Medicaid Audits & Investigations Compliance Lead

State of Iowa - Executive Branch; Des Moines (IA); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health insurance

Dental coverage

Vision coverage

Paid time off

Retirement plans

Flexible spending accounts

Life insurance

Long-term disability insurance

Employee assistance program

Employee discounts

Job summary

The State of Iowa - Executive Branch seeks a Compliance Officer to oversee Medicaid PI Audits and Investigations, ensuring program integrity and adherence to state and federal requirements. The role serves as the SME on audits for the Division and coordinates with the Iowa Attorney General's office.

Successful candidates will analyze data, identify risk areas, and recommend enforcement actions while maintaining strong cross‑agency relationships.

Qualifications

• Graduation from an accredited four-year college or university with a degree in any field and five years in investigative or closely related work.
• Graduation from an accredited four-year college or university with a degree in any field and five years of professional work involving enforcement of federal/state laws.
• Graduation from the accredited law school with two years of relevant experience.
• Total of nine years of education/experience as described above.
• Current continuous state executive branch experience including two years in management/supervisory roles.
• Current continuous state executive branch experience including eighteen months as Compliance Officer 1.

Responsibilities

• Oversee PI Audits and Investigations enforcement activities.
• Ensure compliance with federal and state laws, rules, and program requirements.
• Maintain liaison with the Iowa Attorney General's staff on cases and audits.
• Serve as SME on audits and investigations for the Division.
• Analyze reports and data, identify focus areas for audits.

Skills

Audits

Investigations

Compliance

Data analysis

Risk assessment

Communication

Education

Bachelor's degree (any field)

Juris Doctor (JD)

Nine years of education/experience equivalent

Tools

None

Job description

The State of Iowa - Executive Branch seeks a Compliance Officer to oversee Medicaid PI Audits and Investigations, ensuring program integrity and adherence to state and federal requirements. The role serves as the SME on audits for the Division and coordinates with the Iowa Attorney General's office.

Successful candidates will analyze data, identify risk areas, and recommend enforcement actions while maintaining strong cross‑agency relationships.