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Idaho Division of Human Resources Medicaid Fraud Control Unit Investigative Auditor , OAG in Boise, Idaho

Medicaid Fraud Control Unit Investigative Auditor , OAG

Posting Begin Date: 2024/10/17

Posting End Date: 2024/12/20

Category: Audit

Sub Category: Program Management

Work Type: Full Time

Remote: Flexible Hybrid

Location: Boise, ID, United States

Minimum Salary: 43.05

Maximum Salary: 47.51

Pay Rate Type: Hourly

Description

State of Idaho Opportunity

Closing Date: Open until filled.

Start Date: To be determined upon hire.

Salary: $43.05 – $47.51 hourly; Depends on Experience

Benefits: State employee benefits which include low-cost health and dental insurance, paid vacation and sick leave, 11 paid holidays, multiple retirement savings plans, flexible spending accounts, paid parental leave, and one of the nation’s best state retirement systems (PERSI). The Office is a qualifying employer for the Public Service Loan Forgiveness Program (PSLF). Ability to partially telecommute is available for this position.

Location: Boise, Idaho. As Idaho’s capital, Boise serves as headquarters for several major national and international corporations. Boise offers a rich variety of both cultural and recreational opportunities. Idaho’s world-famous fly-fishing, skiing, kayaking and hiking are all within easy access.

Primary Duties: The successful applicant for the the Investigative Auditor position will be assigned to the Attorney General’s Medicaid Fraud Control Unit (MFCU). The federally funded and mandated MFCU is an interdisciplinary team dedicated to protecting vulnerable individuals and safeguarding the finite resources on which they depend.

The primary duties include conducting interviews, obtaining and analyzing documents and other evidence, preparing reports and exhibits, maintaining investigative case files, testifying in court, and interfacing with other law enforcement and government agencies. Travel throughout Idaho is required on occasion. .

Minimum Qualifications: The knowledge, skills, and abilities to perform the work required of this position are usually acquired through a combination of education and experience in data analysis, healthcare administration, or medical auditing. Must have the ability to analyze, interpret, and summarize Medicaid claims data, business records, financial records and medical records. Applicants must have above-average communication and interpersonal skills; ability to work in a close-knit team environment with other investigators and prosecutors; have enthusiasm for public service; strong working knowledge of Microsoft Products such as Word and Excel; and be able to adapt to new and challenging assignments with short deadlines.

Preferred Qualifications: Though not required, preference will be given to applicants who possess an undergraduate degree with a major in Data Analytics, Healthcare Administration, Business Management, or other related field, with demonstrable experience in auditing of financial statements and records. The ideal candidate will have prior investigative experience, preferably in areas such as insurance fraud, healthcare fraud, or financial fraud.

Preference may be given to candidates who are Certified Fraud Examiners (CFE) and/or who have specialized knowledge of the Medicaid Program .

Applications: E-mail resumes to [email protected] . NOTE: You do not have to complete the standard application "apply now" process for this position. If you choose to do so, please also submit your resume to[email protected]to be considered for this position.

The Idaho Office of the Attorney General is an equal opportunity employer. This position is exempt from state classified service, and the rules of the Division of Human Resources and the Idaho Personnel Commission. This is an at-will position.

Benefits:

The State of Idaho offers a robust total compensation package, including medical, vision, and dental insurance; PERSI retirement benefits; paid sick, vacation, and parental leave; and 11 paid holidays per year. For additional information related to benefits and/or State programs, please visit https://dhr.idaho.gov/StateEmployees/Benefits.html.*

EEO/ADA/Veteran:

The State of Idaho is committed to providing equal employment opportunities and prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on their race, color, religion, political affiliation or belief, sex, national origin, genetics, or any other status protected under applicable federal, state, or local laws.

The State of Idaho is committed to access and reasonable accommodations for individuals with disabilities, auxiliary aids and services are available upon request. If you require an accommodation at any step in our recruitment process, you are encouraged to contact (208) 334-2263 (TTY/TTD: 711), or email[email protected].

Preference may be given to veterans who qualify under state and federal laws and regulations.

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