Program Integrity PERM Audit Coordinator

Program Integrity Perm Audit Coordinator

This is a hybrid position offering significant work-from-home flexibility. If this opportunity aligns with your strengths, background, and commitment to fostering inclusivity, we encourage you to apply! At Oregon Health Authority (OHA), we value diversity and encourage applicants from all backgrounds and experiences to help us build a stronger, more equitable future for all.

This position is part of the Program Integrity Audit Unit in the Office for Program Integrity which reports directly to the Chief Financial Officer of the Fiscal Operations Division of OHA. The mission of the OPI is to ensure program integrity of the Medicaid program through auditing, investigations, research and policy development.

In this role, you will conduct audits of providers participating in Oregon's Medicaid program. The audit function is designed to detect, identify, and deter medical program fraud, waste, and abuse, and to monitor and ensure provider compliance with federal, state, and agency rules and regulations. In addition, this position serves as the state coordinator for the federal Payment Error Rate Measurement (PERM) cycle, leading all phases of each three-year cycle and facilitating all communication and coordination among CMS, federal contractors, state staff, and Medicaid and CHIP providers.

Because this work directly affects Oregon's Medicaid funding and impacts over one million diverse beneficiaries, the role requires strong analytical skills, excellent communication, independent judgment, and a demonstrated understanding of health equity and PIAU's mission.

What We Are Looking For

Minimum Qualifications: These qualifications must be reflected in your application for consideration.

• A Bachelor's degree in a business-related field, such as business administration, public administration, finance, economics, computer science, etc., AND two years of auditing experience.

• OR

• Twenty quarter hours of college courses in a business or financial field such as the areas listed above AND two additional years of auditing experience may substitute for the degree.

• Successful completion of the duties and training as an Oregon Governmental Auditor (Entry) will substitute for one year of auditing experience.

• Transcripts must be submitted for all required or related courses.

Desired Attributes

The following are desired attributes that we have identified as key to success for this role at OHA. These are the attributes we are looking for in our top candidate. If you have any of these, please let us know in your application.

• Experience in using Generally Accepted Governmental Auditing Standards as prescribed by the U.S. Government Accountability Office, also referred to as the Yellow Book.

• Skill in auditing techniques:

• reviewing and analyzing accounting records and program data;

• collecting evidence, documenting work papers appropriately and identifying audit exceptions;

• conducting interviews, inquiry, and communication with auditee personnel at various administrative levels;

• developing computer assisted auditing techniques;

• analyzing and evaluating the results of statistical samples to support audit findings.

• Experience in risk analysis for evaluation of internal and management controls.

• Experience within the Dental or Behavioral Health field.

• Experience in provider healthcare billing.

• Holds certification in a coding or auditing discipline.

• Skill in oral and written communications, preparing clear and concise reports and effectively communicating problems and recommendations in support of audit findings.

• Skill in presenting audit findings (e.g., graphs, charts, etc.).

• Skill in researching compliance and operational issues and State or Federal regulations applicable to the organizational unit under review.

• Strong analytical, independent judgement and excellent customer service skills.

• Ability to manage multiple audits and other projects and be able to organize and prioritize work to meet deadlines and have flexibility and work demand tolerance.

• Must be proficient in Microsoft Office products such as Outlook, Word, Excel, Teams and PowerPoint.

• Experience in creating and maintaining a work environment that is respectful and accepting of diversity among team members and the people we serve

• Preference may be given to applicants with experience in the dental or behavioral health fields. However, all candidates meeting several of the desired attributes outlined below are encouraged to apply.

Application Guidance

Your candidate profile and application are your opportunity to showcase your skills and interest in this role. Submissions will be reviewed for clarity, consistency, and communication skills, and for alignment with the guidance provided in the below:

• Resume Attach your current resume that clearly outlines your education and work experience relevant to this position.

• Supplemental Questions Answer all supplemental questions completely and accurately.

• Final Check! Before submitting, confirm that all required materials are included, and your Workday Job History is current. The information in your application will be used to complete an Equal Pay Analysis to determine salary placement upon hire. Visit the Equal Pay Analysis Webpage for more information.

• After You Apply:

• Complete any pending tasks in Workday under "My Applications" prior to the application deadline.

• Check your email (including junk folder) and Workday inbox regularly for updates on your application.

• Reminders:

• Eligible veterans and Oregon National Guard servicemembers (current and former) who meet the qualifications of the position will be awarded candidate preference. To protect your information and ensure correct processing, please follow the instructions for submitting your Veterans' Preference documentation.

• Please download and save a copy of this job announcement and linked position description, as it is not available after the application deadline.

About the Team & Benefits of Joining

We offer a workplace that balances productivity with enjoyment; promotes an atmosphere of mutual respect, dedication, and enthusiasm. You will collaborate with a team of bright individuals to work with and learn from.

If you're driven by the passion to do something meaningful that changes lives, the Oregon Health Authority is the place for you. We also offer a competitive benefits package including:

• Excellent, low-cost medical, vision, and dental coverage for you and your family.

• Optional benefits like life insurance, disability coverage, deferred compensation, and FSA options for health and childcare.

• Generous paid time off: 11 holidays, 3 personal days, monthly sick leave, and vacation accrual starting at 8 hours/month.

• Potential eligibility for the Public Service Loan Forgiveness Program.

• Retirement security through Public Employees Retirement System (PERS)/ Oregon Public Service Retirement Plan (OPSRP).

• Training and development opportunities to grow your career with the State of Oregon.

Additional Details

• This announcement is for multiple fulltime, permanent, SEIU represented, Program Integrity PERM Audit Coordinator (Classification: Governmental Auditor 2 based in Salem, Oregon).

• This is a hybrid/remote position. "Review Section 4: Working Conditions" in the position description (linked above) for more information.

• Employment is contingent upon a criminal records check that meets OHA criteria at the time of hire and throughout employment.

• The salary listed is the non-PERS qualifying range. If the successful candidate qualifies for PERS, the salary range will increase by 6.95%. For more information, see the Classification and Compensation page.

• The State of Oregon does not request or require your age, date of birth, attendance or graduation dates from an education institution during the application process.

• This position does not provide visa sponsorship. Within three days of hire, you will be required to complete I-9 documentation and confirm authorization to work in the United States. OHA will use E