Apply »

AUDIT SUPERVISOR (PUBLIC SERVICE ADMINISTRATOR, OPT. 2)

We continually strive for a workforce that reflects the growing diversity within the State of Illinois. A variety of employee backgrounds, perspectives, ideas and experiences are crucial to our ability to most effectively serve the public. Bilingual skills welcome

Reasonable Accommodation Statement

The State of Illinois is committed to working with and providing reasonable accommodations to people with disabilities. Further, federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job, interview for a job, or for any other activity related to the hiring process. Examples of reasonable accommodation include, but are not limited to, making a change to the application process (if possible), providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

To be provided a Reasonable Accommodation during the hiring process, you will need to provide a certification of disability from a physician, psychiatrist, school official or an Illinois Department of Human Services (DHS) Division of Rehabilitation Services (DRS) Vocational Rehabilitation (VR) Counselor. Supporting documentation should be uploaded under My Documents → Additional Documents section for each application.

Any questions on Reasonable Accommodations can be directed to Central Management Services Disability Resource Center at CMS.DisabilityResCen@illinois.gov or call (217) 524-7514 for further information and to request or discuss an accommodation.

Sponsorship for Employment

The State of Illinois does not provide sponsorship for employment visa status (e.g. H-1B visa status). To be considered for permanent employment with the State of Illinois, applicants must be currently authorized to work in the United States on a full-time basis.

Disclosure of Salary Information

In compliance with the Illinois Equal Pay Act, 820 ILCS 112/1 et seq., the State does not seek, request, or require a job applicant’s wage or salary history.  Employment decisions are not made based on an applicant’s wage or salary history.  To that end, please do not include wage or salary information in your resume or other profile or application materials.
Date:  Nov 19, 2024
Location: 

Chicago, IL, US, 60607

Job Requisition ID:  42739

Job Requisition ID: IG 42739 

BPIS: 03496

Start Date: 11/19/2024
Closing Date/Time: 12/05/2024
​Agency: Department of Healthcare and Family Services
Class Title: PUBLIC SERVICE ADMINISTRATOR - 37015 
Skill Option: Fiscal Management/Accounting/Budget/ Internal Audit/Insurance/Financial 
Bilingual Option: None 
Salary: Anticipated Starting Salary $7,966/month to $9,000/month
Job Type: Salaried
Category: Full Time 
County: Cook
Number of Vacancies: 1
Plan/BU: None

 


****A RESUME IS REQUIRED FOR THIS JOB POSTING****

 

Please attach a DETAILED Resume/Curriculum Vitae (CV), a copy of your transcripts or diploma for all degrees earned, and a copy of any applicable professional licensures to the MY DOCUMENTS section of your application. Please note that the Department of Healthcare and Family Services must verify proof of higher education for any degree earned (if applicable) before any offer can be extended. You WILL NOT be considered for the position if you attach a CMS100, CMS100b or any other document in lieu of a Resume or CV.

 

Working with the State of Illinois is a testament to the values of compassion, equity, and dedication that define our state. Whether you’re helping to improve schools, protect our natural resources, or support families in need, you’re part of something bigger—something that touches the lives of every person who calls Illinois home.
No matter what state career you’re looking for, we offer jobs that fit your life and your schedule—flexible jobs that provide the gold standard of benefits. Our employees can take advantage of various avenues to advance their careers and realize their dreams. Our top-tier benefits and great retirement packages can help you build a rewarding career and lasting future with the State of Illinois. 

 

Position Overview:

The Department of Healthcare and Family Services, Office of Inspector General, Bureau of Medicaid Integrity is seeking to hire a highly capable and experienced professional to serve as Audit Supervisor to oversee pharmacy provider audits.  In this capacity, the Audit Supervisor will provide technical guidance and logistical support to the auditors and manage the audits to completion. The Audit Supervisor will be responsible for the quality and accuracy of the audit output through oversight starting with validations that the payment of claims complies with the regulations, feedback to the auditor for any auditing errors, communication to the auditee of discrepancies, and provide support in all audit conferences. This candidate will also be responsible for reviewing data to determine trends and make recommendations for future audits.

The ideal candidate will demonstrate a strong foundation in Medicaid policy, pharmacy claims processing and procedures, and problem-solving skills to address audits of high complexity. Ideal skills include the ability to exercise sound judgment in the identification of priorities, to work collaboratively with internal and external partners, proactively address issues, and to ensure timely completion of all work. The candidate will exhibit strong leadership skills to achieve set goals while demonstrating independent initiative. Strong written and verbal communication skills are essential to be successful in this role.

 

 

HFS values employees with different backgrounds, life experiences, and talents.
Employees receive a robust benefit package including:
• Monday-Friday work schedule • Flexible work schedules are available in many program areas. (Remote work may be an option for certain positions.)
• Health, Life, Vision, and Dental Insurance
• Pension Plan
• Paid Parental Leave
• Deferred Compensation Program and other pre-tax benefit programs (Medical/Daycare)
• Employees earn (12) paid Sick Days annually.
• New Employees earn (10) paid Vacation Days their first year of service and can earn up to (25) paid Vacation Days annually.
• Employees earn (3) paid Personal Days annually.
• (13-14) paid holidays annually (based on start date)
If you are seeking a new opportunity, and this position appeals to you, please apply today!

 

At the Illinois Department of Healthcare and Family Services (HFS), we value staff as our greatest asset. We work in a spirit of teamwork to help millions of Illinoisans access high quality healthcare and fulfill child support obligations to advance their physical, mental, and financial well-being. We provide healthcare coverage for children and adults through Medicaid and other medical programs, and we help ensure that children receive financial resources from both their parents through Child Support Services. The HFS Office of the Inspector General investigates, audits and reviews program activity to ensure the integrity of our programs is maintained.


HFS is committed to promoting and preserving a workplace culture that embraces diversity, equity, and inclusion. We welcome and value employees with different backgrounds, life experiences, and talents. It is the collective sum of our individual differences that provides a broad perspective, leading to greater innovation and achievement. In recruiting for our team, we recognize the unique contributions of each applicant regardless of culture, ethnicity, race, national origin, sex, gender identity and expression, age, religion, disability, and sexual orientation. HFS is an equal opportunity employer.

Essential Functions

  • Subject to management approval, serves as an Audit Supervisor in the Office of Inspector General (OIG) for the Illinois Department of Healthcare and Family Services (HFS)
  • Serves as full line supervisor
  • Confers with providers in informal reviews
  • Provides input into the revision of audit manuals, standard operating procedures, audit protocols, and guidelines for obtaining goals/objectives
  • Attends staff meetings and conferences to keep abreast of any changes and/or revisions
  • Performs other duties as required or assigned which are reasonably within the scope of the duties enumerated above

Minimum Qualifications

  • Requires knowledge, skill, and mental development equivalent to completion of four (4) years of college with courses in business administration, accounting, or finance
  • Requires prior experience equivalent to three (3) years of progressively responsible administrative experience in the fields of fiscal management, accounting, budgeting, internal auditing, insurance and/or finance

Preferred Qualifications

  • Two (2) years of professional experience in pharmacy operations and compliance
  • Two (2) years of work experience utilizing the National Drug Code (NDC) Directory
  • Two (2) years of professional experience with computerized pharmacy information and dispensing systems, operations, and clinical pharmacy services
  • Two (2) years of professional auditing experience
  • Two (2) years of professional experience drafting reports
  • One (1) year of professional experience interpreting and applying Medicaid laws, rules, or policies
  • One (1) year of work experience reviewing and analyzing medical or pharmacy claims data reports
  • One (1) year professional experience serving in a supervisory or leadership role

Conditions of Employment

  • Requires completion of background check and self-disclosure of criminal history
  • Requires the ability to travel statewide in the performance of duties, with overnight stays as appropriate
  • Requires the ability to utilize and maintain state issued equipment such as a laptop
  • This position has been found to meet the requirements in section 4A-101 of the Illinois Governmental Ethics Act requiring the occupant/employee to file a Statement of Economic Interest. The Illinois Governmental Ethics Act (5 ILCS 420/4A et seq.)
    requires certain state officials and employees to file annual Statements of Economic Interest with the Office of the Secretary of State that will be made available for examination and copying by the public. All employees required to file a Statement of
    Economic Interest are also required to file the Supplemental Statement of Economic Interest with the Executive Ethics Commission. (See Executive Order 15-09) Fines and penalties apply to untimely filings
  • Requires ability to attend seminars, conferences, and trainings to stay current on methods, tools, ideologies, or other industry related topics relevant to the job duties
    • The conditions of employment listed here are incorporated and related to any of the job duties as listed in the job description

 ​Work Hours: Monday-Friday 8:30am-5:00 pm
Work Location: 401 S Clinton St, Chicago, Illinois, 60607
Email: HFS.OIGApps@illinois.gov
Posting Group: Leadership & Management

 

The main form of communication will be through email. Please check your “junk mail”, “spam”, or “other” folder for communication(s) regarding any submitted application(s). You may receive emails from the following addresses:

  • donotreply@SIL-P1.ns2cloud.com
  • systems@SIL-P1.ns2cloud.com


Nearest Major Market: Chicago

Apply »