Medicaid Fraud - Auditor
are seeking an Auditor/Analyst to join our Medicaid Fraud Unit at the Montana Division of Criminal Investigation. In this role, you will be responsible for conducting thorough audits to protect Montanans.
- Salary: $31.31 Hourly
- Located in Helena, Montana!
- Fantastic State of Montana Benefits: Paid vacation, sick leave, holidays, health, dental, vision coverage, and retirement plans.
- Student Loan Forgiveness: Employment with the State of Montana may qualify you for Public Service Loan Forgiveness.
- Productive Work Environment: Be part of a team that values creativity, innovation, and collaboration.
The position is responsible to audit complex financial records, medical billing, and analysis of evidence obtained to determine if laws or regulations were violated; to gather and analyze evidence for presentation in judicial and administrative proceedings; to determine the financial loss by Montana Medicaid or individuals; to provide support and case direction to criminal investigators and attorneys in the investigation, preparation and presentation of cases; and to coordinate the audit and analysis portion of the cases.
The Auditor is responsible for professional work by performing highly technical audits and analysis of Medicaid Program providers or by performing comprehensive review of such work as performed by other auditors.
The Auditor is responsible for conducting investigative audits and analysis of financial records of health care providers.
Minimum Qualifications:
- Bachelor’s degree in business or related field.
- Three years of directly related experience.
- Other combinations of education or experience may be substituted.
The position requires knowledge of the principles and practices of investigation; rules of evidence; state and federal consumer protection laws and concepts; civil, criminal, and administrative rules, laws, and penalties; constitutional rights of individuals (e.g., privacy, property, and due process rights); business administration principles and practices; public information and education; presentation methods and techniques; business English, spelling, and grammar; conflict resolution.
Successful applicant(s) will be subject to:
- Criminal History Fingerprint Check
- Intensive Background Check
- Driving History
HOW TO APPLY:
- To be considered for this position, you must attach a résumé at the time of application.
- Your Résumé: Please include all work experience as well as job duties that demonstrate your qualifications for this position. Include dates of employment (month & year- start & end) and the reason you left each job.
Amazing State of Montana benefits:
- Medical, dental and vision coverage (dependent coverage)
- Public Employee's Retirement System (PERS) plan choices - Defined Benefit or Defined Contribution
- Additional 457b Deferred Compensation plan.
- Generous paid vacation, sick and holidays
- Pre-tax Flexibility Spending Accounts
- Employee Assistance Program
- State of Montana employment may qualify for student loan forgiveness under the Public Service Loan Forgiveness (PSLF) program.
Closing Date (based on your computer's time zone): ONGOING