LOCATION OF POSITION
DHMH, Office of the Inspector General, Baltimore, MD
Main Purpose of Job
This position is located in the Program Integrity Unit of the Office of the Inspector General, Department of Health and Mental Hygiene. This position will be part of a team that will conduct audits and investigations of Medicaid providers of services such as mental health, substance abuse, and activities of daily living in order to objectively review, monitor, and verify the compliance efforts of contractors, grantees and providers that may have received DHMH funds. Duties include analyzing and interpreting data regarding billing, coding, and contractual agreements for compliance with appropriate federal and state laws; developing an audit work plan; coordinating reviews and audits with assigned clinical staff from another DHMH unit, technical experts, other State departments, and/or the Medicaid Fraud Control Unit of the Office of the Attorney General; researching records, and gathering/preserving documentary evidence; reviewing/verifying/analyzing the documentation of the reviewed provider; conducting interviews of recipients to verify services; conducting interviews with provider personnel involved with management, billing, coding, and other related activities in order to obtain statements of fact or confessions; preparing formal audit reports for the Inspector General Officer that may include recommendations for corrective measures in addition to the proof of facts and evidence to be used in a court or administrative hearing; and conducting follow-up audits to determine if recommended corrective actions have been implemented. Minimal travel required to conduct on-site reviews. The successful candidate should have experience in auditing the claims of health providers. Desired skills include the ability to work on team-oriented projects, good oral and written communication skills and the ability to pursue issues in the face of opposition. Certified Fraud Examiner or applicable professional certification is preferred, but not required.
MINIMUM EDUCATION OR GENERAL REQUIREMENTS
Education: Possession of a bachelor's degree in accounting from an accredited college or university or a bachelor's degree from an accredited college or university with 30 credit hours in accounting and related courses, including or supplemented by 3 credit hours in auditing. A copy of your transcript is required at time of application to verify credits.
Experience: Three years of experience conducting financial and operational internal audits that include elements for finance and compliance, economy and efficiency, and program results.
1. Applicants who have met the requirements for admission to the CPA examination prior to July 1, 1974 will be considered to have met the educational requirement referenced above.
2. Possession of a certificate as a Certified Public Accountant or Certified Internal Auditor or a master’s degree in accounting from an accredited college or university may be substituted for one year of the required experience.
3. Applicants may substitute one year of professional accounting experience for one year of auditing experience.
Must have one year of experience with Microsoft Word and Excel and must have a valid driver's license. Experience must be noted on application to receive credit. A copy of your driver's license must accompany application.
LICENSES, REGISTRATIONS AND CERTIFICATIONS
Employees in this classification may be assigned duties which require the operation of a motor vehicle. Employees assigned such duties may be required to possess a motor vehicle operator's license valid in the State of Maryland.
Applicants who meet the minimum qualifications will be evaluated. The evaluation may be a rating of your application based on your education, training and experience as they relate to the requirements of the position. Therefore, it is essential that you provide complete and accurate information on your application. Please report all related education, experience, dates and hours of work. For education obtained outside the U.S., a copy of the equivalent American education as determined by a foreign credential evaluation service must accompany the application. All information concerning your qualifications must be submitted by the closing date. We will not consider information submitted after this date. Applicants certified to list will receive eligibility for a period of one (1) year.
Eligibility may be extended beyond one (1) year period. For Recorded Job Information Call: 410-767-6018.
Online applications are highly recommended, however the paper application may be submitted to DHMH, Recruitment and Selection Division, 201 W. Preston St., Room 114-B, Baltimore, MD 21201. The paper application must be received by 5 pm, close of business, on the closing date for the recruitment, no postmarks will be accepted.
Incorrect application forms will not be accepted.
Appropriate accommodations for individuals with disabilities are available upon request by calling: (410) 767-1251 or MD TTY Relay Service 1-800-735-2258.
BARGAINING UNIT STATUS
The incumbent in this position is a member of a covered bargaining unit and will be required to pay a bi-weekly service fee to the exclusive representative of the bargaining unit.
STATE OF MARYLAND BENEFITS
As an equal opportunity employer Maryland is committed to recruiting, retaining and promoting employees who are reflective of the State’s diversity.
If you need to submit additional information, the preferred method is to upload. If unable to upload, please fax requested information only to 410-333-5689.
State of Maryland - 2 years ago