Healthcare Auditor Jobs

The Iowa Department of Inspections and Appeals (DIA) in the Investigation Division is seeking capable and enthusiastic individuals to join the Medicaid Fraud Control Unit (MFCU) a as Healthcare Auditor.

Who We Are

It is the mission of the Iowa Medicaid Fraud Control Unit to maintain the integrity of the Iowa Medicaid program and the provision of Medicaid services by investigating allegations of fraud committed against the Iowa Medicaid program, fraudulent activities, and patient abuse pertaining to the provision of Medicaid goods and services.

What We’re Seeking

Desired Abilities Include

The MFCU Healthcare Auditor conducts various records analyses, provides organized data analyses to MFCU personnel and federal law enforcement partners, and conducts data mining activities to identify indicators of potential Medicaid fraud. The position reports directly to the MFCU Bureau Chief, and is located in the Lucas State Office building on the Capitol complex in Des Moines.

• Treats customers courteously and be responsive to their needs
• Displays high standards of professional and ethical conduct
• Commits to providing a high-quality service
• Possesses a high level of organization skills and is process-driven
• Addresses and listens to others in respectful manner
• Works collaboratively with a diverse group of people

What You’ll Do

• Exhibit proficient computer skills to utilize case management system and other computer databases
• Analyze financial records, medical records, etc.
• Complete thorough and accurate data analyses for MFCU personnel and federal law enforcement partners
• Complete necessary training as required by state, department, and unit policies
• Cooperate with local, state, and federal law enforcement partners and outside administrative/regulatory agencies
• Maintain valid drivers license to operate state vehicle
• Understand and apply state and federal laws, rules, and regulations, along with Medicaid programs and policies
• Conduct data mining activities of Medicaid claims data to identify potential Medicaid fraud
• Perform SQL queries to retrieve, organize, and analyze Medicaid claims data in Microsoft Excel spreadsheets
• Facilitate information requests from MFCU with state Medicaid agency and contracted Managed Care Organizations
• Communicate clearly and effectively in verbal and written form with others
• Maintain confidentiality of all case information

What We Offer

In Addition To Providing a Positive Work Environment, We Offer a Great Compensation Package For All Our Full-time Employees, Including

When you join DIA, you help to make Iowa safer and healthier while enjoying an outstanding benefits package.

• Optional 401A plan with employer contributions
• Employee Discount Programs from variety of vendors (vision, cellular, fitness, recreation, season passes, travel, counseling)
• Flexible Spending Accounts
• Biweekly vacation accrual and separate sick leave
• Excellent pay and benefits package including health, dental, flexible spending, and life insurance
• Iowa Public Employee Retirement System (IPERS) Retirement Package
• Retirement Investors Club (Employer Sponsored Retirement Plan)

For additional information on benefits, click here (Download PDF reader) . Excited to pursue the next step in your career? Apply today!

A criminal history and abuse background check will be conducted prior to an offer of employment.

Minimum Qualification Requirements

Graduation from an accredited college or university with a Bachelor's degree with a minimum of twelve semester or equivalent hours in accounting, business administration or finance, and eighteen months of full-time professional auditing or accounting experience;

OR

an equivalent combination of education and experience, substituting one year of work experience in auditing or accounting work involving the preparation or analysis of financial statements for every thirty semester hours of the required education to a maximum of four years;

OR

employees with current continuous experience in the state executive branch that includes twelve months of full-time work as an Accountant/Auditor 1.

For additional information, please click on this link to view the job description.

Additional Qualification Requirements

Some positions require overnight travel. Incumbents will be required to make arrangements on their own regarding transportation to and from assigned work areas.