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INTERNAL AUDITOR PROGRAM SUPERVISOR

MANAGER OF PROGRAM INTEGRITY- MDH PROGRAMS

Recruitment #18-004377-0002

GRADE

19

 

LOCATION OF POSITION

MDH/Office of the Inspector General, Baltimore, Maryland

Main Purpose of Job

Pursuant to the provisions of Health General 2-501 to 2-505, Health Program Integrity and Recovery Activities, the Secretary of the Department of Health has established, within the Office of the Secretary, the Office of the Inspector General (OIG) under the authority of the Inspector General (IG). The OIG was created to consolidate existing audit and investigative functions for the prevention, detection and investigation of fraud, waste, abuse, and mismanagement of fiscal, material and personnel resources. 

Within the OIG is the Program Integrity Unit responsible for detecting, auditing and investigating allegations of fraud, waste or abuse within the Medicaid Program, including its various Waiver Programs. The Provider Review Unit detects possible fraud, waste or abuse by the 43,000 providers (individuals or programs) of Medicaid reimbursed services, especially services by Behavioral Health providers (mental health, substance abuse and developmental disability).

This position oversees, supervises and performs the administrative functions for 12 subordinate positions - three audit team leaders and 9 nine auditors- who conduct the audits/reviews of these healthcare providers for compliance with law, regulations, policy, and guidelines. This position also analyzes potential cases that may have been received via complaint, data mining, hotline, referral, etc., in order to determine if the potential case has merit for further review. The audit/reviews lead to recovery of funds and possibly criminal or civil prosecution of the provider. This position also serves as a contract monitor; liaison for the review of draft COMAR; coordinator of monthly fraud workgroup meetings; and facilitator/liaison with federal Medicaid Integrity Contractors.

MINIMUM QUALIFICATIONS

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 graduate transcripts must accompany your application (Unofficial transcripts are acceptable).   

Experience: Five years of experience conducting financial and operational internal audits that include elements for finance and compliance, economy and efficiency, and program results.

Notes:

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.

4. Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer in Internal Review classifications or Auditing specialty codes in the Financial or Auditing fields of work on a year-for-year basis for the required experience.

DESIRED OR PREFERRED QUALIFICATIONS

The preferred candidate for this recruitment will possess:  

  • auditing or investigative background. 
  • familiarity with medical assistance or healthcare insurance billing or auditing.  
  • proficiency in Excel. 

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.

SELECTION PROCESS

Applicants who meet the minimum (and selective) qualifications will be included in further evaluation. 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. Clearly indicate your college degree and major on your application, if applicable. For education obtained outside the U.S., any job offer will be contingent on the candidate providing an evaluation for equivalency by a foreign credential evaluation service prior to starting employment (and may be requested prior to interview). Complete applications must be submitted by the closing date. Information submitted after this date will not be added. Candidates may remain on the certified eligible list for a period of at least one year.

Online applications are highly recommended. However, if you are unable to apply online, the paper application may be submitted to MDH, 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.

If additional information is required, the preferred method is to upload. If unable to upload, please fax requested information only to 410-333-5689. Only additional materials that are required will be accepted for this recruitment. All additional information must be received by the closing date and time.

Resumes will not be accepted in lieu of a completed application.

For questions regarding this recruitment, please contact the MDH Recruitment and Selection Division, at 410-767-1251. 

If you are having difficulty with your user account or have general questions about the online application system, please contact the MD Department of Budget and Management, Recruitment and Examination Division at 410-767-4850 or Application.Help@maryland.gov

Appropriate accommodations for individuals with disabilities are available upon request by calling: 410-767-1251 or MD TTY Relay Service 1-800-735-2258.

BENEFITS

FURTHER INSTRUCTIONS

The resulting certified eligible list for this recruitment may be used for similar positions in this or other State agencies.

As an equal opportunity employer, Maryland is committed to recruiting, retaining and promoting employees who are reflective of the State’s diversity. People with disabilities and bilingual candidates are encouraged to apply. We thank our Veterans for their service to our country.