Company Info

WI Department of Health Services


United States

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Company Profile


AUDITOR-SENIOR


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Job ID:

5229

Location:

Madison, WI, United States 

Category:

Other
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Job Views:

18

Employment Type:

Full time

Posted:

10.11.2018
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Job Description:

~~ This position acts as lead auditor in developing/conducting routine and complex specialized compliance, program, operational, procedural, investigative, and financial audits of health care entities who are reimbursed by the Title XIX Wisconsin Medicaid Program, (e.g. physicians/physician clinics, dentists, pharmacies, therapies (occupational, physical, speech), ambulances, federally qualified health centers, nursing homes, hospitals, etc), providing a variety of unique specialized medical care and services to Medicaid recipients. This position monitors contracts; performs follow-up of any Medicaid non-compliance found by the Independent Auditor; and conducts internal program and economy and efficiency audits of the Medicaid Program to assure compliance with federal Medicaid State Agency regulations and procedures.  The major goals are to assure the Department that medical care and services were rendered to Program beneficiaries and that incidents and practices did not cause a direct or indirect financial loss to the Medicaid Program or to beneficiaries and their families.