addresses:
donotreply@SIL-P1.ns2cloud.comsystems@SIL-P1.ns2cloud.com