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Under general direction of the Executive Director of the Office of Rate Review, the Audit & Review Analyst III is primarily responsible for utilizing, maintaining, and providing technical support for highly complex auditing and rate setting methodologies to determine Medicaid payment rates for healthcare providers which are in compliance with applicable federal and state law while adhering to Generally Accepted Accounting Principles and Generally Accepted Auditing Standards. These activities involve independent evaluation and determination utilizing computerized worksheets, consultation with healthcare provider representatives or consultants, federal representatives, and consultation with relevant Departmental staff, of applicable findings, summaries, conclusions and recommendations for use by the Executive Director, and the department in the Medicaid audit and rate setting processes.
This position supervises three (3) internal Audit & Review Analyst II auditors which plans, organizes, supervises, monitors, performs and coordinates Medicaid audit and rate setting projects for a range of healthcare providers including but not limited to Federally Qualified Health Centers, behavioral health providers, free-standing birthing centers, home and community based waiver providers, personal care providers, and tribal providers for non-federally set Indian Health Service services. Determines organizational and functional assignments and work flow, presents and executes healthcare provider audit and rate setting activity and results. It also has supervisory responsibility for the exercise of independent judgment in employing, promoting, transferring, disciplining, or adjudicating grievances of subordinates.
The Office of Rate Review values more than just technical abilities. We are seeking an effective manager who can demonstrate a high level of initiative, good interpersonal skills, and who can adapt to a dynamic, changing work environment.
Key Responsibilities include, but are not limited to:
- Oversees the Department´s Medicaid auditing, rate determination and rate setting programs.
- Monitors, analyzes and summarizes complex health care provider financial information such as Medicare Cost Reports, certificate of need documents, grant payments and documentation utilizing program audits and reviews, and audited financial statements to compute, evaluate, document and justify appropriate Medicaid payment rates.
- Determines whether accounting or agency procedures and actions comply with established state and federal laws, rules, and regulations.
- Evaluates, recommends, and participates in the audit topic selection for areas of emphasis and analysis of audit need.
- Analyzes audit practices, policies and procedures, recommend appropriate changes and implement new policies and procedures, as approved.
- Explains audit findings and recommendations.
- Maintains expertise on a variety of rules and regulations that include but are not limited to state statutes and policies, federal laws and regulations, and Generally Accepted Accounting Principles and Generally Accepted Auditing Standards.
- Take lead role in formulating, drafting, implementing and monitoring regulations on the Office of Rate Review related issues.
- Researches new developments or legislation related to the proposed audited entity to identify new areas which may require audit emphasis.
- Performs special assignments, studies, or special projects as assigned.
- Supervision of three (3) internal Audit & Review Analyst II employees.
- Provides training to new team members on departmental processes and standards.
Our successful candidate will possess some or all of the following Knowledge, Skills, and Abilities:
- Considerable knowledge of accounting theories, concepts, principles, and methods.
- Considerable knowledge of data processing as applied to financial control and accounting systems.
- Considerable knowledge of manual and computerized accounting and information systems.
- Considerable knowledge analyzing health care facility financial information.
- Working knowledge of Medicaid policies, procedures and standards.
- Skills in handling and prioritization of multiple responsibilities and delegation of work in an environment where interruptions occur frequently.
- Ability to communicate technical financial information effectively, both orally and in writing to a broad variety of individuals sometimes under adverse or stressful situations, and effectively tailoring the communication style to its intended audience.
- Ability to manage multiple priorities and work effectively under pressure and with continual interruptions.
- Ability to manipulate data with accuracy and has strong attention to detail.
- Ability to interpret and apply state and federal regulations and statutes.
- Ability to coach and train other staff.
To view the general description and example of duties for an Audit and Review Analyst III, please go to the following link: https://www.governmentjobs.com/careers/Alaska/classspecs
Two years of auditing experience performing the full range audit duties at the journey level. The required auditing experience is met by service as an Audit and Review Analyst II with the State of Alaska or the equivalent with another employer.
Four years of any combination of post-secondary education from an accredited college (3 semester/4 quarter hours equal one month) and/or paraprofessional or professional accounting experience will substitute for the required bachelor's degree if it includes 16 semester hours/24 quarter hours in accounting and three semester hours/four quarter hours in auditing.
Possession of a Certified Public Accountant Certificate will substitute for the required degree.
At time of interview applicant must submit:
- A copy of academic transcripts, to verify post-secondary education used to meet the minimum qualifications, (Unofficial are okay, please ensure that the institution name is listed on the transcripts) which includes verification that you have: 16 semester hours/24 quarter hours in accounting and three semester hours/four quarter hours in auditing. You cannot be considered for this position unless you possess this requirement.
- List of three (3) professional references including current daytime phone numbers.
- Copies of two (2) most recent performance evaluations or two (2) letters of professional reference, one of which must be from a former employer.
- A resume with complete job history, including the names and current telephone numbers of previous employers.
Please read the below information carefully. This applies to your application submission.